modified_minnesota_detox_scale: Modified Minnesota Detoxification Scale (MMDS)

In cliot: Clinical Indices and Outcomes Tools

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)

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).

Value

A list containing:

MMDS_Score	The calculated total score (Range 0-24+).
Severity_Interpretation	Assessment of withdrawal severity (e.g., >=10 suggests severe).

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)

cliot documentation built on Dec. 1, 2025, 1:06 a.m.