The Correlation Between a High-risk Score of Prediction of Alcohol Withdrawal Severity Scale (PAWSS) and Complicated Alcohol Withdrawal Syndrome (AWS) at Thanyarak Khonkaen Hospital: Pilot Study
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Abstract
Objectives: This study aimed to investigate the correlation between a high-risk score of PAWSS (greater-than or equal to 4) and complicated AWS at Thanyarak Khonkaen Hospital.
Methods: A pilot, retrospective study was conducted. The data was collected from all hospitalized patients in the alcohol detoxification ward between April 1st and 30th, 2023. Patients diagnosed with alcohol dependence based on DSM-4 criteria were included. Clinical data were reviewed, and the primary outcome was the correlation between a high-risk score of PAWSS and complicated AWS, measured using odds ratio (OR) and a 95% confidence interval (95%CI). Statistical significance was determined by a p-value < 0.05.
Results: Among the 30 patients included, 12 (40%) were in the complicated AWS group. Baseline characteristics were similar between the two groups. In the complicated AWS group, 75% had a greater-than or equal to 4, compared to 78% in the uncomplicated AWS group. However, there was no significant correlation between a high-risk score of PAWSS and complicated AWS (OR, 1.17; 95%CI, 0.21-6.48). Nonetheless, the complicated AWS group had a significantly higher maximum CIWA-Ar score, higher benzodiazepine dose administered in 7 days, and a longer time to improve AWS.
Conclusion: There was no correlation between a high-risk score of PAWSS and complicated AWS among hospitalized patients undergoing alcohol detoxification. Further studies should explore additional factors to develop appropriate preventative strategies.
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บทความหลังผ่านการปรับแก้จากกองบรรณาธิการแล้ว เป็นลิขสิทธ์ของวารสารจิตเวชวิทยาสาร โรงพยาบาลสวนปรุง กรมสุขภาพจิต กระทรวงสาธารณสุข ห้ามเผยแพร่เพื่อประโยชน์ทางการค้าโดยไม่ได้รับอนุญาต แต่อนุญาตให้เผยแพร่บทความดังกล่าวเพื่อประโยชน์ทางการศึกษาแก่ประชาชนทั่วไป ทั้งนี้กองบรรณาธิการไม่จำเป็นต้องเห็นด้วยกับบทความหรือข้อคิดเห็นใดๆ ที่ปรากฏในวารสารสวนปรุง
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