Substance use in the general hospital

Kouimtsidis, Christos; Reynolds, Martina; Hunt, Mary Kay; Lind, Jackie; Beckett, Jonathan; Drummond, Colin; Ghodse, Hamid

doi:10.1016/s0306-4603(01)00263-5

Cited by 36 publications

(34 citation statements)

References 16 publications

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“…[1][2][3][4][5] Early diagnosis and treatment of psychiatric comorbidity can have a positive influence on these aspects. 6,7 Studies conducted in Brazil have reported prevalence rates of psychiatric morbidity among medical and surgical inpatients that vary according to disease category, treatment settings and case-finding procedures.…”

Section: Introductionmentioning

confidence: 99%

“…Transtornos por uso de álcool associaram-se a sexo masculino (OR = 6,3), tabagismo (3,5), internação por uma causa externa (2,4), notadamente acidentes automobilísticos, e tentativa prévia de suicídio (2,3). A dependência de nicotina associou-se a transtornos por uso de álcool (OR = 3,4), idade adulta jovem (2,3), viuvez (2,2) e tentativa prévia de suicídio (1,8).…”

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Depression, alcohol use disorders and nicotine dependence among patients at a general hospital

Botega¹,

Mitsuushi²,

Azevedo³

et al. 2010

Rev. Bras. Psiquiatr.

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Objective: To determine prevalence rates and identify patient characteristics associated with depression, alcohol use disorders and nicotine dependence among individuals admitted to a general teaching hospital. Method: Using the Hospital Anxiety and Depression Scale and Alcohol Use Disorder Identification Test, we assessed 4,352 consecutive medical and surgical patients admitted over a 13-month period. The patients were also asked to report their daily cigarette smoking habits during the last month. Multiple logistic regression analyses were performed, and odds ratios (ORs) were calculated. Results: The mean age of the sample was 49.3 years, and 56.6% were male. Prevalence rates of depression, alcohol use disorders and nicotine dependence were, respectively, 14%, 9.8% and 16.9%. In the multivariate analysis, depression was associated with previous suicide attempts (OR = 8.7), lower level of education (OR = 3.6), prior use of psychotropic medications (OR = 3.1), cancer (OR = 1.7) and pain (OR = 1.7). Alcohol use disorders were associated with male sex (OR = 6.3), smoking (OR = 3.5), admission for an external cause of injury, such as a traffic accident (OR = 2.4), and previous suicide attempts (OR = 2.3). Nicotine dependence was associated with alcohol use disorders (OR = 3.4), young adulthood (OR = 2.3), widowhood (OR = 2.2) and previous suicide attempts (OR = 1.8). Conclusion: This is the largest sample of medical and surgical patients ever surveyed with standardized screening instruments in a general hospital in Brazil. The high prevalence rates of psychiatric disorders and the profiles of the patients evaluated in this study underscore the need to develop methods that are more effective for detecting and managing such disorders. Hospital admission should be considered a major opportunity for the detection of psychiatric disorders and the subsequent implementation of the appropriate specific treatment strategies. Descriptors

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Section: Introductionmentioning

confidence: 99%

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Depression, alcohol use disorders and nicotine dependence among patients at a general hospital

Botega¹,

Mitsuushi²,

Azevedo³

et al. 2010

Rev. Bras. Psiquiatr.

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“…Unfortunately, if not considered as the primary disorders, substance and alcohol abuse will be neglected and barely diagnosed 15,16 . While this is the case, general hospitals are appropriate places for diagnosis and treatment of substances/alcohol abuse as well as necessary interventions to manage related complications 17 . A study of the patients suffering from chronic kidney failure who were admitted in Shiraz (a city in Iran) General Hospitals demonstrated a 14.1% opium abuse followed by tobacco (25.9%) and alcohol (3.1%) 18 .…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Substance Abuse/Alcohol Consumption and their Predictors among Patients Admitted in Operating Rooms of a General Educational Hospital, Tehran, Iran

Alavi¹,

Mehrdad²,

Makarem³

2016

AJPRHC

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Substance/alcohol abuse is an important public health threat in most countries. Social stigmatization and legal restrictions prevent accurate and direct estimate of prevalence of substance/alcohol abuse in Iran. This study aimed to estimate of the prevalence of alcohol and substance use among Iranian patients who were admitted to operating rooms of a general hospital in Tehran and identified risk factors that may predict alcohol and substance use. This cross-sectional study was conducted among all consecutive patients who were admitted to 16 operating rooms in Vali-e-Asr General Educational Hospital (Tehran, Iran) during March 2014 to September 2015. Data were derived from a medical history form prior to operation by trained nurses who were working in the operating rooms. Among 1136 patients admitted to operating rooms, 105 (28.7%) men and 21 (2.7%) women were substance/alcohol users. The main substance of abuse was opium (57.3%) followed by alcohol consumption (25.6%) and water pipe smoking (14.8%). Cigarette smoking was reported by 110 (30.1%) men and 21 (2.7%) women. Sex, cigarette smoking and family history of alcohol and substance abuse predicted 42.3% of the variance in substance abuse/alcohol consumption. Substance use, especially opium, alcohol, water pipe tobacco and cigarette smoking were found to be significantly high particularly among male patients. Being a man, current cigarette smoking and having a first-degree family member who had abused substances should be considered when planning preventive or therapeutic programs.

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“…Pair wise comparisons showed significant elevations in the prevalence of alcohol use disorders in current-drinking related admissions who were younger, unmarried, of a lower socioeconomic status, smokers, or drug users (8,9). Interesting finding that had pointed out the data that may be important for further research, treatment, and screening procedures came from a study that was performed by Kouimtsidis and colleguages in the UK, in which 14% of an inpatient sample was positive for alcohol misuse and people misusing one substance were more likely to be misusing others (10).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Alcohol Dependence and Abuse in a General Hospital; Sensitivity and Specificity of MAST

et al. 2010

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Substance use in the general hospital

Cited by 36 publications

References 16 publications

Depression, alcohol use disorders and nicotine dependence among patients at a general hospital

Depression, alcohol use disorders and nicotine dependence among patients at a general hospital

Prevalence of Substance Abuse/Alcohol Consumption and their Predictors among Patients Admitted in Operating Rooms of a General Educational Hospital, Tehran, Iran

Prevalence of Alcohol Dependence and Abuse in a General Hospital; Sensitivity and Specificity of MAST

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