{"uid":"cap_W7JHX4S37G8rbaQgUeBRs","slug":"pawss-alcohol-withdrawal-risk-calculator-maldonado-2014-909be59a","name":"PAWSS Alcohol Withdrawal Risk Calculator (Maldonado 2014)","description":"Maldonado 2014 PAWSS. Required 0-point threshold (any alcohol in the last 30 days or positive BAL on admission): if false, score 0 and band outside_window even if other flags are true. If true, ten yes/no items score 1 each (max 10); 0-3 low, >=4 high risk for complicated alcohol withdrawal. Not a diagnosis or prophylaxis order. magent does not interview the patient or measure BAL.","url":"https://api.magentlab.com/api/calc/pawss","method":"GET","headers":{},"bodySchema":{"type":"object","$schema":"https://json-schema.org/draft/2020-12/schema","required":["input"],"properties":{"input":{"type":"object","required":["type","method"],"properties":{"type":{"type":"string","const":"http"},"method":{"enum":["GET","HEAD","DELETE"],"type":"string"},"headers":{"type":"object","additionalProperties":{"type":"string"}},"queryParams":{"type":"object","required":["alcohol_last_30d_or_positive_bal","recently_intoxicated_30d","alcohol_rehab","previous_withdrawal","blackouts","withdrawal_seizures","delirium_tremens","combined_downers_90d","combined_other_substances_90d","bal_ge_200","increased_autonomic_activity"],"properties":{"blackouts":{"type":"boolean","description":"Ever blackouts as assigned by the caller (Maldonado 2014). true scores 1 when the Part A threshold is true. magent does not interview the patient."},"bal_ge_200":{"type":"boolean","description":"BAL on presentation ≥200 as assigned by the caller (Maldonado 2014). true scores 1 when the Part A threshold is true. magent does not measure BAL."},"alcohol_rehab":{"type":"boolean","description":"Ever alcohol-use-disorder rehabilitation or AA as assigned by the caller (Maldonado 2014). true scores 1 when the Part A threshold is true. magent does not interview the patient."},"delirium_tremens":{"type":"boolean","description":"Ever delirium tremens as assigned by the caller (Maldonado 2014). true scores 1 when the Part A threshold is true. magent does not interview the patient."},"previous_withdrawal":{"type":"boolean","description":"Any previous alcohol withdrawal as assigned by the caller (Maldonado 2014). true scores 1 when the Part A threshold is true. magent does not interview the patient."},"withdrawal_seizures":{"type":"boolean","description":"Ever alcohol withdrawal seizures as assigned by the caller (Maldonado 2014). true scores 1 when the Part A threshold is true. magent does not interview the patient."},"combined_downers_90d":{"type":"boolean","description":"Combined alcohol with benzodiazepines or barbiturates in the last 90 days as assigned by the caller (Maldonado 2014). true scores 1 when the Part A threshold is true. magent does not interview the patient."},"recently_intoxicated_30d":{"type":"boolean","description":"Recently intoxicated or drunk within the last 30 days as assigned by the caller (Maldonado 2014). true scores 1 when the Part A threshold is true. magent does not interview the patient."},"increased_autonomic_activity":{"type":"boolean","description":"Increased autonomic activity as assigned by the caller (Maldonado 2014), for example HR>120, tremor, sweating, agitation, or nausea. true scores 1 when the Part A threshold is true. magent does not observe the patient."},"combined_other_substances_90d":{"type":"boolean","description":"Combined alcohol with any other substance of abuse in the last 90 days as assigned by the caller (Maldonado 2014). true scores 1 when the Part A threshold is true. magent does not interview the patient."},"alcohol_last_30d_or_positive_bal":{"type":"boolean","description":"Part A threshold (0 points). Caller-assigned: consumed any alcohol in the last 30 days or a positive BAL on admission (Maldonado 2014). If false, score is 0 and pawss_band is outside_window; the ten items are not added. magent does not interview the patient or measure BAL."