Alcohol withdrawal diagnostic criteria

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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]

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:

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,

References

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


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.

Alcohol withdrawal

Other Assessment Scales

Alcohol Assessment Scale
Alcohol Withdrawal 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

  1. 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)
  2. 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)

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