January 24, 2026 · Journal of addictive diseases · DOI: 10.1080/10550887.2026.2616724

Predictive value of the Clinical Institute Withdrawal Assessment for Alcohol Scale, Revised (CIWA-Ar) score on admission for alcohol withdrawal delirium (AWD) in patients with alcohol use disorder (AUD): A prospective observational study

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The authors aimed to determine the predictive value of the Clinical Institute Withdrawal Assessment for Alcohol Scale, Revised (CIWA-Ar) score at admission for the onset of alcohol withdrawal delirium (AWD) in patients with alcohol use disorder (AUD). Their findings indicate that the CIWA-Ar score is a significant predictor of AWD, with a cutoff score of 4 demonstrating high sensitivity and specificity, suggesting that even mild withdrawal symptoms warrant close monitoring to prevent complications.

Masahiro Uzawa, Shin Inuzuka, Masayo Adachi, Yosuke Yoshizaki, Hitoshi Mutai, Tokiji Hanihara

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