Independent clinical correlates of severe alcohol withdrawal

References

• Office of Applied Studies, Substance Abuse and Mental Health Services Administration . 1997 . National Admissions to Substance Abuse Treatment Services: The Treatment Episode Data Set 1992–1995 , Advance Report Number 12 Available from http:/www.samhsa.gov/oas/teds/httoc.htm;
   Google Scholar
• Caces , MF , Stinson , FS , Noble , JA and Dufour , MC . 1991 . Trends in alcohol‐related morbidity among short‐stay community hospital discharges, United States: 1979–1989 , NIAAA Surveillance Report No. 21 Washington : DOUS Government Printing Office . DHHS Pub. No. (ADM) 281–89–0001
   Google Scholar
• Sellers , EM and Kalant , H . 1976 . Alcohol intoxication and withdrawal . N Engl J Med , 294 : 757 – 762 .
   PubMed Web of Science ®Google Scholar
• Turner , RC , Lichstein , PR , Peden , JG , Busher , JT and Waivers , LE . 1989 . Alcohol withdrawal syndromes: A review of pathophysiology, clinical presentation, and treatment . J Gen Intern Med , 4 : 432 – 444 .
   PubMed Web of Science ®Google Scholar
• Hayashida , M , Alterman , AI , McLellan , AT , O'Brien , CP , Purtill , JP , Volpicelli , JR , Raphaelson , AH and Hall , CP . 1989 . Comparative effectiveness and costs of inpatient and outpatient detoxification of patients with mild‐to‐moderate alcohol withdrawal syndrome . N Engl J Med , 320 : 358 – 365 .
   PubMed Web of Science ®Google Scholar
• Stockwell , T , Bolt , L , Milner , I , Russell , G , Bolderston , H and Pugh , P . 1991 . Home detoxification from alcohol: Its safety and efficacy in comparison with inpatient care . Alcohol Alcohol , 26 : 645 – 650 .
   PubMedGoogle Scholar
• Whitfield , CL , Thompson , G , Lamb , A , Spencer , V , Pfeifer , M and Browning‐Ferrando , M . 1978 . Detoxification of 1024 alcoholic patients without psychoactive drugs . JAMA , 239 : 1409 – 1410 .
   PubMed Web of Science ®Google Scholar
• Feldman , DJ , Pattison , EM , Sobell , LC , Graham , T and Sobell , MB . 1975 . Outpatient alcohol detoxification: Initial findings on 564 patients . Am J Psychiatry , 132 : 407 – 412 .
   PubMed Web of Science ®Google Scholar
• Schuckit , MA , Tipp , JE , Reich , T , Hesselbrock , VM and Bucholz , KK . 1995 . The histories of withdrawal convulsions and delirium tremens in 1648 alcohol dependent subjects . Addiction , 90 : 1335 – 1347 .
   PubMed Web of Science ®Google Scholar
• Mayo‐Smith , MF . 1997 . Pharmacological management of alcohol withdrawal . JAMA , 278 : 144 – 151 .
   PubMed Web of Science ®Google Scholar
• Hershon , HI . 1977 . Alcohol withdrawal symptoms and drinking behavior . J Stud Alcohol , 38 : 953 – 971 .
   PubMed Web of Science ®Google Scholar
• Pristach , CA , Smith , CM and Whitney , RB . 1983 . Alcohol withdrawal syndromes: Prediction from detailed medical and drinking histories . Drug Alcohol Depend , 11 : 177 – 199 .
   PubMed Web of Science ®Google Scholar
• Isbell , H , Fraser , HF , Wikler , A , Belleville , RE and Eisenman , AJ . 1955 . An experimental study of the etiology of “rum fits”; and delirium tremens . Q J Stud Alcohol , 16 : 1 – 33 .
   PubMedGoogle Scholar
• Milne , S , Gayford , JJ and Wylie , AS . 1991 . Physical morbidity in patients admitted for detoxification from alcohol . Alcohol Alcohol , 26 : 495 – 498 .
