Screening of binge drinking among patients on an emergency surgical ward

被引:10
作者
Forsberg, L [1 ]
Halldin, J
Ekman, S
Rönnberg, S
机构
[1] Karolinska Inst, Sect Clin Alcohol & Drug Addict Res, Dept Clin Neurosci, SE-17176 Stockholm, Sweden
[2] Karolinska Inst, Div Social Med, Dept Publ Hlth Sci, S-17176 Stockholm, Sweden
[3] Danderyd Hosp, Surg Clin, S-18288 Danderyd, Sweden
[4] Univ Stockholm, Dept Social Work, S-10691 Stockholm, Sweden
关键词
screening; binge drinking; Mm-MAST; CAGE; Trauma Scale; GGT; CDT;
D O I
10.1016/S0741-8329(02)00202-1
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
In a sample of 149 emergency surgical patients, binge drinking was assessed through interviews. Sensitivity, specificity, and positive and negative predictive values were calculated for three questionnaires-the Malmo modification of brief MAST (Mm-MAST), CAGE, and the Trauma Scale-and two biological markers-carbohydrate-deficient transferrin (CDT) and gamma-glutamyltransferase (GGT). Binge drinking was reported by 42% of male patients, aged 16-29 years; 66% of female patients, aged 16-29 years; 27% of male patients, aged 30-73 years; and 16% of female patients, aged 30-73 years. All alcohol biomarkers had low sensitivity to binge drinking among women. Mm-MAST alone and CAGE and CDT combined were sensitive to identifying binge drinking among men aged 30-73 years. The three questionnaires combined had a sensitivity of 0.82 to binge drinking among men aged 16-29 years. (C) 2002 Elsevier Science Inc. All rights reserved.
引用
收藏
页码:77 / 82
页数:6
相关论文
共 36 条
[1]   Contribution of carbohydrate deficient transferrin to gamma glutamyl transpeptidase in evaluating progress of patients in treatment for alcoholism [J].
Allen, JP ;
Sillamaukee, P ;
Anton, R .
ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH, 1999, 23 (01) :115-120
[2]   CARBOHYDRATE-DEFICIENT TRANSFERRIN AS A MEASURE OF IMMODERATE DRINKING - REMAINING ISSUES [J].
ALLEN, JP ;
LITTEN, RZ ;
ANTON, RF ;
CROSS, GM .
ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH, 1994, 18 (04) :799-812
[3]   Association of alcohol in brain injury, headaches, and stroke with brain-tissue and serum levels of ionized magnesium: A review of recent findings and mechanisms of action [J].
Altura, BM ;
Altura, BT .
ALCOHOL, 1999, 19 (02) :119-130
[4]  
ANTTIPOIKA I, 1988, ALCOHOL ALCOHOLISM, V23, P115
[5]   A DISCRIMINANT-FUNCTION ANALYSIS OF SCREENING-TESTS FOR EXCESSIVE DRINKING AND ALCOHOLISM [J].
BERNADT, MW ;
MUMFORD, J ;
MURRAY, RM .
JOURNAL OF STUDIES ON ALCOHOL, 1984, 45 (01) :81-86
[6]   Low-risk drinking guidelines: The scientific evidence [J].
Bondy, SJ ;
Rehm, J ;
Ashley, MJ ;
Walsh, G ;
Single, E ;
Room, R .
CANADIAN JOURNAL OF PUBLIC HEALTH-REVUE CANADIENNE DE SANTE PUBLIQUE, 1999, 90 (04) :264-270
[7]  
Bondy SJ, 1996, ADDICTION, V91, P1663
[8]   Alcohol screening questionnaires in women - A critical review [J].
Bradley, KA ;
Boyd-Wickizer, J ;
Powell, SH ;
Burman, ML .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 280 (02) :166-171
[9]  
*COMM I MED, 1990, BROAD BAS TREATM ALC, P211
[10]   PROBLEM DRINKING IN EMERGENCY DEPARTMENT PATIENTS - THE SCOPE FOR EARLY INTERVENTION [J].
CONIGRAVE, KM ;
BURNS, FH ;
REZNIK, RB ;
SAUNDERS, JB .
MEDICAL JOURNAL OF AUSTRALIA, 1991, 154 (12) :801-805