Prevalence and detection of alcohol use disorders among general hospital inpatients in eastern Taiwan
Prevalence and detection of alcohol use disorders among general hospital inpatients in eastern Taiwan
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DOI：
10.1016/j.genhosppsych.2005.08.002
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发表时间：
2006-01-01
影响因子：
7
通讯作者：
Sun, YW
中科院分区：
文献类型：
--
作者：
Wu, SI;Liu, SI;Sun, YW
目的：探讨（1）酒精使用障碍（AUD）的盛行率及其各种相关因素，以及（2）非精神科医师对AUD的检出率及其相关因素，以增加台湾东部农村地区某综合医院住院病患的检出率。一位训练有素的精神病医生采访了所有在1-使用酒精清单，并审查了所有与酒精有关的诊断的医疗记录。共有303名年龄在18至93岁的住院患者接受了评估，其中78名（25.7%）在过去一年内被精神科医生诊断为患有AUD。男性、原住民、中年人、目前吸烟者及嚼槟榔者罹患AUD的比值比显著较高。非精神科医生仅检测到14.1%的患者近期患有AUD。内科医生识别AUD的频率几乎是外科医生的四倍。更好的检测与更高水平的酒精intake.Conclusions：这项研究表明，在台湾东部的住院患者中，AUD的患病率很高，医生经常无法识别这种疾病。这些研究结果表明，应更多地努力提高医疗专业人员对综合医院环境中AUD的认识，特别是在高危人群中。(c)2006年爱思唯尔公司All rights reserved.
Objective: To examine (1) the prevalence of alcohol use disorders (AUD) and its various correlates, and (2) the detection rate of AUD by nonpsychiatric physicians and its related factors associated with increased chances of detection among inpatients in a general hospital in rural eastern Taiwan.Methods: A well-trained psychiatrist interviewed all adult patients admitted during a 1-month period using the Alcohol Inventory and reviewed all medical records for alcohol-related diagnoses.Results: A total of 303 inpatients aged 18 to 93 years were evaluated, of whom 78 (25.7%) were diagnosed by the psychiatrist as having AUD within the past year. Males, aborigines, middle-aged, current smokers and betel quid chewers had a significantly higher odds ratio for AUD. Nonpsychiatric physicians detected only 14.1% patients with recent AUD. Internists identified AUD nearly four times as often as surgeons. Better detection was associated with higher level of alcohol intake.Conclusions: This study demonstrates the high prevalence of AUD among hospitalized patients in eastern Taiwan and the frequent failure of physicians to identify the disorder. These findings suggest that more effort should be directed toward increasing medical professionals' awareness of AUD in general hospital settings, especially among high-risk groups. (c) 2006 Elsevier Inc. All rights reserved.