Prevalence of Wernicke's Encephalopathy When Receiving Dextrose Before Thiamine: A National Study of Veterans

Our data suggest that alcohol-intoxicated patients are unlikely to develop Wernicke's encephalopathy with acute dextrose administration. While administering thiamine in alcohol-intoxicated patients is low risk and potentially beneficial, we submit that hypoglycemia treatment should not be delayed for this intervention.

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Publication Details

Journal
Academic Emergency Medicine
Published
2025-08-28
DOI
https://doi.org/10.1111/acem.70131
Primary Topic
Alcoholism and Thiamine Deficiency
Type
article
Field-Weighted Citation Impact
0.00
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article

Prevalence of Wernicke's Encephalopathy When Receiving Dextrose Before Thiamine: A National Study of Veterans

Katherine Sherman, Andrew Farkas, David D. Gummin, Jamie Jasti
Academic Emergency Medicine
Alcoholism and Thiamine Deficiency
article

Prevalence of Wernicke's Encephalopathy When Receiving Dextrose Before Thiamine: A National Study of Veterans

Katherine Sherman, Andrew Farkas, David D. Gummin, Jamie Jasti
article en

Abstract

Our data suggest that alcohol-intoxicated patients are unlikely to develop Wernicke's encephalopathy with acute dextrose administration. While administering thiamine in alcohol-intoxicated patients is low risk and potentially beneficial, we submit that hypoglycemia treatment should not be delayed for this intervention.

Academic Emergency MedicineVol. 32(11)
University of New Mexico (US), Medical College of Wisconsin (US), Milwaukee VA Medical Center (US)
Openalex Percentile: Top 67%
Alcoholism and Thiamine Deficiency
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