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The Clinical Institute Withdrawal Assessment for Alcohol, commonly abbreviated as CIWA or CIWA-Ar (revised version), is a 10-item scale used in the assessment and management of alcohol withdrawal. [1] [2] Each item on the scale is scored independently, and the summation of the scores yields an aggregate value that correlates to the severity of ...
Alcohol withdrawal syndrome ( AWS) is a set of symptoms that can occur following a reduction in alcohol use after a period of excessive use. [1] Symptoms typically include anxiety, shakiness, sweating, vomiting, fast heart rate, and a mild fever. [1] More severe symptoms may include seizures, and delirium tremens (DTs); which can be fatal in ...
There are decision tools and questionnaires that help guide physicians in evaluating alcohol withdrawal. For example, the CIWA-Ar objectifies alcohol withdrawal symptoms in order to guide therapy decisions which allows for an efficient interview while at the same time retaining clinical usefulness, validity, and reliability, ensuring proper ...
Alcohol detoxification (also known as detox) is the abrupt cessation of alcohol intake in individuals that have alcohol use disorder. This process is often coupled with substitution of drugs that have effects similar to the effects of alcohol in order to lessen the symptoms of alcohol withdrawal .
Delirium tremens ( DTs; lit. 'mental disturbance with shaking') is a rapid onset of confusion usually caused by withdrawal from alcohol. [2] When it occurs, it is often three days into the withdrawal symptoms and lasts for two to three days. [2] Physical effects may include shaking, shivering, irregular heart rate, and sweating. [1]
Post-acute withdrawal syndrome ( PAWS) is a hypothesized set of persistent impairments that occur after withdrawal from alcohol, [1] [2] opiates, benzodiazepines, antidepressants, and other substances. [3] [4] [5] Infants born to mothers who used substances of dependence during pregnancy may also experience a PAWS.
Physical withdrawal symptoms; Affective withdrawal symptoms; Craving and relief drinking; Typical daily consumption; Reinstatement of dependence after a period of abstinence. Each item is scored on a 4-point scale, giving a possible range of 0 to 60. A score of over 30 indicates severe alcohol dependence.
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