Eyer et al developed nomograms for predicting problems during alcohol withdrawal. One nomogram predicted the chances of seizures. The authors are from Medizinische Klinik of Technische Universitat Munchen.
Patient selection: alcohol withdrawal
Outcome: withdrawal seizures
Parameters:
(1) number of hours to climax (peak) of AWS score
(2) admission with withdrawal seizures
(3) structural brain lesion
points for time to AWS score climax =
= (0.5 * (hours))
Parameter
Finding
Points
admission for seizures
no
0
yes
23.3
structural brain lesion
no
0
yes
45.3
total score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 168.6
• The greater the score the greater the risk of withdrawal seizures.