The severity of unhealthy alcohol use in hospitalized medical patients
The severity of unhealthy alcohol use in hospitalized medical patients
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DOI：
10.1111/j.1525-1497.2006.00405.x
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发表时间：
2006-04-01
影响因子：
5.7
通讯作者：
Samet, JH
中科院分区：
文献类型：
--
作者：
Saitz, R;Freedner, N;Samet, JH
背景：专业组织建议对不健康的饮酒行为进行筛查和简短干预；然而，短暂的干预仅对没有酒精依赖的人有效。许多不健康饮酒的住院患者是否具有非依赖性饮酒，从而可能从短暂干预中受益，目前尚不清楚。目的：确定住院患者中不健康饮酒的患病率和范围。设计：对住院患者的访谈（2001 年 3 月至 2003 年 6 月）。对象：城市教学医院的成人住院患者（5,813 名）。测量：过去饮酒危险量的比例月（按国家标准规定）；当前酒精诊断中饮酒危险量的比例（通过诊断访谈确定）。结果：百分之十七 (986) 的饮酒量存在危险； 97% 超出了每个场合的限制。大多数人在酒精使用障碍识别测试中得分 >= 8，与酒精诊断密切相关。大多数饮酒危险量并接受进一步评估的受试者子样本具有依赖性（77%）。 结论：饮酒危险量在住院患者中很常见。大多数危险饮酒者都有依赖性，而不是预期的广泛的不健康饮酒行为。医疗服务筛查主要识别出有依赖性的患者，对于这一群体，短期干预（推荐的做法）的效果尚未确定。
BACKGROUND: Professional organizations recommend screening and brief intervention for unhealthy alcohol use; however, brief intervention has established efficacy only for people without alcohol dependence. Whether many medical inpatients with unhealthy alcohol use have nondependent use, and thus might benefit from brief intervention, is unknown.OBJECTIVE: To determine the prevalence and spectrum of unhealthy alcohol use in medical inpatients.DESIGN: Interviews of medical inpatients (March 2001 to June 2003).SUBJECTS: Adult medical inpatients (5,813) in an urban teaching hospital.MEASUREMENTS: Proportion drinking risky amounts in the past month (defined by national standards); proportion drinking risky amounts with a current alcohol diagnosis (determined by diagnostic interview).RESULTS: Seventeen percent (986) were drinking risky amounts; 97% exceeded per occasion limits. Most scored >= 8 on the Alcohol Use Disorders Identification Test, strongly correlating with alcohol diagnoses. Most of a subsample of subjects who drank risky amounts and received further evaluation had dependence (77%).CONCLUSIONS: Drinking risky amounts was common in medical inpatients. Most drinkers of risky amounts had dependence, not the broad spectrum of unhealthy alcohol use anticipated. Screening on a medicine service largely identifies patients with dependence - a group for whom the efficacy of brief intervention (a recommended practice) is not well established.