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The American Journal of Drug and Alcohol Abuse
Encompassing All Addictive Disorders
Volume 44, 2018 - Issue 4
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Methods in Addiction

Evaluation of the appropriate use of a CIWA-Ar alcohol withdrawal protocol in the general hospital setting

Amanda S. ElomaStony Brook University, School of Pharmacy and Pharmaceutical Sciences, Stony Brook, NY, USACorrespondence[email protected]
View further author information
, PharmD,
Jason M. TucciaroneStony Brook University, School of Medicine, Stony Brook, NY, USAView further author information
, MD, PhD,
Edmund M. HayesStony Brook University, School of Pharmacy and Pharmaceutical Sciences, Stony Brook, NY, USAView further author information
, MS, PharmD &
Brian D. BronsonDepartment of Psychiatry, Stony Brook University, School of Medicine, Stony Brook, NY, USAView further author information
, MD
Pages 418-425 | Received 22 Jan 2017, Accepted 28 Jul 2017, Published online: 05 Oct 2017

References

  • Hall W, Zador D. The alcohol withdrawal syndrome. Lancet. 1997;349:1897–900. doi:10.1016/S0140-6736(97)04572-8.
  • American Psychiatric Association. DSM-V: diagnostic and statistical manual of mental disorders. 5th. ed. Washington, DC: American Psychiatric Association; 2013.
  • 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 Addic. 1989;84:1353–57. doi:10.1111/j.1360-0443.1989.tb00737.x.
  • 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;9:135–44. doi:10.1080/10550490050173208.
  • 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;89:1287–92. doi:10.1111/j.1360-0443.1994.tb03307.x.
  • Saitz R, Mayo-Smith MF, Roberts MS, Redmond HA, Bernard DR, Calkins DR. Individualized treatment for alcohol withdrawal. A randomized double-blind controlled trial. JAMA. 1994;272:519–23. doi:10.1001/jama.1994.03520070039035.
  • Shaw JM, Kolesar 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;1:382–89. doi:10.1097/00004714-198111000-00006.
  • Wilson KC, Saukkonen JJ. Acute respiratory failure from abused substances. J Intensive Care Med. 2004;19:183–93. doi:10.1177/0885066604263918.
  • Roth T. Hypnotic use for insomnia management in chronic obstructive pulmonary disease. Sleep Med. 2009;10:19–25. doi:10.1016/j.sleep.2008.06.005.
  • White JM, Irvine RJ. Mechanisms of fatal opioid overdose. Addiction. 1999;94:961–72. doi:10.1046/j.1360-0443.1999.9479612.x.
  • Hecksel KA, Bostwick JM, Jaeger TM, Cha SS. Inappropriate use of symptom-triggered therapy for alcohol withdrawal in the general hospital. Mayo Clin Proc. 2008;83:274–79. doi:10.4065/83.3.274.
  • Maldonado JR, Sher Y, Das S, Hills-Evans K, Frenklach A, Lolak S, Talley R, Neri E. Prospective validation study of the prediction of alcohol withdrawal severity scale (PAWSS) in medically ill inpatients: a new scale for the prediction of complicated alcohol withdrawal syndrome. Alcohol Alcohol. 2015;50:509–18. doi:10.1093/alcalc/agv043.
  • Maldonado JR, Sher Y, Ashouri JF, Hills-Evans K, Swendsen H, Lolak S, Millar AC. The “Prediction of Alcohol Withdrawal Severity Scale” (PAWSS): systematic literature review and pilot study of a new scale for the prediction of complicated alcohol withdrawal syndrome. Alcohol. 2014;48:375–90. doi:10.1016/j.alcohol.2014.01.004.
  • Mehdi T. Benzodiazepines Revisited. BJMP. 2012;5(1):a501.
  • Lee JH, Jang MK, Lee JY, Kim SM, Kim KH, Park JY, Lee JH, Kim HY, Yoo JY. Clinical predictors for delirium tremens in alcohol dependence. J Gastroenterol Hepatol. 2005;20:1833–37. doi:10.1111/jgh.2005.20.issue-12.
  • Morton WA, Laird LK, Crane DF, Partovi N, Frye LH. A prediction model for identifying alcohol withdrawal seizures. Am J Drug Alcohol Abuse. 1994;20:75–86. doi:10.3109/00952999409084058.
  • Mayo-Smith MF. Pharmacological management of alcohol withdrawal: a meta-analysis and evidence based practice guideline. JAMA. 1997;278:144–51. doi:10.1001/jama.1997.03550020076042.
  • Ebersoldt M, Sharshar T, Annane D. Sepsis-associated delirium. Intensive Care Med. 2007;33(6):941–50. doi:10.1007/s00134-007-0622-2.
  • Iacobone E, Bailly-Salin J, Polito A, Friedman D, Stevens RD, Sharshar T. Sepsis-associated encephalopathy and its differential diagnosis. Crit Care Med. 2009;37:S331–336. doi:10.1097/CCM.0b013e3181b6ed58.

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