Two studies reported as many as 34% and 61% of patients receiving STT never required treatment with BNZDs based on their CIWA-Ar
scores, indicating patients in the FSD groups may have been overtreated (Daeppen et al., 2002; Stanley et al., 2007).
Clinical Institute Withdrawal Assessment for Alcohol-revised (CIWA-Ar
) was used to rate the withdrawal syndrome.
Despite the benefits of using the CIWA-Ar
, qualitative description of certain alcohol withdrawal symptoms is prone to subjective misinterpretation and can result in falsely elevated scores, excessive benzodiazepine administration, and associated sequelae.
Based on CIWA-Ar
protocol, he was given both diazepam and haloperidol for severe alcohol withdrawal symptom control.
There was a statistically significant correlation between CDT and CIWA-AR
scores, but there was no correlation of CIWA-AR
with GGT and MCV.
was administered by nursing staff prior to the initial PT examination, with the patient obtaining a score of 10 (Table 2).
is reliable, brief, uncomplicated, and clinically useful scale that can also be used to monitor response to treatment.
Patients who experience only mild withdrawal symptoms according to the CIWA-Ar
(i.e., score below 8 points) do not require pharmacotherapy however, they should be monitored by their physician for potential complications.
--En personas mayores de 18 anos con sindrome de abstinencia alcoholica utilice la escala CIWA-Ar
(ver Anexos) como herramienta de ayuda al juicio clinico para clasificar la severidad de la abstinencia a partir de los sintomas e identificar la necesidad de iniciar tratamiento farmacologico.
We assess alcohol withdrawal severity using the CIWA-Ar
(see this article at Current Psychiatry.com).
He'll typically use 50-100 mg chlordiazepoxide every 1-2 hours until the patients calm down and show improvement in the CIWA-AR
and subjective reports.
Patients lived within 50 miles of the study site, and had an admission blood alcohol level < 0.1 g/dL, a Mini Mental State Examination score of [greater than or equal to] 26, and an admission score on the Clinical Institute Withdrawal Assessment-Alcohol, revised (CIWA-Ar
) [greater than or equal to] 10 out of a possible score of 20.