Predictors of Marchand et al for Alcohol Withdrawal Syndrome on Admission to a Trauma Center

Description

Marchand et al reported factors associated with alcohol withdrawal syndrome that can be identified on admission to a trauma center. These can help to identify a patient who should be monitored for signs of withdrawal symptoms. The authors are from Mercy Health St. Elizabeth Youngstown Hospital.

Patient selection: adult trauma patient with history of any alcohol use

Exclusion: admission Glasgow coma scale <= 8 with traumatic brain injury

Parameters:

(1) age in years

(2) sex

(3) ISS

(4) psychiatric disorder

(5) liver disease

(6) smoking history (current smoker >= 0.5 packs per day)

(7) in-hospital bronchodilator administration

(8) serum AST in U/L

(9) cognitive preservation (Glasgow coma scale >= 13 with BAC >= 100 mg/dL)

Parameter	Finding	Points
age in years	< 45 years	0
	>= 45 years	1
sex	female	0
	male	1
ISS	< 15	0
	>= 15	1
psychiatric disorder	no	0
	yes	1
liver disease	no	0
	yes	1
smoking history	no	0
	yes	1
bronchodilator therapy	no	0
	yes	1
serum AST	< 40 U/L	0
	>= 40 U/L	1
cognitive preservation	no	0
	yes	1

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: 0

• maximum score: 9

Score	Alcohol Withdrawal
0 to 4	1.2%
5 to 9	16.8%

Performance:

• The area under the ROC curve is 0.88.

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Predictors of Marchand et al for Alcohol Withdrawal Syndrome on Admission to a Trauma Center

Description

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