{"uid":"cap__VIxT7HbbimGw30ra4dEE","slug":"ciwa-ar-score-calculator-sullivan-1989-dc09acf5","name":"CIWA-Ar Score Calculator (Sullivan 1989)","description":"Sullivan 1989 CIWA-Ar (revised Clinical Institute Withdrawal Assessment for Alcohol). Ten caller-assigned integers: nausea/vomiting, tremor, paroxysmal sweats, anxiety, agitation, tactile, auditory, visual, and headache each 0-7; orientation 0-4 (not 0-7). Max 67. magent sums only and does not observe the patient or apply later protocol treatment cutoffs such as benzodiazepine orders. Not a diagnosis and not a medical device.","url":"https://api.magentlab.com/api/calc/ciwa_ar","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":["nausea_vomiting","tremor","paroxysmal_sweats","anxiety","agitation","tactile","auditory","visual","headache","orientation"],"properties":{"tremor":{"type":"integer","description":"Caller-assigned Sullivan 1989 tremor points (integer 0-7). magent does not observe the patient."},"visual":{"type":"integer","description":"Caller-assigned Sullivan 1989 visual disturbances points (integer 0-7). magent does not observe the patient."},"anxiety":{"type":"integer","description":"Caller-assigned Sullivan 1989 anxiety points (integer 0-7). magent does not observe the patient."},"tactile":{"type":"integer","description":"Caller-assigned Sullivan 1989 tactile disturbances points (integer 0-7). magent does not observe the patient."},"auditory":{"type":"integer","description":"Caller-assigned Sullivan 1989 auditory disturbances points (integer 0-7). magent does not observe the patient."},"headache":{"type":"integer","description":"Caller-assigned Sullivan 1989 headache / fullness in head points (integer 0-7). magent does not observe the patient."},"agitation":{"type":"integer","description":"Caller-assigned Sullivan 1989 agitation points (integer 0-7). magent does not observe the patient."},"orientation":{"type":"integer","description":"Caller-assigned Sullivan 1989 orientation and clouding of sensorium (integer 0-4). This item is not 0-7. magent does not observe the patient."},"nausea_vomiting":{"type":"integer","description":"Caller-assigned Sullivan 1989 nausea and vomiting points (integer 0-7). magent does not observe the patient."},"paroxysmal_sweats":{"type":"integer","description":"Caller-assigned Sullivan 1989 paroxysmal sweats points (integer 0-7). magent does not observe the patient."}}}},"additionalProperties":false},"output":{"type":"object","required":["type"],"properties":{"type":{"type":"string"},"example":{"type":"object"}}}}},"responseSchema":{"type":"json","example":{"path":"/api/calc/ciwa_ar","count":2,"items":[{"score":0,"formula":"ciwa_ar","citation":{"id":"sullivan-1989","doi":"10.1111/j.1360-0443.1989.tb00737.x","pmid":"2597811","title":"Assessment of alcohol withdrawal: the revised clinical institute withdrawal assessment for alcohol scale (CIWA-Ar)","source":"Br J Addict. 1989;84(11):1353-1357","authors":"Sullivan JT, Sykora K, Schneiderman J, Naranjo CA, Sellers EM"},"max_score":67,"components":[{"value":0,"factor":"nausea_vomiting","points":0,"present":true},{"value":0,"factor":"tremor","points":0,"present":true},{"value":0,"factor":"paroxysmal_sweats","points":0,"present":true},{"value":0,"factor":"anxiety","points":0,"present":true},{"value":0,"factor":"agitation","points":0,"present":true},{"value":0,"factor":"tactile","points":0,"present":true},{"value":0,"factor":"auditory","points":0,"present":true},{"value":0,"factor":"visual","points":0,"present":true},{"value":0,"factor":"headache","points":0,"present":true},{"value":0,"factor":"orientation","points":0,"present":true}],"disclaimer":"Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.","formula_expression":"CIWA-Ar = nausea_vomiting + tremor + paroxysmal_sweats + anxiety + agitation + tactile + auditory + visual + headache + orientation; nine items 0-7, orientation 0-4; max 67"},{"score":0,"formula":"ciwa_ar","citation":{"id":"sullivan-1989","doi":"10.1111/j.1360-0443.1989.tb00737.x","pmid":"2597811","title":"Assessment of alcohol withdrawal: the revised clinical institute withdrawal assessment for alcohol scale (CIWA-Ar)","source":"Br J Addict. 