   PubMedGoogle Scholar
• Ballenger , JC and Post , RM . 1978 . Kindling as a model for the alcohol withdrawal syndrome . Br J Psychiatry , 133 : 1 – 14 .
   PubMed Web of Science ®Google Scholar
• Lechtenberg , R and Worner , TM . 1991 . Relative kindling effects of detoxification and nondetoxification admissions in alcoholics . Alcohol Alcohol , 26 : 221 – 225 .
   PubMed Web of Science ®Google Scholar
• Becker , HC and Hale , RL . 1993 . Repeated episodes of ethanol withdrawal potentiate the severity of subsequent withdrawal seizures: An animal model of alcohol withdrawal “kindling” . Alcoholism , 17 : 94 – 98 .
   Google Scholar
• Brown , ME , Anton , RF , Malcolm , R and Ballenger , JC . 1988 . Alcohol detoxification and withdrawal seizures: Clinical support for a kindling hypothesis . Biol Psychiatry , 23 : 507 – 514 .
   PubMed Web of Science ®Google Scholar
• Fiellin , DA , O'Connor , PG , Holmboe , ES and Horwitz , RI . 2002 . Risk for delirium tremors in patients with alcohol withdrawal syndrome . Subst Abuse , 23 : 83 – 94 .
   PubMedGoogle Scholar
• Palmstierna , Ti . 2001 . A model for predicting alcohol withdrawal delirium . Psychiatr Serv , 52 : 820 – 823 .
   PubMed Web of Science ®Google Scholar
• Wojnar , M , Bizon , Z and Wasilewski , D . 1999 . Assessment of the role of kindling in the pathogenesis of alcohol withdrawal seizures and delirium tremors . Alcohol Clin Exp Res , 23 : 204 – 208 .
   PubMed Web of Science ®Google Scholar
• Schuckit , MA , Smith , TL , Anthenelli , RM and Irwin , M . 1993 . Clinical course of alcoholism in 636 male inpa‐tients . Am J Psychiatry , 150 : 786 – 792 .
   PubMed Web of Science ®Google Scholar
• Ferguson , JA , Suelzer , CJ , Eckert , GJ , Zhou , XH and Dittus , RS . 1996 . Risk factors for delirium tremens development . J Gen Intern Med , 11 : 410 – 414 .
   PubMed Web of Science ®Google Scholar
• Foy , A , March , S and Drinkwater , V . 1988 . Use of an objective clinical scale in the assessment and management of alcohol withdrawal in a large general hospital . Alcohol Clin Exp Res , 12 : 360 – 364 .
   PubMed Web of Science ®Google Scholar
• Vînson , DC and Menezes , M . 1991 . Admission alcohol level: A predictor of the course of alcohol withdrawal . J Fam Prac , 33 : 161 – 167 .
   PubMed Web of Science ®Google Scholar
• Tonnesen , E . 1982 . Delirium tremens and hypokalemia . Lancet , 2 : 97
   Google Scholar
• Wetterling , T , Kanitz , RD , Veltrup , C and Driessen , M . 1994 . Clinical predictors of alcohol withdrawal delirium . Alcohol Clin Exp Res , 18 : 1100 – 1102 .
   PubMed Web of Science ®Google Scholar
• Wetterling , T , Kanitz , RD , Renner , F and Fischer , D . 1988 . Does carbohydrate‐deficient transferrin predict the severity of alcohol withdrawal syndrome? . Alcohol Clin Exp Res , 22 : 1053 – 1056 .
   Google Scholar
• Metcalfe , P , Sobers , M and Dewey , M . 1995 . The Windsor Clinic Alcohol Withdrawal Assessment Scale (WCAWAS): Investigation of factors associated with complicated withdrawals . Alcohol Alcohol , 30 : 367 – 372 .
   PubMed Web of Science ®Google Scholar
• Wetterling , T , Kanitz , RD , Besters , B , Fischer , D , Zerfass , B , John , U , Spranger , H and Driessen , M . 1997 . A new Tating scale for the assessment of the alcohol withdrawal syndrome (AWS scale) . Alcohol Alcohol , 32 : 753 – 760 .
