WAT-1 儿童撤药评估
用途适用： PICU patients weaning continuous opioids/benzodiazepines.
分层Score ≥3 commonly flags clinically important withdrawal needing assessment/treatment.
局限不适用： without performing the stimulus components as published. · 易错点： mistaking pain/delirium for withdrawal alone. · Follow institutional weaning protocols.
出处Franck LS, et al. Pediatr Crit Care Med 2008 (WAT-1)
本班次下一步
评完分数后：进场景连算、看相邻评分、打开对应路径。本地参考，不写入 HIS。
方法学 · 公式代入、指南要点与完整说明
适用场景
适用： PICU patients weaning continuous opioids/benzodiazepines.
需要填写的项目
- Loose / watery stools · 选项
- Vomiting / wretching / gagging · 选项
- Temperature > 37.8 °C · 选项
- State from pre-stimulus observation · 选项
- 震颤 · 选项
- Sweating · 选项
- Uncoordinated / repetitive movements · 选项
- Yawning or sneezing · 选项
- Startle to touch · 选项
- Muscle tone increased · 选项
- Time to regain calm state · 选项
计算方法与公式
11 indicators (stool, vomit, fever, state, tremor, sweat, movements, yawn/sneeze, startle, tone, time-to-calm 0–2). Total 0–12.
Typically q12h from wean start until 72 h after last dose; includes stimulus-based items.
公式代入演示
下列数值取自本工具各输入项的示例值，用本页公式在服务端实际算出，供快速核对计算过程。仅演示代入方法，不构成临床建议，也不代表任何真实病例。
| Loose / watery stools | 否 (0) |
|---|---|
| Vomiting / wretching / gagging | 否 (0) |
| Temperature > 37.8 °C | 否 (0) |
| State from pre-stimulus observation | Asleep / awake calm (0) |
| 震颤 | None / mild when disturbed (0) |
| Sweating | 否 (0) |
| Uncoordinated / repetitive movements | 否 (0) |
| Yawning or sneezing | 否 (0) |
| Startle to touch | 否 (0) |
| Muscle tone increased | 否 (0) |
| Time to regain calm state | 2–5 min (1) |
→WAT-11/12
- Screen：<3 — below common threshold
- Timing：Typically q12h from weaning start until 72 h after last opioid/benzo
| Loose / watery stools | 否 (0) |
|---|---|
| Vomiting / wretching / gagging | 否 (0) |
| Temperature > 37.8 °C | 否 (0) |
| State from pre-stimulus observation | Asleep / awake calm (0) |
| 震颤 | None / mild when disturbed (0) |
| Sweating | 否 (0) |
| Uncoordinated / repetitive movements | 否 (0) |
| Yawning or sneezing | 否 (0) |
| Startle to touch | 否 (0) |
| Muscle tone increased | 否 (0) |
| Time to regain calm state | < 2 min (0) |
→WAT-10/12
- Screen：<3 — below common threshold
- Timing：Typically q12h from weaning start until 72 h after last opioid/benzo
结果判读与分层
Score ≥3 commonly flags clinically important withdrawal needing assessment/treatment.
指南要点（原创整理）
- Threshold often ≥3.
- Paired with taper plans.
- 下一步： SOS / local PICU withdrawal pathway.
以上为依据相应指南的关键推荐、由本站用自己的语言归纳整理（非指南原文）；完整内容请见下方官方来源。
注意事项与局限
- 不适用： without performing the stimulus components as published.
- 易错点： mistaking pain/delirium for withdrawal alone.
- Follow institutional weaning protocols.
核对与出处 · 可验证治理
参考指南与出处
- Franck LS, et al. Pediatr Crit Care Med 2008 (WAT-1) · 来源 ↗
指南全文版权归相应学会/期刊所有；本工具仅实现其决策算法并注明出处，全文请经上方官方来源获取。
依据文献年份见参考 · 数据集整理日 2026-10-08
常见问题
常见问题
- WAT-1 儿童撤药评估的计算是否上传患者数据？在哪里计算？
- 计算在浏览器本地完成，输入与结果不上传服务器；结果仅供执业医师参考，须结合病史、检查与本机构方案判断，不构成诊断或处方依据。
- WAT-1 儿童撤药评估怎么代入计算？能举个例子吗？
- 代入: Loose / watery stools 否 (0)、Vomiting / wretching / gagging 否 (0)、Temperature > 37.8 °C 否 (0)、State from pre-stimulus observation Asleep / awake calm (0)、震颤 None / mild when disturbed (0)、Sweating 否 (0)、Uncoordinated / repetitive movements 否 (0)、Yawning or sneezing 否 (0)… → 结果: WAT-1 1 /12（Screen: <3 — below common threshold、Timing: Typically q12h from weaning start until 72 h after last opioid/benzo） 代入: Loose / watery stools 否 (0)、Vomiting / wretching / gagging 否 (0)、Temperature > 37.8 °C 否 (0)、State from pre-stimulus observation Asleep / awake calm (0)、震颤 None / mild when disturbed (0)、Sweating 否 (0)、Uncoordinated / repetitive movements 否 (0)、Yawning or sneezing 否 (0)… → 结果: WAT-1 0 /12（Screen: <3 — below common threshold、Timing: Typically q12h from weaning start until 72 h after last opioid/benzo）
核对流程与方法学
核对与依据
本工具的公式与计算方法已在本页明示、公开可逐一核查。其公式、系数与阈值依据上方「参考指南与出处」列出的权威来源核对。想了解本站对全部临床工具的核对流程与出处覆盖情况，见 临床工具核对表与方法学 →