Alcohol withdrawal diagnostic criteria: Difference between revisions
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'''For patient information click [[Alcohol withdrawal (patient information)|here]].''' | '''For patient information click [[Alcohol withdrawal (patient information)|here]].''' | ||
{{ | {{CMG}}; {{AE}} {{ADI}} | ||
== Diagnosis == | ==Diagnosis== | ||
=== Criteria === | ===Diagnostic Criteria=== | ||
# History of cessation or reduction in heavy and prolonged alcohol use. | # History of cessation or reduction in heavy and prolonged alcohol use. | ||
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=== Clinical Institute Withdrawal Assessment for Alcohol revised (CIWA-Ar) === | === 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]]. | 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]]. | ||
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===Other Assessment Scales=== | ===Other Assessment Scales=== | ||
; Alcohol Assessment Scale | ; Alcohol Assessment Scale | ||
[[Image:AWS.PNG|550px|thumb|center|Alcohol Withdrawal Scale]] | [[Image:AWS.PNG|550px|thumb|center|Alcohol Withdrawal Scale]] | ||
===Level of Evidence=== | ===Level of Evidence=== | ||
{|border ="1" | {|border ="1" | ||
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| Alcohol Assessment Scale (AWS) || align="center" | IV | | Alcohol Assessment Scale (AWS) || align="center" | IV | ||
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===Alcohol Withdrawal Calculator=== | ===Alcohol Withdrawal Calculator=== | ||
Revision as of 19:47, 20 February 2014
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Diagnosis |
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Alcohol withdrawal diagnostic criteria On the Web |
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American Roentgen Ray Society Images of Alcohol withdrawal diagnostic criteria |
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Risk calculators and risk factors for Alcohol withdrawal diagnostic criteria |
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]
Diagnosis
Diagnostic Criteria
- History of cessation or reduction in heavy and prolonged alcohol use.
- 2 or more of:
- Autonomic hypereactivity
- Hand tremor
- Insomnia
- Nausea and vomiting
- Visual or auditory hallucinations
- Psychomotor agitation
- Anxiety
- Grand mal seizures
Clinical Institute Withdrawal Assessment for Alcohol revised (CIWA-Ar)
The CIWA (Clinical Institute Withdrawal Assessment)[1] 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.[2] 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 |
Alcohol Withdrawal Calculator
References
- ↑ 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)