Evidence map›Paper›PMID 32256131›Full record

ReviewOpen access emergency medicine : OAEM2020

Management of Alcohol Withdrawal in the Emergency Department: Current Perspectives.

Chelsea Wolf, Ashley Curry, Jacob Nacht, Scott A Simpson

Abstract readReview
In one paragraph

Review in Open access emergency medicine : OAEM, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Phenobarbital treatment of alcohol withdrawal in the emergency department: A systematic review and meta-analysis.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024
    Pooled it
  2. Article
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  6. Article
  7. Article
  8. Review
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  10. Article
  11. Review
  12. Article
  13. Article
  14. Alcohol Withdrawal with Delirium Tremens.Journal of education & teaching in emergency medicine · 2023
    Article
  15. Delirium in a surgical context from a nursing perspective: A hybrid concept analysis.International journal of nursing studies advances · 2022
    Article
  16. Diagnostic Performance of AST Scale in Mexican Male Population for Alcohol Withdrawal Syndrome.International journal of environmental research and public health · 2022
    Article
  17. Article
  18. Review
  19. Article
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Chelsea WolfDenver Health Medical Center, Denver, CO, USA.
Ashley CurryDenver Health Medical Center, Denver, CO, USA.
Jacob NachtDenver Health Medical Center, Denver, CO, USA.
Scott A SimpsonDenver Health Medical Center, Denver, CO, USA.ORCID 0000-0002-4759-1595

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alcohol withdrawal syndrome (AWS) is a common, heterogenous, and life-threatening complication of alcohol use disorder (AUD). AUD is a leading cause of worldwide mortality, and many patients with AUD will develop AWS during their ED course. This review summarizes the epidemiology, pathology, and management of AWS and AUD in the emergency setting. The time course of AWS and its impact on ED treatment is emphasized. Once AWS is diagnosed, symptom-triggered benzodiazepine administration remains the most commonly provided treatment but may not be appropriate for patients with significant medical or psychiatric comorbidity or pending discharge. In these cases, ED clinicians may consider short courses of barbiturates or alternative regimens based on novel anticonvulsants. Specific treatment protocols are enumerated for clinical practice. Finally, emergency providers must not only manage acute patients' AWS but also lay the foundation for successful treatment of AUD. An approach to the disposition of the patient with AUD is presented. The authors examine shortcomings in the extant literature and suggest opportunities for further study.

Indexed as

alcohol use disorderalcohol withdrawal syndromebenzodiazepinedelirium tremensgabapentinphenobarbital

Identifiers

PMID32256131
PMCPMC7093658

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.