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2012, Number 2

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Med Int Mex 2012; 28 (2)

CIWA scale validation in patients with alcohol withdrawal syndrome in Mexican population

Hernández AK, Vargas AG, Cerda TF, Melchor LA, Huerta RS, Elizalde BCI
Full text How to cite this article

Language: Spanish
References: 25
Page: 103-111
PDF size: 550.01 Kb.


Key words:

CIWA-AR scale in Spanish, severity of alcohol withdrawal syndrome, validity and reliability.

ABSTRACT

Background: The symptoms of alcohol withdrawal can be quantified and treated only when symptoms exceed a threshold of severity. The instrument used to measure the severity of this syndrome is the scale: Clinical Institute Withdrawal Assessment for Alcohol Scale (CIWA Shaw et al 1981), amended in 1989 to: CIWA-Ar, this scale has been shown effective in determining the severity.
Objective: Validate CIWA scale, in Spanish, Mexican patients with deletion syndrome alcoholic.
Materials and methods: Cross-sectional survey in Mexican subjects with a diagnosis of alcohol withdrawal syndrome. CIWA-Ar scale was translated from English to Castilian and studied analysis of reliability and validity of the instrument for measuring the severity of alcohol withdrawal syndrome.
Results: 71 subjects with alcohol withdrawal to that applied to CIWA-Ar scale in spanish. The index of internal consistency of the instrument was 0.894; by correlating each item with the total instrument, we find low correlation indexes 2 items: 1) Headache r = 0.091 and 2) Nausea, vomiting, r = 0.271, with a new value of reliability of the scale if these items are removed 0912 and 0905 respectively, it is suggested that could be eliminated. Re-test reliability test: ρI = 0.843, The Pearson correlation analysis results were: r 2 = 0.835 and r = 0.9140.
Conclusion: The CIWA-Ar scale in Spanish, is a reliable and valid measuring instrument to determine the severity of alcohol withdrawal syndrome in Mexican population.


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Med Int Mex. 2012;28