American Society of Addiction Medicine, North Bethesda, MD.
J Addict Med. 2020 Sep/Oct;14(5):376-392. doi: 10.1097/ADM.0000000000000732.
: The American Society of Addiction Medicine (ASAM) Clinical Practice Guideline on Alcohol Withdrawal Management provides guidance on the identification and management of alcohol withdrawal in adults with varying degrees of syndrome severity. The guideline addresses both ambulatory and inpatient care and considers special patient populations. The Guideline was primarily developed following the RAND/UCLA Appropriateness Method (RAM), a process to determine the appropriateness of a set of clinical procedures. This process included a review of gray and empirical literature published between January 2012 and October 2017. Nineteen existing guidelines, 112 reviews, and 150 research studies were used to develop draft guideline statements that were assessed by a panel of physicians experienced in withdrawal management and representing a diverse range of settings and patient populations. Recommendations were included in the Guideline where consensus on appropriate clinical practice was identified by the panel. Areas where additional research would provide valuable information for determining best practices were highlighted.
美国药物成瘾医学会（ASAM）酒精戒断管理临床实践指南为不同严重程度综合征的成人酒精戒断的识别和管理提供了指导。该指南既涵盖了门诊和住院治疗，又考虑了特殊患者群体。该指南主要是根据 RAND/UCLA 适宜性方法（RAM）制定的，这是一种确定一组临床程序适宜性的方法。该过程包括对 2012 年 1 月至 2017 年 10 月期间发表的灰色和实证文献进行审查。使用了 19 项现有指南、112 项综述和 150 项研究来制定草案指南声明，由经验丰富的戒断管理医生组成的小组对这些声明进行评估，这些医生代表了不同的治疗环境和患者群体。该小组确定了适宜的临床实践的共识，在这些方面纳入了指南建议。该指南还强调了需要进一步研究的领域，这些研究将为确定最佳实践提供有价值的信息。
