Screening for problem drinkers among medical inpatients

Lloyd, G. E. R.; Chick, Jonathan; Crombie, Evelyn

doi:10.1016/0376-8716(82)90037-0

Cited by 44 publications

(11 citation statements)

References 4 publications

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“…Brambilla et al [17], using the CAGE questionnaire, reported a 4% prevalence of alcoholism among cardiac inpatients, but the sample size was limited [15]. Inpatient studies have estimated that the prevalence of alcohol-related problems in medical–surgical inpatient populations is 15–27% [13, 14, 15, 16], comparable with that found in the present study. Unfortunately, information on the prevalence of alcohol-related problems in the general population of the area where the hospital is located is lacking, not allowing a comparison with the present data.…”

Section: Discussionsupporting

confidence: 80%

“…They frequently reported that they lived alone, had prematurely left school and were unemployed. Other studies made in general medical settings both in Greece and other countries, demonstrated a much higher incidence of alcohol-related problems among male inpatients [16, 18, 19, 20]. The preponderance of men among cardiology patients is also compatible with the alcohol consumption pattern in Greece, where men work outside the house, whereas women deal mainly with housekeeping and rarely consume alcohol [21].…”

Section: Discussionmentioning

confidence: 52%

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Detecting Alcohol-Related Problems among General Hospital Patients with Heart Disease

Lykouras

Rontos²,

Ρόντος³

et al. 2001

Psychother Psychosom

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Background: Certain epidemiologic studies suggest that moderate alcohol consumption decreases the risk of coronary heart disease. However, long-term excessive alcohol drinking is considered a major cause for a significant incidence of heart disease. Identifying alcohol-related problems among inpatients with cardiac disease is important. Methods: In this study, 209 male and 137 female inpatients with cardiac disease were screened for alcohol-related problems using the CAGE questionnaire. Associations of alcohol-related problems with sociodemographic and clinical variables were also investigated. Results: Fifty-seven patients (16.5%) scoring positively on the CAGE questionnaire were considered as having alcohol-related problems. Logistic regression analysis revealed that alcohol-related problems were associated with sex (p = 0.00), age (p = 0.0497), and educational level (p = 0.0524). Men less than age 50, with cardiac disease and of lower education level should be considered at high risk for abnormal drinking. The probability increases from 5.2% for the whole sample to 41.9% for the group with these specific characteristics. Conclusions: The characteristics are useful for constructing a profile of the cardiology patient who is more likely to have alcohol-related problems. Early identification and vigorous and holistic treatment of these patients is important for secondary prevention of alcohol-related problems.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 52%

Detecting Alcohol-Related Problems among General Hospital Patients with Heart Disease

Lykouras

Rontos²,

Ρόντος³

et al. 2001

Psychother Psychosom

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“…Existem poucos estudos investigando se pacientes alcoolistas que chegam aos serviços de hospitais gerais buscaram atendimento anteriormente para o problema com o álcool; além disso, não existem dados para avaliar se, quando o problema é detectado pela primeira vez no hospital, é trabalhada a motivação para mudança do comportamento de beber (Lloyd et al, 1982).…”

Section: Discussão Dos Resultadosunclassified

Os estágios motivacionais de alcoolistas internados devido a doenças clínicas em hospitais gerais

Piccoloto¹,

Oliveira²,

Araújo³

et al. 2006

Rev. psiquiatr. clín.

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Rev. Psiq. Clín. 33 (4); 195-203, 2006 ResumoEsta pesquisa tem como objetivo comparar a motivação para mudança em dependentes de álcool internados em hospitais gerais para tratamento de doença clínica com pacientes alcoolistas que buscaram tratamento em unidades especializadas. Trata-se de um estudo transversal, de comparação entre dois grupos. A amostra teve 91 sujeitos: 42 com doença clínica associada à dependência do álcool (grupo 1) e 49 dependentes do álcool internados em unidades especializadas para o tratamento da dependência química (grupo 2). Os instrumentos utilizados no estudo foram: entrevista estruturada, o The Alcohol Use Disorder Test (AUDIT), o Short-Form Alcohol Dependence Data (SADD), o The Drinker Inventory of Consequences (DrInC) e a University of Rhode Island Change Assessment Scale (URICA). Os resultados demonstraram haver diferença significativa entre os grupos 1 e 2 no estágio da ação (p = 0,006), não sendo encontrada diferença nos estágios de pré-contemplação (p = 0,098) e contemplação (p = 0,342). Foi encontrada diferença significativa entre os grupos apenas no estágio de manutenção (p = 0,000). Os pacientes internados em hospitais gerais apresentaram-se menos motivados para mudança do comportamento dependente do que os internados em unidades especializadas em dependência química. Conclui-se, portanto, a importância de trabalhar a motivação para mudança do comportamento dependente em pacientes alcoolistas internados em hospitais gerais por complicações físicas.

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“…We have therefore re-examined this problem, not only by estimating the proportion of admissions (and bed occupancy) resulting from excess alcohol, but also by evaluating various screening tests. 0141 Patients were asked how often they drank alcohol (most days, 3-4 times in a week, 1-2 times in a week, [2][3] times in a month, rarely, never); and how many units they usually had on a drinking day (8 or more, 5-7, 3-4, 1-2, not applicable). A range of alcohol consumption was calculated and the whole number nearest the middle of this range was taken as the individual's alcohol consumption in units per week.…”

Section: Introductionmentioning

confidence: 99%

Detecting Alcohol Consumption as a Cause of Emergency General Medical Admissions

et al. 1986

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SummaryIn a general medical unit 27% of 104 admissions and 17% of bed occupancy were attributed to alcohol consumption, although only 10 of these 28 patients had classical alcohol-related conditions. Questioning on the amount of alcohol consumed was the most accurate method of screening for these patients. The brief MAST questionnaire, mean red cell volume, y-glutamyl transferase, aspartate transaminase and urate were all inadequate as screening tests. Only 13% of the admissions were defined as 'problem drinkers' on the brief MAST questionnaire, suggesting that harmful effects of alcohol are not confined to 'alcoholics'. Clinical suspicion and questions on the level of alcohol consumption are more efficient than questionnaire, biochemical or haematological screening tests in detecting alcohol-related medical problems.

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Screening for problem drinkers among medical inpatients

Cited by 44 publications

References 4 publications

Detecting Alcohol-Related Problems among General Hospital Patients with Heart Disease

Detecting Alcohol-Related Problems among General Hospital Patients with Heart Disease

Os estágios motivacionais de alcoolistas internados devido a doenças clínicas em hospitais gerais

Detecting Alcohol Consumption as a Cause of Emergency General Medical Admissions

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