Emprego do questionário CAGE para detecção de transtornos de uso de álcool em pronto-socorro

Filho, G.J. da Paz; Sato, L.J.; Tuleski, M.J.; Takata, Shotaro; Ranzi, C.C.C.; Saruhashi, S.Y.; Spadoni, B.

doi:10.1590/s0104-42302001000100032

Cited by 21 publications

(15 citation statements)

References 12 publications

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“…Em relação ao CAGE , por exemplo, a sensibilidade pode variar de 43% a 100%, e a especificidade de 68% a 96%. Esses parâmetros dependem bastante do tipo de amostra estudada, com uma tendência a apresentar melhor sensibilidade quando utilizados em indivíduos de centros de atendimento especializado, especialmente quando a especialidade é em saúde mental 19,20 .…”

Section: Self-reporting Questionnaire (Srq-a)unclassified

Avaliação de desempenho do Self-Reporting Questionnaire como instrumento de rastreamento psiquiátrico: um estudo comparativo com o Structured Clinical Interview for DSM-IV-TR

2008

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IntroduçãoO estudos têm sistematicamente demonstrado que saúde mental é crucial para o bem-estar geral dos indivíduos, sociedades e países. Os transtornos mentais representam algo em torno de 13% da sobrecarga de doenças no mundo. Apesar dessas constatações, a lacuna entre oferta e demanda de assistência em saúde mental é robusta, com estimativas de até 70% para transtornos de humor e 90% para transtornos por uso de álcool em países desenvolvidos. Os dados para países em desenvolvimento são escassos 1 .Um dos principais fatores para essa lacuna é o subdiagnóstico de transtornos mentais. De 25% a 50% dos pacientes que procuram assistên-cia médica em centros de atendimento primário têm pelo menos um transtorno psiquiátrico ou neurológico. Destes, a não detecção dos casos pode ser de 55% para diagnóstico de depressão e até 77% para transtorno de ansiedade generalizada 1 .Entre as estratégias para modificação desse contexto está a utilização de instrumentos de rastreamento psiquiátrico, que preferencialmente devem ser de fácil aplicação e baixo custo. Essas características são de grande relevância para seu emprego em larga escala na prática clínica e nos estudos de epidemiologia psiquiátrica 2 .Na

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Section: Self-reporting Questionnaire (Srq-a)unclassified

Avaliação de desempenho do Self-Reporting Questionnaire como instrumento de rastreamento psiquiátrico: um estudo comparativo com o Structured Clinical Interview for DSM-IV-TR

2008

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“…14 The CAGE questionnaire has good sensitivity and specifi city to detect chronic alcoholism when used in the emergency room. 20 Among patients with positive BAC and those with positive history of alcoholic consumption prior to trauma, 81.5% and 82.2%, respectively, revealed a positive CAGE questionnaire. This shows that the majority of patients, victims of external causes after alcohol use, were not occasional drinkers, but probably chronic drinkers or alcohol-dependent.…”

Section: Discussionmentioning

confidence: 95%

Ingestão alcoólica em vítimas de causas externas atendidas em um hospital geral universitário

