🍺 PAWSS (Alcohol Withdrawal Severity Prediction)
UseWhen to use: hospitalized adults with recent drinking or positive admission BAL.
StrataPAWSS ≥4 suggests high risk for complicated AWS — consider prophylaxis and CIWA-guided care.
LimitsWhen not to use: threshold not met. · Pitfall: replacing CIWA monitoring. · Give thiamine; watch glucose.
SourcePAWSS (Maldonado)
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
Threshold + 10 items.
When to use
When to use: hospitalized adults with recent drinking or positive admission BAL.
How it works
Threshold then sum of 10 binary PAWSS items (max 10).
Key points
- Threshold + 10 items.
- ≥4 high risk.
- Next: CIWA / prophylaxis.
References
- PAWSS (Maldonado)
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Alcohol within 30 days OR +BAL on admission (threshold) | Yes — proceed |
|---|---|
| Recently intoxicated (30 days) | Yes (+1) |
| Prior rehab / AA / AUD treatment | Yes (+1) |
| Prior alcohol withdrawal episode | Yes (+1) |
| History of blackouts | Yes (+1) |
| Prior withdrawal seizures | Yes (+1) |
| Prior delirium tremens | Yes (+1) |
| Alcohol + benzo/barbiturate (90 days) | Yes (+1) |
| Alcohol + other substance (90 days) | Yes (+1) |
| Admission BAL ≥200 mg/dL | Yes (+1) |
| Autonomic hyperactivity (HR>120, tremor, sweat, agitation, nausea) | Yes (+1) |
→PAWSS10/10
- Threshold：Met
- Cue：PAWSS ≥4 — high risk for moderate–severe / complicated AWS; consider prophylaxis + CIWA monitoring
Verification & sources · governance
FAQ
Frequently asked questions
- Does PAWSS (Alcohol Withdrawal Severity Prediction) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is PAWSS (Alcohol Withdrawal Severity Prediction) calculated in practice? Can you show a worked example?
- Inputs: Alcohol within 30 days OR +BAL on admission (threshold) Yes — proceed, Recently intoxicated (30 days) Yes (+1), Prior rehab / AA / AUD treatment Yes (+1), Prior alcohol withdrawal episode Yes (+1), History of blackouts Yes (+1), Prior withdrawal seizures Yes (+1), Prior delirium tremens Yes (+1), Alcohol + benzo/barbiturate (90 days) Yes (+1)… → Result: PAWSS 10 /10（Threshold: Met, Cue: PAWSS ≥4 — high risk for moderate–severe / complicated AWS; consider prophylaxis + CIWA monitoring）