cliot (version 1.0.0)

modified_minnesota_detox_scale: Modified Minnesota Detoxification Scale (MMDS)

Description

Calculates the Modified Minnesota Detoxification Scale (MMDS) score, used to assess the severity of alcohol withdrawal and guide treatment. The scale evaluates vital signs (pulse, diastolic BP) and clinical signs (tremor, sweat, hallucinations, agitation, orientation, seizures).

Usage

modified_minnesota_detox_scale(pulse_rate, diastolic_bp, tremor, sweat,
                               hallucinations, agitation, orientation, seizures)

Value

A list containing:

MMDS_Score

The calculated total score (Range 0-24+).

Severity_Interpretation

Assessment of withdrawal severity (e.g., >=10 suggests severe).

Arguments

pulse_rate

Numeric. Patient's pulse rate in beats per minute.

diastolic_bp

Numeric. Patient's diastolic blood pressure in mmHg.

tremor

Numeric (0-3). Severity of tremor. (0: None, 1: Visible, 2: Marked, 3: Severe/Gross).

sweat

Numeric (0-3). Severity of sweating. (0: None, 1: Moist, 2: Bead/wet, 3: Drenching).

hallucinations

Numeric (0-3). Presence/severity of hallucinations. (0: None, 1: Mild/transient, 2: Moderate/distressing, 3: Severe/continuous).

agitation

Numeric (0-3). Severity of agitation. (0: None, 1: Restless, 2: Agitated, 3: Combative).

orientation

Numeric (0-4). Orientation score (based on time, place, person). Typically scored inversely (0: Oriented x3, 4: Disoriented). *Note: Specific MDCalc implementation details may vary, usually ranges 0-4 or similar.*

seizures

Numeric (0-2). Seizure activity. (0: None, 1: One, 2: Multiple).

References

DeMarce JM, Burden JL, Lash SJ, et al. Outcome of a modified Minnesota detoxification scale for alcohol withdrawal. Addict Behav. 2014;39(11):1670-1673. doi:10.1016/j.addbeh.2014.06.003

Examples

# Example 1: Severe Withdrawal
# Pulse 130 (3), DBP 115 (3), Severe Tremor (3), Drenching Sweat (3), Hallucinations (3)
# Score = 15+
modified_minnesota_detox_scale(130, 115, 3, 3, 3, 0, 0, 0)

# Example 2: Mild Withdrawal
# Pulse 90 (1), DBP 85 (0), Mild tremor (1), No other signs
# Score = 2
modified_minnesota_detox_scale(90, 85, 1, 0, 0, 0, 0, 0)