1989;84(11):1353-1357","authors":"Sullivan JT, Sykora K, Schneiderman J, Naranjo CA, Sellers EM"},"max_score":67,"components":[{"value":0,"factor":"nausea_vomiting","points":0,"present":true},{"value":0,"factor":"tremor","points":0,"present":true},{"value":0,"factor":"paroxysmal_sweats","points":0,"present":true},{"value":0,"factor":"anxiety","points":0,"present":true},{"value":0,"factor":"agitation","points":0,"present":true},{"value":0,"factor":"tactile","points":0,"present":true},{"value":0,"factor":"auditory","points":0,"present":true},{"value":0,"factor":"visual","points":0,"present":true},{"value":0,"factor":"headache","points":0,"present":true},{"value":0,"factor":"orientation","points":0,"present":true}],"disclaimer":"Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.","formula_expression":"CIWA-Ar = nausea_vomiting + tremor + paroxysmal_sweats + anxiety + agitation + tactile + auditory + visual + headache + orientation; nine items 0-7, orientation 0-4; max 67"}]}},"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_KlNDLYOhJWP_axAbfTa3q","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":"Sums the ten CIWA-Ar item scores to produce a total alcohol withdrawal severity score (max 67)","exampleAgentPrompt":"Calculate the CIWA-Ar total for a patient scored as: nausea/vomiting 3, tremor 4, paroxysmal sweats 2, anxiety 3, agitation 2, tactile disturbances 1, auditory disturbances 2, visual disturbances 1, headache 2, and orientation 2.","exampleUseCases":[{"title":"ED alcohol withdrawal triage documentation","prompt":"I need the CIWA-Ar total for a patient in the ED: nausea 4, tremor 5, sweats 3, anxiety 4, agitation 3, tactile 2, auditory 3, visual 2, headache 3, orientation 2 — what's the total score?"},{"title":"Inpatient nursing withdrawal reassessment","prompt":"Reassess CIWA-Ar at hour 6: nausea 1, tremor 2, sweats 1, anxiety 2, agitation 1, tactile 0, auditory 1, visual 0, headache 1, orientation 1 — give me the total."},{"title":"Automated detox flowsheet scoring","prompt":"Score the CIWA-Ar items from our detox flowsheet: nausea 0, tremor 1, sweats 0, anxiety 2, agitation 1, tactile 0, auditory 0, visual 0, headache 1, orientation 0 — what is the sum?"}],"resultDescription":"A single integer representing the summed CIWA-Ar total (0–67), calculated from the ten caller-supplied item scores. No clinical interpretation, diagnosis, treatment threshold application, or observation is included — the endpoint is strictly an arithmetic summation tool.","failureModes":["Missing any of the ten required query parameters returns an error","Orientation value outside 0-4 or any other item outside 0-7 may cause validation failure or incorrect result","Non-integer values for any parameter will be rejected","Network or payment (x402) failures may prevent the call from completing"],"whenToPreferThis":"Use this endpoint when you need a fast, reliable arithmetic summation of pre-scored CIWA-Ar item values and want to avoid manual addition errors in clinical documentation or automated detox monitoring workflows. It is not a substitute for clinical observation or protocol decision-making, but is ideal for agents that have already collected clinician-assigned item scores and need the validated total.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-09-15T01:06:26.480Z","isFirstParty":false}