Clinical use of a shortened alcohol withdrawal scale in a general hospital

Internal Medicine Journal
A FoyC Sadler

Abstract

Multi-item scales for monitoring alcohol withdrawal reactions have been used since the 1970s, and since 1985 we have used a modified version of the Clinical Institute Withdrawal Assessment (CIWA) in our general hospitals. This study was conducted to determine whether a shorter version of the scale would prove easier to use without loss of accuracy. A simultaneous 'crossover' clinical audit using two hospitals. The shortened scale was developed from the existing one, and had 10 items as opposed to the previous 18. The patients were followed throughout their course and the incidences of complication, the frequency of sedation, the delay in initiating monitoring and the ease of use were recorded. There were 106 patients managed with the old scale and 96 with the new. The rate of complication was not different, being 16% in patients managed using the old scale and 14.5% using the new scale; the rates of sedation were 49 and 48%, respectively. Patients managed with the new scale had a shorter course with a median duration of 27.6 h compared with 40 h. The time from admission to first recording of a score was 5.4 h for the new scale and 4.8 h for the old, which is not a significant difference. Both scores were used according to instr...Continue Reading

References

Jun 1, 1988·Alcoholism, Clinical and Experimental Research·A FoyV Drinkwater
Apr 1, 1997·QJM : Monthly Journal of the Association of Physicians·A FoyA Taylor
Aug 1, 1997·QJM : Monthly Journal of the Association of Physicians·J GreenC Currie
Jul 14, 2004·Archives of Internal Medicine·Michael F Mayo-SmithUNKNOWN Working Group on the Management of Alcohol Withdrawal Delirium, Practice Guidelines Committee, American Society of Addiction

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Citations

Jun 7, 2013·Addiction Science & Clinical Practice·Regina Makdissi, Scott H Stewart
Sep 2, 2008·Gastroentérologie Clinique Et Biologique·D MennecierC Thiolet
Jul 13, 2017·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Darius A RastegarEdward S Chen
May 10, 2016·Journal of Addiction Medicine·Samuel B Holzman, Darius A Rastegar
Aug 11, 2020·Der Nervenarzt·Eckhard FrickArndt Büssing

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