Assessment of Alcohol Withdrawal: the revised clinical institute withdrawal assessment for alcohol scale (CIWA-Ar)

Authors

  • JOHN T. SULLIVAN,

    M.B., Ch.B.
    1. Departments of Pharmacology and Medicine, University of Toronto and Addiction Research Foundation, Toronto, Ontario, Canada
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  • KATHY SYKORA,

    M.Sc.
    1. Departments of Pharmacology and Medicine, University of Toronto and Addiction Research Foundation, Toronto, Ontario, Canada
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  • JOYCE SCHNEIDERMAN,

    M.D.
    1. Departments of Pharmacology and Medicine, University of Toronto and Addiction Research Foundation, Toronto, Ontario, Canada
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  • CLAUDIO A. NARANJO,

    M.D.
    1. Departments of Pharmacology and Medicine, University of Toronto and Addiction Research Foundation, Toronto, Ontario, Canada
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  • EDWARD M. SELLERS

    M.D., Ph.D., Corresponding author
    1. Departments of Pharmacology and Medicine, University of Toronto and Addiction Research Foundation, Toronto, Ontario, Canada
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address: Dr E. M. Sellers, Addiction Research Foundation, 33 Russell Street, Toronto, Ontario M5S 2SI, Canada.

Summary

A shortened 10-item scale for clinical quantitation of the severity of the alcohol withdrawal syndrome has been developed. This scale offers an increase in efficiency while at the same time retaining clinical usefulness, validity and reliability. It can be incorporated into the usual clinical care of patients undergoing alcohol withdrawal and into clinical drug trials of alcohol withdrawal.

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