Evidence map›Paper›PMID 32794143›Full record

ReviewNeurocritical care2021

Alcohol Withdrawal Syndrome in Neurocritical Care Unit: Assessment and Treatment Challenges.

Salia Farrokh, Christina Roels, Kent A Owusu, Sarah E Nelson, Aaron M Cook

Abstract readReview
PubMed Publisher
In one paragraph

Review in Neurocritical care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 12% of its field
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. A growing concern: Carbamazepine abuse in Turkish correctional settings and its clinical and ethical implications.Dusunen adam : Bakirkoy Ruh ve Sinir Hastaliklari Hastanesi yayin organi · 2026
    Article
  3. Article
  4. Article
  5. Review of Attributes and Outcomes of Hospitalized Patients with Alcohol Withdrawal.Journal of community hospital internal medicine perspectives · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. SOP: treatment of delirium.Neurological research and practice · 2021
    Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Salia FarrokhJohns Hopkins Hospital, Baltimore, MD, USA. sfarrok1@jhmi.edu.
Christina RoelsNovant Health, Winston Salem, NC, USA.
Kent A OwusuYale-New Haven Health, New Haven, CT, USA.
Sarah E NelsonJohns Hopkins Hospital, Baltimore, MD, USA.
Aaron M CookUniversity of Kentucky, Lexington, KY, USA.
Johns Hopkins Hospital · USNovant Health · USUniversity of Kentucky · USYale New Haven Health System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alcohol withdrawal syndrome (AWS) can range from mild jittery movements, nausea, sweating to more severe symptoms such as seizure and death. Severe AWS can worsen cognitive function, increase hospital length of stay, and in-hospital mortality and morbidity. Due to a lack of reliable history of present illness in many patients with neurological injury as well as similarities in clinical presentation of AWS and some commonly encountered neurological syndromes, the true incidence of AWS in neurocritical care patients remains unknown. This review discusses challenges in the assessment and treatment of AWS in patients with neurological injury, including the utility of different scoring systems such as the Clinical Institute Withdrawal Assessment and the Minnesota Detoxification Scale as well as the reliability of admission alcohol levels in predicting AWS. Treatment strategies such as symptom-based versus fixed dose benzodiazepine therapy and alternative agents such as baclofen, carbamazepine, dexmedetomidine, gabapentin, phenobarbital, ketamine, propofol, and valproic acid are also discussed. Finally, a treatment algorithm considering the neurocritical care patient is proposed to help guide therapy in this setting.

Indexed as

AlcoholismSubstance Withdrawal SyndromeBenzodiazepinesHumansHypnotics and SedativesReproducibility of ResultsRetrospective StudiesBenzodiazepinesHypnotics and SedativesAlcoholDelirium tremensNeurocritical careSeizureWithdrawal

Identifiers

PMID32794143
OpenAlexW3049647391

What OpenQuestion holds

Textmetadata
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.