Frequency of Hazardous and Binge Drinking Alcohol Among Hospitalized Cardiovascular Patients.
Frequency of Hazardous and Binge Drinking Alcohol Among Hospitalized Cardiovascular Patients.
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DOI：
10.1016/j.amjcard.2021.05.026
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发表时间：
2021-08-15
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影响因子：
--
通讯作者：
Pack QR
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文献类型：
--
作者：
Gobeil K;Medling T;Tavares P;Sawalha K;Abozenah M;Friedmann PD;Naimi T;Pack QR
过度饮酒是大多数心脏病的一个危险因素。住院心脏病患者中不健康饮酒的流行程度不确定，其处理频率也不确定。我们对符合心脏康复条件的住院心脏病患者进行了单中心、患者水平的匿名调查。危险饮酒被定义为酒精使用障碍鉴定测试（AUDIT）得分为8分或更高。狂饮被定义为在过去30天内男性饮酒5次以上或女性饮酒4次以上，且饮酒次数≥1次。不健康饮酒被定义为有害饮酒或酗酒。300例患者中，290例（96.7%）完成了调查。平均（±SD）年龄为69±11岁；70%为男性，31%为心脏手术患者。危险、狂饮和不健康饮酒的比例（95% CI）分别为12%（9-16）、16%（12-20）和18%（14-23）。总体而言，58%的受试者报告接受了酒精使用筛查，主要由护士进行筛查（56%）。不健康饮酒者报告说，与非不健康饮酒者相比，他们在饮酒方面得到的建议更多（11%对3%，p=0.03），但绝大多数（89%）不健康饮酒者报告说，在入院期间没有收到有关饮酒的建议。总之，近五分之一的住院心脏病患者报告了不健康的饮酒，这些患者只有大约一半的时间接受了筛查，而且很少得到关于他们饮酒的建议。
Excessive alcohol use is a risk factor for most cardiac diseases. The prevalence of unhealthy alcohol use among hospitalized cardiac patients is uncertain as is the frequency with which it is addressed. We performed a single center, patient-level anonymous survey among hospitalized cardiac patients eligible for cardiac rehabilitation. Hazardous drinking was defined as an Alcohol Use Disorders Identification Test (AUDIT) score of 8 or greater. Binge drinking was defined as 5+ drinks for men or 4+ for women on ≥1 occasion within the past 30 days. Unhealthy drinking was defined as either hazardous or binge drinking. Of 300 patients approached, 290 (96.7%) completed the survey. Mean (±SD) age was 69±11 years; 70% were male and 31% were cardiac surgical patients. The proportion (95% CI) of hazardous, binge, and unhealthy drinking was 12% (9–16), 16% (12–20), and 18% (14–23), respectively. Overall, 58% of subjects reported being screened for alcohol use, mostly by nurses (56%). Those with unhealthy drinking reported being counseled more frequently about their alcohol use compared to non-unhealthy drinkers (11% vs 3%, p=0.03), but the large majority (89%) of unhealthy drinkers reported receiving no advice about their alcohol use while admitted. In conclusion, almost one-fifth of hospitalized cardiac patients reported unhealthy drinking, these patients were only screened about half of the time, and were rarely counseled about their alcohol use.
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