Academic Journal

CORRELATION BETWEEN MMINDS AND CIWA-AR SCORING TOOLS IN PATIENTS WITH ALCOHOL WITHDRAWAL SYNDROME.

التفاصيل البيبلوغرافية
العنوان: CORRELATION BETWEEN MMINDS AND CIWA-AR SCORING TOOLS IN PATIENTS WITH ALCOHOL WITHDRAWAL SYNDROME.
المؤلفون: Littlefield, Audrey J., Heavner, Mojdeh S., Eng, Claire C., Cooper, Dawn A., Heavner, Jason J., Kurtz, Jeanette M., Pisani, Margaret A.
المصدر: American Journal of Critical Care; Jul2018, Vol. 27 Issue 4, p280-286, 7p, 1 Color Photograph, 4 Charts, 1 Graph
مصطلحات موضوعية: ALCOHOL withdrawal syndrome, CHI-squared test, STATISTICAL correlation, LONGITUDINAL method, RESEARCH methodology, T-test (Statistics), CONTINUING education units, SEVERITY of illness index, ELECTRONIC health records, EVALUATION, DIAGNOSIS
مستخلص: Background Many alcohol withdrawal scoring tools are used in hospitalized patients to assess the severity of alcohol withdrawal and guide treatment. The revised Clinical Institute Withdrawal Assessment (CIWA-Ar) and the modified Minnesota Detoxification Scale (mMINDS) are commonly used but have never been correlated. Objective To determine the strength of correlation between the CIWA-Ar and mMINDS scoring tools in patients with alcohol withdrawal syndrome. Methods A single-center, prospective correlation study conducted at a large academic medical center. Patients treated for alcohol withdrawal syndrome according to the Yale Alcohol Withdrawal Protocol were identified daily, and both the CIWA-Ar and mMINDS were administered at each time point required by the protocol. Clinical data were obtained from the electronic medical records. Results A total of 185 CIWA-Ar and mMINDS scores were collected in 30 patients. The Pearson correlation coefficient across all scores was 0.82, indicating a strong correlation. The Pearson correlation coefficient was 0.87 for CIWA-Ar scores of 10 or less and 0.52 for CIWA-Ar scores above 10. Strong correlations were also shown for tremor (0.98), agitation (0.84), and orientation (0.87). Conclusions The correlation between the CIWA-Ar and mMINDS tools is strong and appears to be most robust in patients with CIWA-Ar scores of 10 or less. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:10623264
DOI:10.4037/ajcc2018547