Cushman
Describe alcohol withdrawal severity using three vital signs and four clinical signs.
Cushman
Principle
Describe alcohol withdrawal severity using three vital signs and four clinical signs.
Scope
Alcohol withdrawal in adults; local restriction to people aged at least 18 years.
Interpretation limits
Descriptive assessment; no automatic diagnosis, individual risk estimate or treatment. The seven observations must belong to the same recording. MediScore360 convention: heart rate = 80 and systolic pressure = 125 (18–30 years), 135 (31–50 years) or 145 (≥51 years) score 0, as these equality boundaries are absent from the published table.
Formula and logic
Sum of seven contributions from 0 to 3; total from 0 to 21.
Interpretation
- 0–6
- Mild alcohol withdrawal
- 7–14
- Moderate alcohol withdrawal
- 15–21
- Severe alcohol withdrawal
Definition version : 1.0.0
Sources
Full references
Société Française d’Alcoologie · 2023
Operational Cushman table, printed page 87. Equality gaps in the published inequalities are closed by the local convention documented in the specification.
AFEF · Société Française d’Alcoologie · 2021
Corroboration of the French table, printed page 39; not an independent prognostic validation.