}}}},"additionalProperties":false},"output":{"type":"object","required":["type"],"properties":{"type":{"type":"string"},"example":{"type":"object"}}}}},"responseSchema":null,"example":null,"exampleRequest":null,"tags":["x402"],"displayCostAmount":"0.005","displayCostAsset":"USDC","priceDynamic":false,"priceHint":null,"priceStatus":"priced","priceSource":"probe","requiresHandshake":false,"reviewCount":0,"rating":{"score":"0.00","successRate":"0.00","reviews":0,"stars":null,"state":"unrated"},"availabilityStatus":"unknown","priceObserved":null,"sessionDeposit":null,"pricing":{"kind":"static","summary":"$0.005/call","primary":{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.005","per":"call","confidence":"exact"},"accepted":[{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.005","per":"call","confidence":"exact"}]},"paymentMethods":[{"uid":"pm_I0QzOjT9QcbAYiX8Q_0C-","protocol":"x402","methodType":"crypto","chain":"base","mode":"charge","costAmount":"0.005","costPer":"request","priority":0,"asset":"0x833589fCD6eDb6E08f4c7C32D4f71b54bdA02913","unit":"request","depositMicros":null,"planRef":null}],"brandName":null,"brandSlug":null,"brandBaseUrl":null,"brandDocsUrl":null,"whatItDoes":"Computes the Prediction of Alcohol Withdrawal Severity Scale (PAWSS) score and risk band to stratify patients for complicated alcohol withdrawal risk","exampleAgentPrompt":"Run the PAWSS alcohol withdrawal risk score for a patient who drank in the last 30 days and has a positive BAL on admission — they have a history of alcohol rehab, two prior withdrawal episodes, blackouts, and withdrawal seizures, but no delirium tremens, no combined downer use in the last 90 days, no other substance use, BAL under 200, and no increased autonomic activity right now.","exampleUseCases":[{"title":"ICU admission alcohol withdrawal triage","prompt":"Calculate the PAWSS score for a new ICU patient: they had alcohol in the last 30 days and a positive BAL on admission. They have a history of prior withdrawal, blackouts, and delirium tremens, but no rehab, no seizures, no downer or other substance use in 90 days, BAL was under 200, and no increased autonomic activity. Are they high or low risk?"},{"title":"Emergency department alcohol screening workflow","prompt":"I need a PAWSS score for an ED patient who tested positive BAL on admission and drank recently. They went through alcohol rehab once, had one previous withdrawal, no blackouts, no seizures, no DTs, no combined depressants or other substances in the last 90 days, BAL under 200, and no autonomic activity signs. What's their risk band?"},{"title":"Automated EHR withdrawal risk flagging","prompt":"For a patient flagged in the EHR as recently intoxicated with a positive BAL — history includes blackouts and withdrawal seizures, prior rehab, no previous withdrawal episodes, no DTs, used combined downers in the last 90 days, no other substances, BAL on arrival was over 200, and showing increased autonomic activity — compute the PAWSS score and tell me if they're high risk."}],"resultDescription":"Returns the PAWSS total score (integer 0–10) and a risk band: 'outside_window' if the Part A threshold (any alcohol in last 30 days or positive BAL on admission) is false; 'low' if score is 0–3; 'high' if score is ≥4. Not a clinical diagnosis or treatment order.","failureModes":["Missing required boolean query parameters returns a validation error","If alcohol_last_30d_or_positive_bal is false, score is forced to 0 and band is outside_window regardless of other flags","Miscoded boolean values (e.g. string 'yes' instead of true) may cause a schema error","Payment authorization failure (x402) if USDC balance is insufficient"],"whenToPreferThis":"Use this endpoint when you need a standardized, validated PAWSS score computation per the Maldonado 2014 protocol and want a deterministic, auditable arithmetic result without implementing the scoring logic yourself. Prefer over manual calculation when embedding PAWSS into automated clinical workflows, EHR pipelines, or decision-support agents. Not appropriate as a substitute for clinical judgment, direct patient assessment, or BAL measurement.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-09-14T00:44:19.898Z","isFirstParty":false}