Alcohol withdrawal diagnostic criteria: Difference between revisions

	Alcohol Withdrawal Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Alcohol withdrawal from other Diseases
Epidemiology and Demographics
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Criteria
Alcohol Withdrawal Calculator
History and Symptoms
Physical Examination
Laboratory Findings
CT
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Alcohol withdrawal diagnostic criteria On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Alcohol withdrawal diagnostic criteria All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Alcohol withdrawal diagnostic criteria
CDC on Alcohol withdrawal diagnostic criteria
Alcohol withdrawal diagnostic criteria in the news
Blogs on Alcohol withdrawal diagnostic criteria
Directions to Hospitals Treating Alcohol withdrawal
Risk calculators and risk factors for Alcohol withdrawal diagnostic criteria

VisualWikitext

Latest revision as of 17:10, 12 November 2020

For patient information click here.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]; Kiran Singh, M.D. [3]

Overview

The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria is used to diagnose alcohol withdrawal and the Clinical Institute Withdrawal Assessment for Alcohol (CIWA-A) scale is used to assess the severity of alcohol withdrawal.

Diagnosis

Diagnostic Criteria

DSM-V Diagnostic Criteria for Alcohol Withdrawal^[1]

“

A. Cessation of (or reduction in) alcohol use that has been heavy and prolonged.

AND

B. Two (or more) of the following, developing within several hours to a few days after the cessation of (or reduction in) alcohol use described in Criterion A:

1. Autonomic hyperactivity (e.g., sweating or pulse rate greater than 100 bpm).
2. Increased hand tremor.
3. Insomnia.
4. Nausea or vomiting.
5. Transient visual, tactile, or auditory hallucinations or illusions.
6. Psychomotor agitation.
7. Anxiety.
8. Generalized tonic-clonic seizures.

AND

C. The signs or symptoms in Criterion B cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

AND

D. The signs or symptoms are not attributable to another medical condition and are not better explained by another mental disorder, including intoxication or withdrawal from

another substance.

Specify if:

With perceptual disturbances: This specifier applies in the rare instance when hallucinations(usually visual or tactile) occur with intact reality testing, or auditory, visual,

”

Clinical Institute Withdrawal Assessment for Alcohol revised (CIWA-Ar)

The CIWA (Clinical Institute Withdrawal Assessment)^[2] is a common measure used in North American hospitals to assess and treat alcohol withdrawal syndrome and for alcohol detoxification. This clinical tool assesses 10 common withdrawal signs.^[3] A score of more than 15 points is associated with increased risk of alcohol withdrawal effects such as confusion or seizures.

Other Assessment Scales

Alcohol Assessment Scale

Level of Evidence

Assessment Scale	Level of Evidence
The Clinical Institute Withdrawal Assessment for Alcohol Revised (CIWA-Ar)	I
Alcohol Assessment Scale (AWS)	IV

References

↑ Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.
↑ Puz CA, Stokes SJ (2005). "Alcohol withdrawal syndrome: assessment and treatment with the use of the Clinical Institute Withdrawal Assessment for Alcohol-revised". Crit Care Nurs Clin North Am. 17 (3): 297–304. doi:10.1016/j.ccell.2005.04.001. PMID 16115538. Unknown parameter |month= ignored (help)
↑ McKay A, Koranda A, Axen D (2004). "Using a symptom-triggered approach to manage patients in acute alcohol withdrawal". Medsurg Nurs. 13 (1): 15–20, 31, quiz 21. PMID 15029927. Unknown parameter |month= ignored (help)

[DSMV-1] Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.

[pmid16115538-2] Puz CA, Stokes SJ (2005). "Alcohol withdrawal syndrome: assessment and treatment with the use of the Clinical Institute Withdrawal Assessment for Alcohol-revised". Crit Care Nurs Clin North Am. 17 (3): 297–304. doi:10.1016/j.ccell.2005.04.001. PMID 16115538. Unknown parameter |month= ignored (help)

[pmid15029927-3] McKay A, Koranda A, Axen D (2004). "Using a symptom-triggered approach to manage patients in acute alcohol withdrawal". Medsurg Nurs. 13 (1): 15–20, 31, quiz 21. PMID 15029927. Unknown parameter |month= ignored (help)

[1]

[2]

[3]

