{"uid":"cap_xYeKTNlMJoGKyRIpOFS60","slug":"wat-1-pediatric-withdrawal-assessment-tool-calculator-ec5def9d","name":"WAT-1 Pediatric Withdrawal Assessment Tool Calculator","description":"Franck 2008 WAT-1 (Withdrawal Assessment Tool-1). Eleven caller-assigned integers: ten 0/1 signs plus time_to_calm 0-2. Sum 0-12. Cutoff WAT-1 ≥3 vs NRS ≥4. magent does not observe the child. Pediatric iatrogenic opioid/benzodiazepine withdrawal monitoring only. Not a diagnosis, not NAS, not COWS, not CIWA-Ar, and not a medical device.","url":"https://api.magentlab.com/api/calc/wat_1","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":["loose_watery_stools","vomiting_retching_gagging","temperature_gt_37_8","state","tremor","sweating","uncoordinated_repetitive_movement","yawning_or_sneezing","startle_to_touch","muscle_tone","time_to_calm"],"properties":{"state":{"type":"integer","description":"Caller-assigned Franck 2008 Table 4 2-minute pre-stimulus state (integer 0 or 1): 0 SBS ≤0 or asleep/awake/calm, 1 SBS ≥+1 or awake/distressed. magent does not observe the child."},"tremor":{"type":"integer","description":"Caller-assigned Franck 2008 Table 4 2-minute pre-stimulus tremor (integer 0 or 1): 0 none/mild, 1 moderate/severe. magent does not observe the child."},"sweating":{"type":"integer","description":"Caller-assigned Franck 2008 Table 4 2-minute pre-stimulus sweating (integer 0 or 1): 0 no, 1 any sweating. magent does not observe the child."},"muscle_tone":{"type":"integer","description":"Caller-assigned Franck 2008 Table 4 1-minute stimulus muscle tone (integer 0 or 1): 0 normal, 1 increased. magent does not observe the child."},"time_to_calm":{"type":"integer","description":"Caller-assigned Franck 2008 Table 4 post-stimulus time to gain a calm state (integer 0, 1, or 2): 0 if <2 min, 1 if 2-5 min, 2 if >5 min. magent does not observe the child."},"startle_to_touch":{"type":"integer","description":"Caller-assigned Franck 2008 Table 4 1-minute stimulus startle to touch (integer 0 or 1): 0 none/mild, 1 moderate/severe. magent does not observe the child."},"loose_watery_stools":{"type":"integer","description":"Caller-assigned Franck 2008 Table 4 loose/watery stools from the record in the previous 12 hours (integer 0 or 1): 0 none, 1 any loose or watery stools. magent does not observe the child."},"temperature_gt_37_8":{"type":"integer","description":"Caller-assigned Franck 2008 Table 4 modal temperature > 37.8°C from the record in the previous 12 hours (integer 0 or 1): 0 no, 1 yes. magent does not observe the child."},"yawning_or_sneezing":{"type":"integer","description":"Caller-assigned Franck 2008 Table 4 2-minute pre-stimulus yawning or sneezing (integer 0 or 1): 0 none or 1 yawn/sneeze, 1 two or more. magent does not observe the child."},"vomiting_retching_gagging":{"type":"integer","description":"Caller-assigned Franck 2008 Table 4 vomiting, retching, or gagging from the record in the previous 12 hours (integer 0 or 1): 0 none, 1 any vomiting, retching, or gagging. magent does not observe the child."},"uncoordinated_repetitive_movement":{"type":"integer","description":"Caller-assigned Franck 2008 Table 4 2-minute pre-stimulus uncoordinated or repetitive movement (integer 0 or 1): 0 none/mild, 1 moderate/severe. magent does not observe the child."}}}},"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_sI42D2yiv4aTI1Eol74mt","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 Franck 2008 Withdrawal Assessment Tool-1 (WAT-1) score for pediatric iatrogenic opioid/benzodiazepine withdrawal monitoring from 11 caller-assigned integer inputs","exampleAgentPrompt":"Calculate the WAT-1 withdrawal score for a pediatric patient with these observed signs: loose watery stools present (1), no vomiting (0), temperature not elevated (0), state is awake/distressed (1), moderate tremor (1), sweating present (1), no uncoordinated repetitive movement (0), yawning or sneezing present (1), startle to touch mild (0), increased muscle tone (1), and time to calm was between 2 and 5 minutes (1).","exampleUseCases":[{"title":"PICU opioid weaning monitoring","prompt":"My patient is a 4-year-old in the PICU being weaned off fentanyl. Here are the signs I observed: no loose stools (0), vomiting present (1), temp above 37.8 (1), state is distressed (1), mild tremor (0), sweating (1), no repetitive movements (0), sneezing noted (1), mild startle (0), normal muscle tone (0), and took more than 5 minutes to calm (2). Can you compute the WAT-1 score and tell me if it hits the threshold of 3?"},{"title":"Benzodiazepine withdrawal scoring","prompt":"I need to score a child on WAT-1 for benzodiazepine withdrawal — signs are: watery stools (1), no vomiting (0), no fever (0), calm state (0), no tremor (0), no sweating (0), repetitive movements present (1), no yawning or sneezing (0), severe startle to touch (1), increased muscle tone (1), calmed in under 2 minutes (0). What's the total WAT-1 score?"},{"title":"Nursing documentation workflow automation","prompt":"We're automating withdrawal assessments in our pediatric unit. For this assessment: loose stools (1), retching (1), temp normal (0), awake and calm state (0), moderate tremor (1), sweating (1), uncoordinated movements (1), yawning observed (1), mild startle (0), increased tone (1), time to calm over 5 minutes (2) — run the WAT-1 calculator and tell me if the score meets the ≥3 cutoff."}],"resultDescription":"Returns the computed WAT-1 integer total score (range 0–12), which is the sum of the ten 0/1 binary sign inputs plus the time_to_calm item (0–2). Also indicates whether the score meets the withdrawal threshold cutoff (WAT-1 ≥3 vs NRS ≥4). Does not include clinical interpretation or diagnosis.","failureModes":["Missing required query parameters returns a validation error","Non-integer or out-of-range values (e.g., time_to_calm=3) cause rejection","Passing floating point numbers instead of integers causes schema validation failure","Incorrect field names result in parameter not being recognized"],"whenToPreferThis":"Use this endpoint when you need to programmatically compute the Franck 2008 WAT-1 score specifically for pediatric patients experiencing iatrogenic opioid or benzodiazepine withdrawal. Prefer this over COWS (adult opioid withdrawal), CIWA-Ar (adult alcohol withdrawal), or NAS scales (neonatal abstinence syndrome) when the patient is a child in a PICU or similar setting being weaned from medically administered opioids or benzodiazepines. Best suited for clinical decision support workflows where nursing staff or clinical systems supply the observed signs as discrete integers.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-09-14T06:53:04.845Z","isFirstParty":false}