Delirium tremens screening: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Delirium tremens}} | {{Delirium tremens}} | ||
{{CMG}} {{AE | {{CMG}} {{AE}} {{ZMalik}} | ||
==Overview== | ==Overview== | ||
Screening tools include the Alcohol Use Disorders Identification Test (AUDIT) and the CAGE screening test. | ==Screening== | ||
*Revised Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) is the most appropriate tool to evaluate [[alcohol withdrawal]] severity. | Screening tools include the | ||
*'''Alcohol Use Disorders Identification Test''' ('''AUDIT''') is a simple ten-question test developed by the [[World Health Organization]] to determine if a person's [[alcohol]] consumption may be harmful<ref name="pmid29723083">{{cite journal| author=Higgins-Biddle JC, Babor TF| title=A review of the Alcohol Use Disorders Identification Test (AUDIT), AUDIT-C, and USAUDIT for screening in the United States: Past issues and future directions. | journal=Am J Drug Alcohol Abuse | year= 2018 | volume= 44 | issue= 6 | pages= 578-586 | pmid=29723083 | doi=10.1080/00952990.2018.1456545 | pmc=6217805 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29723083 }} </ref>. | |||
** Questions 1-3 deal with [[alcohol]] consumption | |||
** Questions 4-6 relate to [[alcohol dependence]] and | |||
** [[Questions]] 7-10 consider [[alcohol]]-related problems. | |||
** A score of 8 or more in men (7 in women) indicates a strong likelihood of hazardous or harmful alcohol consumption. | |||
** A score of 13 or more is suggestive of [[alcohol]] related harm. | |||
*and the CAGE screening test. | |||
*'''Revised Clinical Institute Withdrawal Assessment for Alcohol''' ('''CIWA-Ar''') is the most appropriate tool to evaluate [[alcohol withdrawal]] severity<ref name="pmid28699845">{{cite journal| author=Rastegar DA, Applewhite D, Alvanzo AAH, Welsh C, Niessen T, Chen ES| title=Development and implementation of an alcohol withdrawal protocol using a 5-item scale, the Brief Alcohol Withdrawal Scale (BAWS). | journal=Subst Abus | year= 2017 | volume= 38 | issue= 4 | pages= 394-400 | pmid=28699845 | doi=10.1080/08897077.2017.1354119 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28699845 }} </ref><ref name="pmid2597811">{{cite journal| author=Sullivan JT, Sykora K, Schneiderman J, Naranjo CA, Sellers EM| title=Assessment of alcohol withdrawal: the revised clinical institute withdrawal assessment for alcohol scale (CIWA-Ar). | journal=Br J Addict | year= 1989 | volume= 84 | issue= 11 | pages= 1353-7 | pmid=2597811 | doi=10.1111/j.1360-0443.1989.tb00737.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2597811 }} </ref>. | |||
**It includes a 10-item questionnaire | **It includes a 10-item questionnaire | ||
**8 points or lower indicates mild [[withdrawal]] | **8 points or lower indicates mild [[withdrawal]] | ||
Latest revision as of 16:46, 23 June 2022
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Zehra Malik, M.B.B.S[2]
Overview
Screening
Screening tools include the
- Alcohol Use Disorders Identification Test (AUDIT) is a simple ten-question test developed by the World Health Organization to determine if a person's alcohol consumption may be harmful[1].
- Questions 1-3 deal with alcohol consumption
- Questions 4-6 relate to alcohol dependence and
- Questions 7-10 consider alcohol-related problems.
- A score of 8 or more in men (7 in women) indicates a strong likelihood of hazardous or harmful alcohol consumption.
- A score of 13 or more is suggestive of alcohol related harm.
- and the CAGE screening test.
- Revised Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) is the most appropriate tool to evaluate alcohol withdrawal severity[2][3].
- It includes a 10-item questionnaire
- 8 points or lower indicates mild withdrawal
- 9 to 15 points towards moderate withdrawal
- 15 or higher means the patient suffers from severe withdrawal symptoms and is at a higher risk for seizures and Delirium tremens.
References
- ↑ Higgins-Biddle JC, Babor TF (2018). "A review of the Alcohol Use Disorders Identification Test (AUDIT), AUDIT-C, and USAUDIT for screening in the United States: Past issues and future directions". Am J Drug Alcohol Abuse. 44 (6): 578–586. doi:10.1080/00952990.2018.1456545. PMC 6217805. PMID 29723083.
- ↑ Rastegar DA, Applewhite D, Alvanzo AAH, Welsh C, Niessen T, Chen ES (2017). "Development and implementation of an alcohol withdrawal protocol using a 5-item scale, the Brief Alcohol Withdrawal Scale (BAWS)". Subst Abus. 38 (4): 394–400. doi:10.1080/08897077.2017.1354119. PMID 28699845.
- ↑ Sullivan JT, Sykora K, Schneiderman J, Naranjo CA, Sellers EM (1989). "Assessment of alcohol withdrawal: the revised clinical institute withdrawal assessment for alcohol scale (CIWA-Ar)". Br J Addict. 84 (11): 1353–7. doi:10.1111/j.1360-0443.1989.tb00737.x. PMID 2597811.