What question did this study set out to answer?

This study aims to validate the Prediction of Alcohol Withdrawal Severity Scale (PAWSS) for identifying patients at risk of complicated alcohol withdrawal syndrome (AWS).

May 21, 2015Alcohol and AlcoholismOpen Access

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

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This study aims to validate the Prediction of Alcohol Withdrawal Severity Scale (PAWSS) for identifying patients at risk of complicated alcohol withdrawal syndrome (AWS).
Conducted a prospective validation over 12 months in general medicine and surgery units with 403 patients.
Participants were assessed daily using PAWSS, CIWA-Ar, and clinical monitoring for AWS severity.
Independent and blind assessments were utilized throughout patient admissions to ensure accuracy.
With a PAWSS cutoff of 4, sensitivity for complicated AWS was 93.1% (95% CI [77.2, 99.2%]) and specificity was 99.5% (95% CI [98.1, 99.9%]).
Positive predictive value was 93.1% and negative predictive value was 99.5%.
Lin's concordance coefficient demonstrated excellent inter-rater reliability at 0.963 (95% CI [0.936, 0.979]).

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Implication

Randomized trial validates a new scale predicting complicated alcohol withdrawal syndrome in medically ill hospitalized patients, suggesting improved clinical outcomes.

Cite This Study

Maldonado et al. (2015) studied this question.

synapsesocial.com/papers/6a5da7fcbf1f0b834400bc01 https://doi.org/10.1093/alcalc/agv043

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Implication

Randomized trial validates a new scale predicting complicated alcohol withdrawal syndrome in medically ill hospitalized patients, suggesting improved clinical outcomes.

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

Key Points

Discussion

Implication

Cite This Study

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

Key Points

Discussion

Implication

Cite This Study

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