The effectiveness of routine screening questions in the detection of alcoholism.
The effectiveness of routine screening questions in the detection of alcoholism.
复制标题
常规筛查问题在检测酒精中毒中的有效性。
DOI：
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发表时间：
1988
期刊：
影响因子：
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通讯作者：
S. Wartman
中科院分区：
文献类型：
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作者：
M. Cyr;S. Wartman
为了评估在门诊医疗诊所酗酒的患病率，并确定酗酒筛查问题的有效性，232名新的患者在医疗初级保健单位进行了采访，使用的问卷调查，其中包括密歇根州酒精中毒筛查测试（MAST）。根据MAST评分，232名受试者中有47名被指定为酗酒者，酗酒患病率为20.3%。酒精使用问题的敏感性和特异性计算使用MAST诊断酒精中毒。问题：“你喝多少？”“和“你多久喝一次酒？“的敏感性较低，分别为34.0%和46.8%。问：“你有没有酗酒的问题？”“单独考虑时有70.2%的高灵敏度，当与“你上次喝酒是什么时候？“这问题的敏感度为百分之九十一点五，我们建议将最后两个问题常规纳入病史，因为在门诊人群中酒精中毒的患病率很高。
To assess the prevalence of alcoholism in an ambulatory medical clinic and to determine the effectiveness of screening questions for alcoholism, 232 new patients in a medical primary care unit were interviewed using a questionnaire that included the Michigan Alcoholism Screening Test (MAST). Based on MAST scores, 47 of 232 subjects were designated as alcoholics, yielding a prevalence of alcoholism of 20.3%. Sensitivities and specificities for alcohol-use questions were calculated using the MAST diagnosis of alcoholism. The questions "How much do you drink?" and "How often do you drink?" yielded low sensitivities of 34.0% and 46.8%, respectively. The question "Have you ever had a drinking problem?" considered alone had a high sensitivity of 70.2%; when combined with "When was your last drink?" this question had a sensitivity of 91.5%. We recommend the routine incorporation of these last two questions into the medical history in light of the high prevalence of alcoholism in this outpatient population.