Freitas

Mendes

Oliveira³

2008

Rev. Saúde Pública

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Alcohol consumption among victims of external causes in a university general hospital ABSTRACTOBJECTIVE: To estimate frequency of alcohol consumption among victims of external causes cared for in a hospital. METHODS:Study performed with victims cared for in a university general hospital in the city of Uberlândia (Southeastern Brazil), between February and August 2004. Blood alcohol content was determined from 85 patients in the emergency room. Other 301 patients, hospitalized in the outpatient clinics, were interviewed about possible alcohol consumption prior to trauma. The Cut-down, Annoyed by criticism, Guilty and Eye-opener (CAGE) questionnaire was applied in both groups. Fisher's exact test was employed to compare frequencies. RESULTS:Blood alcohol content was positive among 31.8% of patients tested, who most frequently required hospitalization (70.4% versus 37.9%; p<0.05). Proportionately, positive blood alcohol content was more frequent (p<0.05) among victims of physical aggression (57.1%) than fall victims (18.2%) or those of traffi c accidents (29.3%). In outpatient clinics, 29.9% of patients mentioned alcohol consumption, proportionately more frequent (p<0.01) among victims of physical aggression (67.4%) than traffi c accident victims (27.8%) or fall victims (19.3%). Among those who had drunk alcohol and were approached in the emergency room or in the outpatient clinics, the following was observed: the majority was male (85.2% and 80.4%), the occurrence of trauma was higher (p<0.05) on weekends (63% and 57.8%) and at night (59.3% and 57.8%), and the CAGE questionnaire was positive among 81.5% and 82.2% of them. CONCLUSIONS:About a third of patients had drunk alcoholic beverages prior to trauma and the majority of them were male. Proportionately, previous alcohol consumption was more frequent among patients who were victims of violence. CAGE results show that most patients, victims of external causes after alcohol consumption, were not occasional drinkers, but probably chronic users or alcoholics.

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“…This test was considered positive when the results are greater than or equal to two points (27) ; 2) The Alcohol Use Disorder Identification Test (AUDIT). This test was considered positive when results were greater than or equal to eight points.…”

Section: Methodsmentioning

confidence: 99%

Alcohol Dependence in Gastroenterology Outpatient on a Public Hospital

Pranke

Coral

2017

Arq. Gastroenterol.

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-Background -Alcoholism and alcoholic liver disease are both considered worldwide health problems. Objective -The prevalence of alcohol dependence, the associated risk factors and the concordance between the prevalence found and the data collected during the medical visit were evaluated. Methods -A prospective study evaluating gastroenterology outpatients at a public tertiary hospital was conducted. Two specific questionnaires to assess alcohol dependence were applied: Cut down, Annoyed by criticism, Guilty, Eye-opener (CAGE) and The Alcohol Use Disorder Identification Test (AUDIT). Data on comorbidities, clinical diagnosis and assessment of alcohol consumption by the attending physician were collected through medical records. Results -One hundred and seventy eight patients were interviewed, of which 119 (66.9%) were women and 59 (33.1%) were men, with mean age of 57 years. Thirty-three (18.5%) of the 178 patients were considered alcohol-dependent by the CAGE questionnaire. Thirteen (7.3%) patients scored 8 points or more on the AUDIT questionnaire. The agreement (kappa) between these questionnaires was 0.37 (P<0.001). The most consumed drink was beer. The median daily consumption of dependent patients was 64 g. None of the patients were undergoing treatment in a specific treatment center, and 14/33 (42.4%) patients considered themselves alcoholics. Only in 17/33 (51.5%) there was information about alcoholism in their respective medical records. In the bivariate analysis, male gender (P<0.001), onset of alcohol consumption before the age of 15 (P=0.003), daily alcohol consumption in the last 12 months (P<0.001) and smoking (P<0.001) were identified as risk factors. After multivariate analysis, only male gender (P=0.009) and smoking (P=0.001) were associated with alcoholism. Conclusion -The present study demonstrated a high prevalence of alcohol dependence in the gastroenterology outpatient clinic, being predominantly associated with male gender and smoking. It is worth noting that approximately half of the dependents were not identified as such in the medical appointment, evidencing the importance of the diagnostic approach in the alcoholic outpatient.

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Emprego do questionário CAGE para detecção de transtornos de uso de álcool em pronto-socorro

Cited by 21 publications

References 12 publications

Avaliação de desempenho do Self-Reporting Questionnaire como instrumento de rastreamento psiquiátrico: um estudo comparativo com o Structured Clinical Interview for DSM-IV-TR

Avaliação de desempenho do Self-Reporting Questionnaire como instrumento de rastreamento psiquiátrico: um estudo comparativo com o Structured Clinical Interview for DSM-IV-TR

Ingestão alcoólica em vítimas de causas externas atendidas em um hospital geral universitário

Alcohol Dependence in Gastroenterology Outpatient on a Public Hospital

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