Metcalfe P, Sobers M, Dewey M
Fazakerley Hospital, Liverpool, UK.
Alcohol Alcohol. 1995 May;30(3):367-72.
A new scale for measuring the severity of the alcohol withdrawal syndrome has been developed. The Windsor Clinic Alcohol Withdrawal Assessment Scale (WCAWAS) has more objective criteria than its parent scales and has high inter-rater reliability and concurrent validity. This article describes the development of the WCAWAS and its use in an investigation of which factors were associated with complicated withdrawals in 142 consecutive patients admitted for detoxification. Multivariate analyses showed that drinking behaviour variables and MCV were successful at predicting complicated withdrawals. The WCAWAS was not successful at predicting which patients developed convulsions. Further studies are required to see if the WCAWAS is more successful at predicting which patients will develop visual hallucinations. The WCAWAS is useful as a teaching aid and in following the clinical course of patients and their response to treatment.
一种用于测量酒精戒断综合征严重程度的新量表已被开发出来。温莎诊所酒精戒断评估量表（WCAWAS）比其母量表具有更客观的标准，且具有较高的评分者间信度和同时效度。本文描述了WCAWAS的开发过程及其在一项针对142名连续入院进行解毒治疗的患者中调查哪些因素与复杂戒断相关的研究中的应用。多变量分析表明，饮酒行为变量和平均红细胞体积在预测复杂戒断方面是成功的。WCAWAS在预测哪些患者会发生惊厥方面并不成功。需要进一步研究以确定WCAWAS在预测哪些患者会出现视幻觉方面是否更成功。WCAWAS作为一种教学辅助工具以及用于跟踪患者的临床病程及其对治疗的反应是有用的。
