The effect of alcohol abuse on the health status of older adults seen in the emergency department.
The effect of alcohol abuse on the health status of older adults seen in the emergency department.
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酗酒对急诊科老年人健康状况的影响。
DOI：
10.1081/ada-100101877
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发表时间：
1999
期刊：
影响因子：
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通讯作者：
Chin,MH
中科院分区：
文献类型：
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作者：
Friedmann,PD;Jin,L;Karrison,T;Nerney,M;Hayley,DC;Mulliken,R;Walter,J;Miller,A;Chin,MH
目的：探讨酒精滥用对急诊科老年患者后续健康状况的影响。患者和方法：966名年龄在65岁或以上的患者在上午8点至8点之间到一家城市学术急诊科就诊。午夜12点被跟踪了一年。在急诊室访问期间进行了个人访谈。当前问题饮酒者在ED报告时CAGE问卷得分为1分或更高，并且在过去6个月内饮酒；前问题饮酒者在ED报告时的CAGE问卷得分为1分或更高，最后一次饮酒时间超过6个月。我们使用了《医疗结果研究简表》中的13个项目和《日常生活活动指数》（ADL）中的6个项目来衡量健康状况。结果：在控制潜在混杂因素的重复测量的多变量模型中，目前的问题饮酒者总体健康状况较差（参数估计β - 3.6; 95% CI - 7.1至- 0.04），以前的问题饮酒者心理健康状况较差（β - 3.6; CI - 6.9至- 0.24）。我们没有发现问题饮酒对身体健康或社会功能的影响。结论：在急诊科就诊的老年患者中，当前饮酒问题与自我健康感知恶化有关。健康感知下降的程度可能与背痛、坐骨神经痛或其他肌肉骨骼疾病的影响相近。在同一时期，上了年纪的前酗酒者遭受了更严重的心理健康问题。
Objective: To examine the effect of alcohol abuse on the subsequent health status of elderly patients seen in an emergency department (ED).Patients and methods: A sample of 966 patients aged 65 or older who presented to one urban academic ED between the hours of 8a.m. and 12 midnight was followed for 1 year. A personal interview was administered during the ED visit. Current problem drinkers had a score of 1 or greater on the CAGE questionnaire at ED presentation and drank within the prior 6 months; former problem drinkers had a score of 1 or greater on the CAGE questionnaire at ED presentation and a last drink more than 6 months previously. We used 13 items from the Medical Outcomes Study short form adapted to the ED setting and 6 items from the Index of Activities of Daily Living (ADL) to measure health status.Results: In multivariate models for repeated-measures controlling for potential confounding factors, current problem drinkers had worse overall health (parameter estimate β −3.6; 95% CI −7.1 to −0.04), and former problem drinkers had worse mental health (β −3.6; CI −6.9 to −0.24) on follow-up. We could find no effect of problem drinking on physical health or social function.Conclusions: Current problem drinking is associated with worse self-perceived health among elderly patients in the year following presentation to an ED. The magnitude of decline in health perception may approximate the effect of having back pain, sciatica, or other musculoskeletal complaints. Elderly former problem drinkers suffer from more severe mental health problems over that same period.