   PubMed Web of Science ®Google Scholar
• Fiellin , DA , Samet , JH and O'Connor , PG . 1998 . Reducing bias in observational research on alcohol withdrawal syndrome . Subst Abuse , 19 : 23 – 31 .
   PubMedGoogle Scholar
• Gorelick , DA and Wilkins , JN . 1986 . “ Special aspects of human alcohol withdrawal ” . In Recent Developments in Alcoholism , Edited by: Galanter , M . Vol 4 , 283 – 305 . New York : Plenum Press .
   Google Scholar
• Hulley , SB and Cummings , SR , eds. 1988 . Designing Clinical Research: An Epidemiologic Approach , Baltimore : Williams & Wilkins .
   Google Scholar
• Saitz , R , Mayo‐Smith , MF , Roberts , MS , Redmond , HA , Bernard , DR and Calkins , DR . 1994 . Individualized treatment for alcohol withdrawal . JAMA , 272 : 519 – 523 .
   PubMed Web of Science ®Google Scholar
• Charlson , ME , Pompei , P , Ales , KL and MacKenzie , CR . 1987 . A new method of classifying prognostic comor‐bidity in longitudinal studies: Development and validation . J Chronic Dis , 40 : 373 – 383 .
   PubMedGoogle Scholar
• Kraemer , KL , Mayo‐Smith , MF and Calkins , DR . 1997 . Impact of age on the severity, course, and complications of alcohol withdrawal . Arch Intern Med , 157 : 2234 – 2241 .
   PubMed Web of Science ®Google Scholar
• Sullivan , JT , Sykora , K , Schneiderman , J , Naranjo , CA and Sellers , EM . 1989 . Assessment of alcohol withdrawal: The revised clinical institute withdrawal assessment for alcohol scale (CIWA‐Ar) . Br J Addict , 84 : 1353 – 1357 .
   PubMedGoogle Scholar
• Shaw , JM , Kolesar , GS , Sellers , EM , Kaplan , HL and Sandor , P . 1981 . Development of optimal treatment tactics for alcohol withdrawal. Assessment and effectiveness of supportive care . J Clin Psychopharmacol , 1 : 382 – 389 .
   PubMed Web of Science ®Google Scholar
• Sellers , EM , Sullivan , JT , Somer , G and Sykora , K . 1991 . Characterization of DSM‐III‐R criteria for uncomplicated alcohol withdrawal provides an empirical basis for DSM‐IV . Arch Gen Psychiatry , 48 : 442 – 447 .
   PubMed Web of Science ®Google Scholar
• 1996 . SAS/STAT User's Guide , 4th edn. , Cary, NC : SAS Institute . Version 6
   Google Scholar
• Saitz , R , Friedman , LS and Mayo‐Smith , MF . 1995 . Alcohol withdrawal: A nationwide survey of inpatient treatment practices . J Gen Intern Med , 10 : 479 – 487 .
   PubMed Web of Science ®Google Scholar
• American Psychiatric Association, Committee on Nomenclature and Statistics . 1994 . Diagnostic and Statistical Manual of Mental Disorders, , 4th edn. , Washington, DC : American Psychiatric Association Press .
   Google Scholar
• Kraemer , KL , Conigliaro , J and Saitz , R . 1999 . Managing alcohol withdrawal in the elderly . Drugs and Aging , 14 : 409 – 425 .
   PubMed Web of Science ®Google Scholar
• American Society of Addiction Medicine . 1996 . Patient Placement Criteria for the Treatment of Substance‐Related Disorders, , 2nd edn. , Chevy Chase : American Society of Addiction Medicine .
   Google Scholar
• Center for Research on Health Care and the Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
   Google Scholar
• Harvard Medical School, Boston, Massachusetts.
   Google Scholar
• Ambulatory Care Service, Veterans Affairs Medical Center, Manchester, New Hampshire.
   Google Scholar
• To whom correspondence should be addressed at Center for Research on Health Care, Division of General Internal Medicine, University of Pittsburgh School of Medicine, 230 McKee Place, Suite 600, Pittsburgh, Pennsylvania 15213; e‐mail: [email protected].
   Google Scholar