ASAM Pocket Guidelines and Patient Guide

Alcohol Withdrawal Management

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45 Appropriate setting Summary of Evidence Reference Hospital Predicted severe withdrawal among patients admitted for alcohol withdrawal management. Wetterling et al., 2006 Hospital; ICU No formal validity study. DeCarolis et al., 2007 Hospital; ICU Predicted complicated alcohol withdrawal among medically ill, hospitalized patients. Maldonado et al., 2014; 2015 Medical and surgical Reliability and validity in medical and surgical patients, including patients who are sedated and/or ventilated. Sessler et al., 2002 Ambulatory and Inpatient High internal consistency, good construct and concurrent validity. Gossop et al., 2002 ICU SEWS-driven protocol led to shorter treatment episodes, possibly driven by high administration of medication in first 24 hours of treatment. Beresford et al., 2017 Emergency Department Showed potential for measuring pretreatment alcohol withdrawal severity in the emergency department. Gray et al., 2010 Hospital Use of a shortened 10-item CIWA led to similar complication rates but reduced symptom duration compared to 18-item CIWA. Foy et al., 2006

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