Alcohol withdrawal classification: Difference between revisions

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== Classification ==
== Classification ==
Stages of Alcohol Withdrawal Syndrome (AWS) may be classified as:  
Stages of Alcohol Withdrawal Syndrome (AWS) may be classified as:<ref name="pmid32256131">{{cite journal| author=Wolf C, Curry A, Nacht J, Simpson SA| title=Management of Alcohol Withdrawal in the Emergency Department: Current Perspectives. | journal=Open Access Emerg Med | year= 2020 | volume= 12 | issue=  | pages= 53-65 | pmid=32256131 | doi=10.2147/OAEM.S235288 | pmc=7093658 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=32256131  }} </ref>
{| class="wikitable"
{| style="border: 0px; font-size: 90%; margin: 3px;" align="center"
|+
|+
!Stages of Alcohol Withdrawal Syndrome (AWS) 
! colspan="1" style="background: #4479BA; text-align: center;" | {{fontcolor|#000|'''Stages of Alcohol Withdrawal Syndrome (AWS)'''}}  
!Time of Onset
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Time of Onset''' 
!Symptoms
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Symptoms'''
|-
|-
|'''Uncomplicated Withdrawal'''  
|style="padding: 5px 5px; background: #4479BA;" align="center"|'''Uncomplicated Withdrawal'''  
|First 6 hours  
|style="padding: 5px 5px; background: #DCDCDC;" align="center"|First 6 hours  
|
|style="padding: 5px 5px; background: #DCDCDC;|
* [[Anxiety]]
* [[Anxiety]]
* [[Nausea and vomiting|Nausea, vomiting]]
* [[Nausea and vomiting|Nausea, vomiting]]
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** [[Tachycardia]]
** [[Tachycardia]]
|-
|-
|'''Alcohol Hallucinosis'''  
|style="padding: 5px 5px; background: #4479BA;" align="center"|'''Alcohol Hallucinosis'''  
|8-12 hours  
|style="padding: 5px 5px; background: #DCDCDC;" align="center"|8-12 hours  
|
|style="padding: 5px 5px; background: #DCDCDC;|
* [[Hallucination|Hallucinations]]:
* [[Hallucination|Hallucinations]]:
** [[Auditory]]
** [[Auditory]]
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** [[Tactile]]
** [[Tactile]]
** [[Gustatory system|Gustatory]]
** [[Gustatory system|Gustatory]]
** [[Olfactory]] <br />
** [[Olfactory]]  
* [[Paranoia]]  
* [[Paranoia]]  
* Other [[Delusion|delusions]] <br />
* Other [[Delusion|delusions]]  
* Clear sensorium  
|-
|-
|'''Alcohol Withdrawal Seizures'''  
|style="padding: 5px 5px; background: #4479BA;" align="center"|'''Alcohol Withdrawal Seizures'''  
|12-24 hours  
|style="padding: 5px 5px; background: #DCDCDC;" align="center"|12-24 hours  
|
|style="padding: 5px 5px; background: #DCDCDC;|
* Generalized [[Tonic-clonic seizure|tonic-clonic seizures]]  
* Generalized [[Tonic-clonic seizure|tonic-clonic seizures]]  
* Multiple [[Seizure|seizures]]  (in clusters)  
* Multiple [[Seizure|seizures]]  (in clusters)  
* [[Status epilepticus]]  (3%)  
* [[Status epilepticus]]  (3%)  
|-
|-
|'''Alcohol Withdrawal Delirium'''  
|style="padding: 5px 5px; background: #4479BA;" align="center"|'''Alcohol Withdrawal Delirium'''  
|24-72 hours  
|style="padding: 5px 5px; background: #DCDCDC;" align="center"|24-72 hours  
|
|style="padding: 5px 5px; background: #DCDCDC;|
* [[Confusion]]
* [[Confusion]]
* Alteration in [[consciousness]]  
* Alteration in [[consciousness]]  
* Severe [[autonomic]] changes <br />
* Severe [[autonomic]] changes  
* Persistent [[Hallucination|hallucinations]]  
* Persistent [[Hallucination|hallucinations]]  
|}
|}

Revision as of 13:32, 3 November 2020



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Overview

Stages of Alcohol Withdrawal Syndrome (AWS) may be classified as uncomplicated withdrawal (first 6 hours), alcohol hallucinosis  (8-12 hours), alcohol withdrawal seizures (12-24 hours), and alcohol withdrawal delirium (24-72 hours).

Classification

Stages of Alcohol Withdrawal Syndrome (AWS) may be classified as:[1]

Stages of Alcohol Withdrawal Syndrome (AWS)   Time of Onset  Symptoms
Uncomplicated Withdrawal   First 6 hours  
Alcohol Hallucinosis   8-12 hours  
Alcohol Withdrawal Seizures   12-24 hours  
Alcohol Withdrawal Delirium   24-72 hours  

References

  1. Wolf C, Curry A, Nacht J, Simpson SA (2020). "Management of Alcohol Withdrawal in the Emergency Department: Current Perspectives". Open Access Emerg Med. 12: 53–65. doi:10.2147/OAEM.S235288. PMC 7093658 Check |pmc= value (help). PMID 32256131 Check |pmid= value (help).