CIWA Scale

Alcohol withdrawal severity assessment.

For educational use only. Always verify with clinical judgment and facility protocols.

CIWA-Ar Scale

Clinical Institute Withdrawal Assessment for Alcohol

Nausea/Vomitingpress 0–70

0: None; 1: Mild; 4: Intermittent; 7: Constant

Tremorpress 0–70

0: None; 1: Not visible; 4: Moderate; 7: Severe

Paroxysmal Sweatingpress 0–70

0: None; 1: Barely perceptible; 4: Beads on forehead; 7: Drenching

Anxietypress 0–70

0: None; 1: Mildly anxious; 4: Moderately anxious; 7: Panic

Agitationpress 0–70

0: Normal; 1: Somewhat normal; 4: Moderately fidgety; 7: Paces

Tactile Disturbancespress 0–70

0: None; 1: Very mild; 4: Moderate hallucinations; 7: Continuous

Auditory Disturbancespress 0–70

0: None; 1: Very mild; 4: Moderate hallucinations; 7: Continuous

Visual Disturbancespress 0–70

0: None; 1: Very mild; 4: Moderate hallucinations; 7: Continuous

Headache / Fullnesspress 0–70

0: None; 1: Very mild; 4: Moderate; 7: Severe

Orientationpress 0–40

0: Oriented; 1: Uncertain date; 2: Disoriented to date; 3: Disoriented to place/person

CIWA Score

Severity

Mild