Aidan: /* Interpretation */

2020-07-09T16:42:06Z

Interpretation

Aidan: Created page with "* Risk assessment scale to predict severe alcohol withdrawal == Criteria == * '''Part A:''' Threshold criteria ** Have you consumed any amount of alcohol (i.e. been drinking..."

2020-07-09T16:41:19Z

Created page with "* Risk assessment scale to predict severe alcohol withdrawal == Criteria == * '''Part A:''' Threshold criteria ** Have you consumed any amount of alcohol (i.e. been drinking..."

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* Risk assessment scale to predict severe alcohol withdrawal

== Criteria ==

* '''Part A:''' Threshold criteria
** Have you consumed any amount of alcohol (i.e. been drinking) within the last 30 days?
** Did the patient have a positive blood alcohol level on admission?
** If the answer to either is YES then proceed to the next questions
* '''Part B:''' Patient criteria (1 point each)
** Have you been recently intoxicated or drunk within the last 30 days?
** Have you ever undergone alcohol use disorder rehabilitation treatment or treatment for alcoholism? (i.e. inpatient or outpatient treatment programs or AA attendance)
** Have you ever experienced any previous episodes of alcohol withdrawal, regardless of severity?
** Have you ever experienced blackouts?
** Have you ever experienced alcohol withdrawal seizures?
** Have you ever experienced delirium tremens or DTs?
** Have you combined alcohol with other "downers" like benzodiazepines or barbiturates, during the last 90 days?
** Have you combined alcohol with any other substances of abuse, during the last 90 days?
* '''Part C:''' Clinical evidence (1 point each)
** Was the patient's blood alcohol level greater than 43.5 mmol/L? OR
*** For men, have you consumed more than 3 standard drinks in the past 12 hours?
*** For women, have you consumed more than 2 standard drinks in the past 12 hours?
** Is there any evidence of increased autonomic activity? e.g. heart rate over 120 bpm, tremor, agitation, sweating, nausea

== Interpretation ==

* A score of 4 or higher suggests high risk for severe/complicated alcohol withdrawal, and prophylaxis or inpatient treatment are indicated

[[Category:Addiction medicine]]

← Older revision		Revision as of 16:42, 9 July 2020
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	* Risk assessment scale to predict severe alcohol withdrawal		*Risk assessment scale to predict severe alcohol withdrawal

	== Criteria ==		==Criteria==

	* '''Part A:''' Threshold criteria		*'''Part A:''' Threshold criteria
	** Have you consumed any amount of alcohol (i.e. been drinking) within the last 30 days?		**Have you consumed any amount of alcohol (i.e. been drinking) within the last 30 days?
	** Did the patient have a positive blood alcohol level on admission?		**Did the patient have a positive blood alcohol level on admission?
	** If the answer to either is YES then proceed to the next questions		**If the answer to either is YES then proceed to the next questions
	* '''Part B:''' Patient criteria (1 point each)		*'''Part B:''' Patient criteria (1 point each)
	** Have you been recently intoxicated or drunk within the last 30 days?		**Have you been recently intoxicated or drunk within the last 30 days?
	** Have you ever undergone alcohol use disorder rehabilitation treatment or treatment for alcoholism? (i.e. inpatient or outpatient treatment programs or AA attendance)		**Have you ever undergone alcohol use disorder rehabilitation treatment or treatment for alcoholism? (i.e. inpatient or outpatient treatment programs or AA attendance)
	** Have you ever experienced any previous episodes of alcohol withdrawal, regardless of severity?		**Have you ever experienced any previous episodes of alcohol withdrawal, regardless of severity?
	** Have you ever experienced blackouts?		**Have you ever experienced blackouts?
	** Have you ever experienced alcohol withdrawal seizures?		**Have you ever experienced alcohol withdrawal seizures?
	** Have you ever experienced delirium tremens or DTs?		**Have you ever experienced delirium tremens or DTs?
	** Have you combined alcohol with other "downers" like benzodiazepines or barbiturates, during the last 90 days?		**Have you combined alcohol with other "downers" like benzodiazepines or barbiturates, during the last 90 days?
	** Have you combined alcohol with any other substances of abuse, during the last 90 days?		**Have you combined alcohol with any other substances of abuse, during the last 90 days?
	* '''Part C:''' Clinical evidence (1 point each)		*'''Part C:''' Clinical evidence (1 point each)
	** Was the patient's blood alcohol level greater than 43.5 mmol/L? OR		**Was the patient's blood alcohol level greater than 43.5 mmol/L? OR
	*** For men, have you consumed more than 3 standard drinks in the past 12 hours?		***For men, have you consumed more than 3 standard drinks in the past 12 hours?
	*** For women, have you consumed more than 2 standard drinks in the past 12 hours?		***For women, have you consumed more than 2 standard drinks in the past 12 hours?
	** Is there any evidence of increased autonomic activity? e.g. heart rate over 120 bpm, tremor, agitation, sweating, nausea		**Is there any evidence of increased autonomic activity? e.g. heart rate over 120 bpm, tremor, agitation, sweating, nausea

	== Interpretation ==		==Interpretation==

	* A score of 4 or ~~higher~~ suggests ~~high~~ risk ~~for severe/complicated alcohol withdrawal~~, and ~~prophylaxis or inpatient~~ ~~treatment~~ ~~are~~ ~~indicated~~		*A score of '''3 or lower''' suggests '''low risk''', and outpatient management is suitable
			*A score of '''4 or higher''' suggests '''high risk''' for severe/complicated alcohol withdrawal, and prophylaxis or inpatient treatment are indicated

	[[Category:Addiction medicine]]		[[Category:Addiction medicine]]

Prediction of alcohol withdrawal severity scale - Revision history

Aidan: /* Interpretation */

Aidan: Created page with "* Risk assessment scale to predict severe alcohol withdrawal == Criteria == * '''Part A:''' Threshold criteria ** Have you consumed any amount of alcohol (i.e. been drinking..."