False Positives on the Clinical Institute Withdrawal Assessment for Alcohol - Revised: Is This Scale Appropriate for Use in the Medically Ill?

Psychosomatics

Volumn 45, Issue 3, 2004, Pages 256-261

  Bostwick, John Michael ^a   Lapid, Maria I ^a  

^a MAYO CLINIC   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ALCOHOL; ANTIBIOTIC AGENT; BENZODIAZEPINE; CHLORDIAZEPOXIDE; FOLIC ACID; HALOPERIDOL; LORAZEPAM; THIAMINE;

ADULT; ALCOHOL ABUSE; ALCOHOL WITHDRAWAL; ARTICLE; BACTEREMIA; CASE REPORT; CHRONIC DISEASE; CLINICAL INSTITUTE WITHDRAWAL ASSESSMENT FOR ALCOHOL REVISED; CLINICAL PROTOCOL; DELIRIUM TREMENS; EMERGENCY TREATMENT; EVIDENCE BASED MEDICINE; HUMAN; INFECTION; MALE; PRACTICE GUIDELINE; RATING SCALE; WITHDRAWAL SYNDROME;

EID: 2442496112     PISSN: 00333182     EISSN: None     Source Type: Journal    
DOI: 10.1176/appi.psy.45.3.256     Document Type: Letter

References (19)

1. Gerke P, Hapke U, Rumpf H, John U: Alcohol-related diseases in general hospital patients. Alcohol Alcohol 1997; 32:179-184
2. Holbrook AM, Crowther R, Lotter A, Cheng C, King D: Diagnosis and management of acute alcohol withdrawal. CMAJ 1999; 160:675-680
3. Erwin WE, Williams DB, Speir WA: Delirium tremens. South Med J 1998; 91:425-432
4. Naranjo CA, Sellers EM: Clinical assessment and pharmacotherapy of the alcohol withdrawal syndrome. Recent Dev Alcohol 1986; 4:265-281
5. Claassen CA, Adinoff B: Alcohol withdrawal syndrome with guidelines for management. CNS Drugs 1999; 12:279-291
6. Ferguson JA, Suelzer CJ, Eckert GJ, Zhou XH, Dittus RS: Risk factors for delirium tremens development. J Gen Intern Med 1996; 11:410-414
7. Sullivan JT, Sykora K, Schneiderman J, Naranjo CA, Sellers EM: Assessment of alcohol withdrawal: the Revised Clinical Institute Withdrawal Assessment for Alcohol Scale (CIWA-Ar). Br J Addict 1989; 84:1353-1357
8. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Washington, DC, American Psychiatric Association, 1994
9. Shaw JM, Kolesur GS, Sellers EM, Kaplan HL, Sandor P: Development of optimal treatment tactics for alcohol withdrawal, I: assessment and effectiveness of supportive care. J Clin Psychopharmacol 1981; 1:382-389
10. Stuppaeck CH, Barnas C, Falk M, Guenther V, Hummer M, Oberbauer H, Pycha R, Whitworth AB, Fleischhacker WW: Assessment of the alcohol withdrawal syndrome - validity and reliability of the translated and modified clinical institute withdrawal assessment for alcohol scale (CIWA-A). Addiction 1994; 89:1287-1292
11. Wetterling T, Kanitz R, Besters B, Fischer D, Zerfass B, John U, Spranger H, Driessen M: A new rating scale for the assessment of the alcohol-withdrawal syndrome (AWS scale). Alcohol Alcohol 1997; 32:753-760
12. Wartenberg AA, Nirenberg TD, Liepman MR, Silvia LY, Begin AM, Monti PM: Detoxification of alcoholics: improving care by symptom-triggered sedation. Alcohol Clin Exp Res 1990; 14:71-75
13. Addiction Medicine Essentials: Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar). ASAM News (supplement) 2001:16(1)
14. Reoux JP, Miller K: Routine hospital alcohol detoxification practice compared to symptom triggered management with an objective withdrawal scale (CIWA-Ar). Am J Addict 2000; 9:135-144
15. Sullivan JT, Swift RM, Lewis DC: Benzodiazepine requirements during alcohol withdrawal syndrome: clinical implications of using a standardized withdrawal scale. J Clin Psychopharmacol 1991; 11:291-295
16. Jaeger TM, Lohr RH, Pankratz VS: Symptom triggered therapy for alcohol withdrawal syndrome in medical inpatients. Mayo Clin Proc 2001; 76:695-701
17. Mayo-Smith MF: Pharmacological management of alcohol withdrawal: a meta-analysis and evidence-based practice guideline. JAMA 1997; 278:144-151
18. Spies CD, Dubisz N, Neumann T, Blum S, Muller C, Rommelspacher H, Brummer G, Specht M, Sanft C, Hannemann L, Striebel HW, Schaffartzik W: Therapy of alcohol withdrawal syndrome in intensive care unit patients following trauma: results of a prospective, randomized trial. Crit Care Med 1996; 24:414-422
19. Foy A, March S, Drinkwater V: Use of an objective clinical scale in the assessment and management of alcohol withdrawal in a large general hospital. Alcohol Clin Exp Res 1988; 12:360-364