Screening patients in busy hospital-based HIV care centers for hazardous and harmful drinking patterns: the identification of an optimal screening tool.
Screening patients in busy hospital-based HIV care centers for hazardous and harmful drinking patterns: the identification of an optimal screening tool.
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DOI：
10.1177/1545109709350509
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发表时间：
2009-11
期刊：
影响因子：
--
通讯作者：
Rindskopf DM
中科院分区：
文献类型：
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作者：
Strauss SM;Rindskopf DM
由于许多艾滋病护理提供者未能检测到患者的危险饮酒，我们研究了AUDIT-C的潜在用途，这是组成酒精使用障碍识别测试（AUDIT）的10个项目中的前三个，以有效地筛查患者的酒精滥用。为了进行这项检查，我们使用了项目反应理论，涉及个人的审计项目和审计文书完成的病人（N=400）在纽约市指定艾滋病中心。在不同的AUDIT-C临界分数，特异性和敏感性，然后使用AUDIT作为“金标准”进行检查。对于AUDIT 4-8的临界评分，AUDIT-C 3和4的临界评分分别导致敏感性分别在.94-.98和.81-.89之间，特异性分别在.82-.91和.91-1.0之间。在忙碌的HIV护理中心，AUDIT-C的临界值为3或4是一个合理的替代完整的AUDIT作为酒精筛查工具。
Because many HIV care providers fail to detect patients’ hazardous drinking, we examined the potential use of the AUDIT-C, the first three of the 10 items comprising the Alcohol Use Disorders Identification Test (AUDIT), to efficiently screen patients for alcohol abuse. To perform this examination, we used Item Response Theory involving individual AUDIT items and AUDIT instruments completed by patients (N=400) at a Designated AIDS Center in New York City. At various AUDIT-C cutoff scores, specificities and sensitivities were then examined using the AUDIT as a “gold standard.” For cutoff scores on the AUDIT from 4–8, cutoff scores on the AUDIT-C of 3 and 4, respectively, resulted in sensitivities between .94–.98, and .81–.89, respectively, and in specificities between .82–.91, and .91–1.0, respectively. In busy HIV care centers, the AUDIT-C with cutoff scores of 3 or 4 is a reasonable alternative to the full AUDIT as an alcohol screening instrument.