PROBLEM DRINKING IN EMERGENCY DEPARTMENT PATIENTS - THE SCOPE FOR EARLY INTERVENTION
PROBLEM DRINKING IN EMERGENCY DEPARTMENT PATIENTS - THE SCOPE FOR EARLY INTERVENTION
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DOI：
10.5694/j.1326-5377.1991.tb121368.x
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发表时间：
1991-06-17
影响因子：
11.4
通讯作者：
SAUNDERS, JB
中科院分区：
文献类型：
--
作者：
CONIGRAVE, KM;BURNS, FH;SAUNDERS, JB
目的：确定先前未诊断的饮酒问题的患病率，从而评估急诊科是否适合进行早期干预。设计：通过结构化访谈时间表、体检和血液检查对 350 名门诊患者进行评估。 记录酒精摄入量和存在的酒精相关问题，以及过去的饮酒建议史和对酒精问题的自我认知。地点：悉尼皇家阿尔弗雷德王子医院急诊科的门诊护理部。患者：在 18 个月的时间内依次选择 350 名年龄在 18 至 55 岁之间的受试者。结果：41% 的受试者（95% 置信区间，36%-46%）， 50% 的男性和 26% 的女性根据危险或有害的饮酒水平、经常饮酒至中毒、依赖证据或经历过与酒精相关的问题，被归类为问题饮酒者。 其中 63% 的人之前没有接受过健康专业人士关于饮酒的建议，只有 28% 的人认为自己有问题。 特别值得注意的是，24% 的男性和 4% 的女性每周或更频繁地单次饮酒 12 杯或更多（120 克酒精或更多）。结论：许多到急诊科就诊的问题饮酒者之前没有从健康专业人士那里得到过有关饮酒的建议。 因此，急诊科作为对危险和有害饮酒及相关疾病的患者进行早期发现和干预的场所具有巨大的潜力。
Objective: To determine the prevalence of previously undiagnosed problem drinking and thereby to assess the suitability of the emergency department for early intervention.Design: Three hundred and fifty ambulatory care patients were assessed by means of a structured interview schedule, physical examination and blood tests. Alcohol intake and presence of alcohol-related problems were recorded, along with history of past advice on drinking and self-perception of an alcohol problem.Setting: The ambulatory care section of the emergency department of Royal Prince Alfred Hospital, Sydney.Patients: Three hundred and fifty subjects, aged between 18 and 55 years, were sequentially selected over an 18-month period.Results: Forty-one per cent of subjects (95% confidence interval, 36%-46%), 50% of men and 26% of women, were classified as problem drinkers on the basis of hazardous or harmful levels of alcohol consumption, frequent drinking to intoxication, evidence of dependence, or experience of alcohol-related problems. Of these, 63% had not previously received advice on drinking from a health professional and only 28% perceived they had a problem. Of particular note was that 24% of men and 4% of women were drinking 12 or more drinks (120 g of alcohol or more) in a single session on a weekly or more frequent basis.Conclusions: Many of the problem drinkers attending the emergency department have not previously received advice about their drinking from a health professional. The emergency department therefore offers considerable potential as a site for early detection and intervention in patients with hazardous and harmful alcohol use and related disorders.