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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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PAWSS scale for alcohol withdrawal[1]

PAWSS scale for alcohol withdrawal[1]

Part A: Threshold criterion score

(1 point either)
  1. Have you consumed any amount of alcohol (ie, been drinking) within the last 30 days?
    OR
    Did the patient have a positive blood alcohol level (BAL) on admission?
______
If the answer is yes to either question, proceed with test: ______

Part B: Patient interview

(1 point each)
  1. Have you been recently intoxicated/drunk, within the last 30 days?
______
  1. Have you ever experienced previous episodes of alcohol withdrawal?
______
  1. Have you ever experienced an alcohol withdrawal seizure?
______
  1. Have you ever experienced delirium tremens?
______
  1. Have you ever undergone alcohol rehabilitation treatment (ie, inpatient/outpatient treatment programs or Alcoholics Anonymous [AA] attendance)?
______
  1. Have you ever experienced blackouts?
______
  1. Have you combined alcohol with other "downers" like benzodiazepines or barbiturates during the last 90 days?
______
  1. Have you combined alcohol with any other substance of abuse during the 90 days?
______

Part C: Clinical evidence

(1 point each)
  1. Was the patient's BAL on presentation >200 mg/dL?
______
  1. Is there evidence of increased autonomic activity (ie, heart rate >120 beats per minute, tremor, sweating, agitation, nausea)?
______

Total score
______
NOTE: Maximum score = 10. This instrument is intended as a screening tool. The greater the number of positive findings, the higher the risk for development of alcohol withdrawal syndromes (AWS). A score of ≥4 suggests high risk for moderate to severe AWS; prophylaxis and/or treatment may be indicated.
Reference:
  1. Maldonado JR, Sher Y, Das S, et al. 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 2015; 50:509.
Original figured modified for this publication. From: Maldonado JR, Sher Y, Ashouri JF, et al. 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. Table used with the permission of Elsevier Inc. All rights reserved.
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