@@ Line 1: / Line 1: @@
 {| class="infobox" style="float:right;"
-|-
 | [[File:Siren.gif|30px|link= Alcohol withdrawal resident survival guide]]|| <br> || <br>
 | [[Alcohol withdrawal resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']]
-|}
+|}__NOTOC__
-__NOTOC__
 {{Alcohol withdrawal}}
 '''For patient information click [[Alcohol withdrawal (patient information)|here]].'''
-{{PleaseHelp}}
+{{CMG}}; {{AE}} {{ADI}}; {{KS}}
+==Overview==
+The Diagnostic and Statistical Manual of Mental Disorders ([[DSM-5]]) criteria is used to diagnose [[alcohol]] withdrawal and the Clinical Institute Withdrawal Assessment for Alcohol (CIWA-A) scale is used to assess the severity of [[alcohol]] withdrawal.
+==Diagnosis==
+===Diagnostic Criteria===
+===DSM-V Diagnostic Criteria for Alcohol Withdrawal<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>==={{cquote|
+*A. Cessation of (or reduction in) alcohol use that has been heavy and prolonged.
+'''''AND'''''
+*B. Two (or more) of the following, developing within several hours to a few days after the cessation of (or reduction in) alcohol use described in Criterion A:
+:*1. Autonomic hyperactivity (e.g., sweating or pulse rate greater than 100 bpm).
+:*2. Increased hand tremor.
+:*3. [[Insomnia]].
+:*4. Nausea or vomiting.
+:*5. Transient visual, tactile, or [[auditory hallucinations]] or illusions.
+:*6. [[Psychomotor agitation]].
+:*7. [[Anxiety]].
+:*8. Generalized tonic-clonic seizures.
-== Diagnosis ==
+'''''AND'''''
-=== Criteria ===
+*C. The signs or symptoms in Criterion B cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
-# History of cessation or reduction in heavy and prolonged alcohol use.
+'''''AND'''''
-# 2 or more of:
-#:* Autonomic hypereactivity
+*D. The signs or symptoms are not attributable to another medical condition and are not better explained by another mental disorder, including intoxication or withdrawal from
-#:* Hand [[tremor]]
+another substance.
-#:* [[Insomnia]]
-#:* [[Nausea ]]and [[vomiting]]
+Specify if:
-#:* Visual or auditory [[hallucinations]]
-#:* Psychomotor agitation
+* With perceptual disturbances: This specifier applies in the rare instance when [[hallucinations]](usually visual or tactile) occur with intact reality testing, or auditory, visual,
-#:* [[Anxiety]]
+}}
-#:* [[Grand mal seizures]]
-#:*:* Note history of [[blackouts]], morning shakes, prior detoxifications or [[DT]]s and frequency, amount and type of alcohol.
 === Clinical Institute Withdrawal Assessment for Alcohol revised (CIWA-Ar) ===
 The CIWA (Clinical Institute Withdrawal Assessment)<ref name="pmid16115538">{{cite journal |author=Puz CA, Stokes SJ |title=Alcohol withdrawal syndrome: assessment and treatment with the use of the Clinical Institute Withdrawal Assessment for Alcohol-revised |journal=Crit Care Nurs Clin North Am |volume=17 |issue=3 |pages=297–304 |year=2005 |month=September |pmid=16115538 |doi=10.1016/j.ccell.2005.04.001 |url=}}</ref> is a common measure used in North American hospitals to assess and treat alcohol withdrawal syndrome and for alcohol detoxification. This clinical tool assesses 10 common withdrawal signs.<ref name="pmid15029927">{{cite journal |author=McKay A, Koranda A, Axen D |title=Using a symptom-triggered approach to manage patients in acute alcohol withdrawal |journal=Medsurg Nurs |volume=13 |issue=1 |pages=15–20, 31; quiz 21 |year=2004 |month=February |pmid=15029927 |doi= |url=}}</ref> A score of more than '''15''' points is associated with increased risk of alcohol withdrawal effects such as [[confusion]] or [[seizures]].
@@ Line 32: / Line 50: @@
 ===Other Assessment Scales===
 ; Alcohol Assessment Scale
 [[Image:AWS.PNG|550px|thumb|center|Alcohol Withdrawal Scale]]
 ===Level of Evidence===
 {|border ="1"
 |-
@@ Line 44: / Line 64: @@
 | Alcohol Assessment Scale (AWS) || align="center" | IV
 |}
-===Alcohol Withdrawal Calculator===
-{{#widget:Alcohol_Withdrawal_Calc}}
 ==References==
@@ Line 57: / Line 74: @@
 [[Category:Toxicology]]
 [[Category:Intensive care medicine]]
+[[Category:DSM-V Diagnostic Criteria]]
+[[Category:Psychiatric Disease]]
+[[Category:Psychiatry]]

Alcohol withdrawal diagnostic criteria: Difference between revisions

Latest revision as of 17:10, 12 November 2020

Overview

Diagnosis

Diagnostic Criteria

DSM-V Diagnostic Criteria for Alcohol Withdrawal[1]

Clinical Institute Withdrawal Assessment for Alcohol revised (CIWA-Ar)

Other Assessment Scales

Level of Evidence

References

Navigation menu

DSM-V Diagnostic Criteria for Alcohol Withdrawal^[1]