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The CIWA scale is validated and has high inter-rater reliability. A randomized, double blind trial published in JAMA in 1994 [5] showed that management for alcohol withdrawal that was guided by the CIWA scale resulted in decreased treatment duration and total use of benzodiazepines. The goal of the CIWA scale is to provide an efficient and ...
The withdrawal process is typically followed using the Clinical Institute Withdrawal Assessment for Alcohol scale (CIWA-Ar). [3] The typical treatment of alcohol withdrawal is with benzodiazepines such as chlordiazepoxide or diazepam. [2] Often the amounts given are based on a person's symptoms. [2] Thiamine is recommended routinely. [2]
Dosing of the benzodiazepines can be guided by the CIWA scale. [10] The scale is available online. [11] Regarding the choice of benzodiazepine: Chlordiazepoxide (Librium) is the benzodiazepine of choice in uncomplicated alcohol withdrawal due to its long half-life. [12]
Alcoholism is the continued drinking of alcohol despite it causing problems. Some definitions require evidence of dependence and withdrawal. [15] Problematic use of alcohol has been mentioned in the earliest historical records.
Each item is scored on a scale of 0 to 3, giving the evaluation a range of 0 to 45. A score of 1-9 is indicative of a low dependence on alcohol, a score of 10-19 is indicative of a moderate dependence on alcohol, and a score of 20 or greater is indicative of a high dependence on alcohol.
In evidence-based medicine, likelihood ratios are used for assessing the value of performing a diagnostic test.They use the sensitivity and specificity of the test to determine whether a test result usefully changes the probability that a condition (such as a disease state) exists.
For example, the Depression scale has items involving physical, emotional, and cognitive content (as opposed to only questions about mood or interests). Each scale also assesses a range of severity for that scale; for example, the Suicidal Ideation scale has items that range from vague ideas about suicide to distinct plans for self-harm.
Clinical Opiate Withdrawal Scale (COWS) is a method used by registered practitioners to measure the severity of a patient's opioid withdrawal symptoms. This method consists of a series of 11 topics each comprising 4 - 5 common symptoms experienced by a patient undergoing opioid withdrawal. In each topic a rank is given depending on what the ...