SBIRT outcomes in Houston: final report on InSight, a hospital district-based program for patients at risk for alcohol or drug use problems.
SBIRT outcomes in Houston: final report on InSight, a hospital district-based program for patients at risk for alcohol or drug use problems.
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休斯顿的 SBIRT 结果：InSight 的最终报告，InSight 是一项针对有酒精或吸毒问题风险的患者的院区计划。
DOI：
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发表时间：
2009
期刊：
影响因子：
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通讯作者：
R. Spence
中科院分区：
文献类型：
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作者：
R. Spence
背景
筛查、简短干预和转诊治疗 (SBIRT) 服务已作为哈里斯县医院区 (HCHD) 患者的护理标准实施。本分析涉及2005年7月1日至2008年9月30日39个月期间入院患者的酒精和药物使用情况。
方法
患者在入院时接受了酒精和药物使用情况筛查。那些呈阳性的人接受了进一步的评估，并酌情转为接受服务。在 6 个月时，我们联系了同意并接受服务的阳性患者样本进行后续访谈。该分析采用意向治疗（ITT）方案，包括所有被分配进行随访的患者，包括已完成随访的患者以及在随访时无法联系到的患者。随访时未联系的患者被认为保持了基线药物和酒精消耗水平。
结果
在由全科医生（主要是护士、医生和医疗技术人员）筛查的 59,760 名患者中，15,241 名（26%）呈阳性并接受了进一步的评估和服务。 6个月的后续访谈完成率为66%。 ITT 样本包括所有 1,937 名被分配进行随访的患者。报告酗酒天数的患者数量总体上从摄入时的 70% 减少到 6 个月随访时的 37%，平均酗酒天数从摄入时的 7.8 天减少到随访时的 4.1 天。报告任意天数吸毒的患者人数在摄入时为 82%，而随访时为 33%，平均吸毒天数从摄入时的 8.3 天下降到随访时的 4.2 天。
结论
结果与报告 SBIRT 患者积极结果的大多数其他研究一致，但幅度更大。研究发现，从入院到随访期间，吸毒和酗酒的情况大幅减少。这一发现适用于所有级别的药物或酒精滥用严重程度，最严重的患者表现出最大的下降。未来的研究需要控制平均效应的潜在回归，并加深对种族/民族结果差异的理解。
BACKGROUND
Screening, Brief Intervention, and Referral to Treatment (SBIRT) services have been implemented as the standard of care for patients in the Harris County Hospital District (HCHD). The present analysis addresses alcohol and drug use for patients admitted over a 39-month period from July 1, 2005 through September 30, 2008.
METHODS
Patients were screened for alcohol and drug use at medical admission. Those who were positive received further assessment and were transitioned to receive services as appropriate. A sample of consenting patients who were positive and received services was contacted at 6 months for a follow-up interview. Using an intent-to-treat (ITT) protocol, the analysis included all patients who were assigned for follow-up, including those with completed follow-ups as well as those who could not be contacted at follow-up. Patients not contacted at follow-up were assumed to have maintained their baseline drug and alcohol consumption levels.
RESULTS
Of 59,760 patients who were screened by generalists (primarily nurses, physicians, and medical care technicians), 15,241 (26%) were positive and received further assessment and services. The 6-month follow-up interview completion rate was 66%. The ITT sample consisted of all 1,937 patients who were assigned for follow-up. There was an overall reduction in the number of patients reporting any days of heavy drinking from 70% at intake to 37% at 6-month follow-up and a reduction in the mean number of days of heavy drinking from 7.8 days at intake to 4.1 days at follow-up. The number of patients reporting any days of drug use was 82% at intake versus 33% at follow-up, and the mean number of days of drug use declined from 8.3 days at intake to 4.2 days at follow-up.
CONCLUSIONS
The results were consistent with but of greater magnitude than most other studies reporting positive outcomes for SBIRT patients. Drug use and heavy alcohol use were found to decrease substantially from admission to follow-up. This finding holds good for all levels of drug or alcohol misuse severity, with the highest severity patients showing the largest decreases. Future studies are needed to control for potential regression to the mean effects and to develop improved understanding of differences in outcomes by race/ethnicity.
三个问题可以检测危险饮酒者。
DOI：
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发表时间：
2001
期刊：
The Journal of family practice
影响因子：
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作者：
Gordon,AJ;Maisto,SA;McNeil,M;Kraemer,KL;Conigliaro,RL;Kelley,ME;Conigliaro,J
通讯作者：
Conigliaro,J