Delirium tremens screening: Difference between revisions

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__NOTOC__
__NOTOC__
{{Delirium tremens}}
{{Delirium tremens}}
{{CMG}} {{AE}} {{VVS}}
{{CMG}} {{AE}} {{ZMalik}}
==Overview==
==Overview==
==Screening==
Screening tools include the
*'''Alcohol Use Disorders Identification Test''' ('''AUDIT''') is a simple ten-question test developed by the [[World Health Organization]] to determine if a person's [[alcohol]] consumption may be harmful<ref name="pmid29723083">{{cite journal| author=Higgins-Biddle JC, Babor TF| title=A review of the Alcohol Use Disorders Identification Test (AUDIT), AUDIT-C, and USAUDIT for screening in the United States: Past issues and future directions. | journal=Am J Drug Alcohol Abuse | year= 2018 | volume= 44 | issue= 6 | pages= 578-586 | pmid=29723083 | doi=10.1080/00952990.2018.1456545 | pmc=6217805 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29723083  }} </ref>. 
** Questions 1-3 deal with [[alcohol]] consumption
** Questions 4-6 relate to [[alcohol dependence]] and
** [[Questions]] 7-10 consider [[alcohol]]-related problems. 
** A score of 8 or more in men (7 in women) indicates a strong likelihood of hazardous or harmful alcohol consumption. 
** A score of 13 or more is suggestive of [[alcohol]] related harm. 
*and the CAGE screening test.
*'''Revised Clinical Institute Withdrawal Assessment for Alcohol''' ('''CIWA-Ar''') is the most appropriate tool to evaluate [[alcohol withdrawal]] severity<ref name="pmid28699845">{{cite journal| author=Rastegar DA, Applewhite D, Alvanzo AAH, Welsh C, Niessen T, Chen ES| title=Development and implementation of an alcohol withdrawal protocol using a 5-item scale, the Brief Alcohol Withdrawal Scale (BAWS). | journal=Subst Abus | year= 2017 | volume= 38 | issue= 4 | pages= 394-400 | pmid=28699845 | doi=10.1080/08897077.2017.1354119 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28699845  }} </ref><ref name="pmid2597811">{{cite journal| author=Sullivan JT, Sykora K, Schneiderman J, Naranjo CA, Sellers EM| title=Assessment of alcohol withdrawal: the revised clinical institute withdrawal assessment for alcohol scale (CIWA-Ar). | journal=Br J Addict | year= 1989 | volume= 84 | issue= 11 | pages= 1353-7 | pmid=2597811 | doi=10.1111/j.1360-0443.1989.tb00737.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2597811  }} </ref>.
**It includes a 10-item questionnaire
**8 points or lower indicates mild [[withdrawal]]
**9 to 15 points towards moderate [[withdrawal]]
**15 or higher means the [[patient]] suffers from severe [[withdrawal]] [[symptoms]] and is at a higher risk for [[seizures]] and Delirium tremens.
==References==
==References==
{{reflist|2}}
{{reflist|2}}
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[[Category:Substance abuse]]
[[Category:Substance abuse]]
[[Category:Alcohol abuse]]
[[Category:Abuse]]
[[Category:Abuse]]
[[Category:Psychiatry]]
[[Category:Psychiatry]]
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[[Category:Intensive care medicine]]
[[Category:Intensive care medicine]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Needs content]]

Latest revision as of 16:46, 23 June 2022

Delirium Tremens Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Zehra Malik, M.B.B.S[2]

Overview

Screening

Screening tools include the

  • Alcohol Use Disorders Identification Test (AUDIT) is a simple ten-question test developed by the World Health Organization to determine if a person's alcohol consumption may be harmful[1].
    • Questions 1-3 deal with alcohol consumption
    • Questions 4-6 relate to alcohol dependence and
    • Questions 7-10 consider alcohol-related problems.
    • A score of 8 or more in men (7 in women) indicates a strong likelihood of hazardous or harmful alcohol consumption.
    • A score of 13 or more is suggestive of alcohol related harm.
  • and the CAGE screening test.
  • Revised Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) is the most appropriate tool to evaluate alcohol withdrawal severity[2][3].

References

  1. Higgins-Biddle JC, Babor TF (2018). "A review of the Alcohol Use Disorders Identification Test (AUDIT), AUDIT-C, and USAUDIT for screening in the United States: Past issues and future directions". Am J Drug Alcohol Abuse. 44 (6): 578–586. doi:10.1080/00952990.2018.1456545. PMC 6217805. PMID 29723083.
  2. Rastegar DA, Applewhite D, Alvanzo AAH, Welsh C, Niessen T, Chen ES (2017). "Development and implementation of an alcohol withdrawal protocol using a 5-item scale, the Brief Alcohol Withdrawal Scale (BAWS)". Subst Abus. 38 (4): 394–400. doi:10.1080/08897077.2017.1354119. PMID 28699845.
  3. Sullivan JT, Sykora K, Schneiderman J, Naranjo CA, Sellers EM (1989). "Assessment of alcohol withdrawal: the revised clinical institute withdrawal assessment for alcohol scale (CIWA-Ar)". Br J Addict. 84 (11): 1353–7. doi:10.1111/j.1360-0443.1989.tb00737.x. PMID 2597811.

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