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ETOH Withdrawal

Date Last Search Run: Aug 01, 2024
Table last updated: Mar 31, 2023
Data last added: Feb 27, 2023

Recommendation RECOMMENDATION FOR INTERVENTION
STRENGTH OF EVIDENCE FOR INTERVENTION   SUPPORTIVE (Green) NEUTRAL (Yellow) AGAINST (Red) NOT YET GRADED (White)
1 (strong evidence exists)        
2 (fair evidence exists)    
3 (weak evidence exists)      


Interventions

Benzodiazepines
Level Direction Primary Outcome Patient/Process Setting Reference
II Supportive (Green) Medicating acute alcohol withdrawal. Patient In-Patient Lebin JA, Mudan A, Murphy CE 4th, Wang RC, Smollin CG. Return Encounters in Emergency Department Patients Treated with Phenobarbital Versus Benzodiazepines for Alcohol Withdrawal. J Med Toxicol 2022; 18(1):4–10. Medline
II Supportive (Green) Control of agitation from Impact on 1) ED LOS 2) hospital admission alcohol withdrawal. Process ED-MD Levine AR, Thanikonda V, Mueller J, Naut ER. Front-loaded diazepam versus lorazepam for treatment of alcohol withdrawal agitated delirium. Am J Emerg 2021; 44:415–8. Medline
II Neutral (Yellow) - Patient ED-MD Pistore A, Penney S, Bryce R, Meyer C, Bouchard B. A retrospective evaluation of phenobarbital versus benzodiazepines for treatment of alcohol withdrawal in a regional Canadian emergency department. Alcohol 2022;102:59–65. Medline
X Not Yet Graded (White) - Lebin JA, Bass ME, Heard K, Hoppe J, Jacknin G. A Retrospective Evaluation of Adjunctive Phenobarbital vs. Benzodiazepine Alone for the Treatment of Moderate Alcohol Withdrawal in the Emergency Department. J Emerg Med April 2024; 66(4):e516-22. Medline


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