Alcohol misuse in the general hospital: some hard facts.

Hdl Handle:
http://hdl.handle.net/10147/209267
Title:
Alcohol misuse in the general hospital: some hard facts.
Authors:
Bradshaw, P; Denny, M; Cassidy, E M
Affiliation:
South Lee Mental Health Service, GF Unit, Cork University Hospital, Wilton, Cork,, Ireland.
Citation:
Ir J Med Sci. 2008 Dec;177(4):339-42. Epub 2008 Oct 25.
Journal:
Irish journal of medical science
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209267
DOI:
10.1007/s11845-008-0243-y
PubMed ID:
18953625
Abstract:
AIMS: To examine (1) the prevalence of alcohol use disorders in adult general hospital inpatients; (2) the accuracy of documentation in relation to alcohol use. METHODS: A total of 210 random patients were interviewed out of 1,448 consecutive new admissions to CUH over 7 days. Case notes were reviewed for 206 (98%). Alcohol consumption was assessed using the Fast Alcohol Screening Test (FAST) and weekly drinking diary. FAST-positive (and a random sample of FAST-negative) patients then had a standardized interview. RESULTS: A total of 82% admitted for drinking alcohol. Among them 22% were drinking in excess of guidelines, 9% had DSM-IV Alcohol Abuse and 7% dependence. The sensitivity and specificity of the FAST for detecting those drinking above guidelines were 89 and 94% and for detecting a DSM-IV diagnosis was 100 and 73%. The majority of case notes contained inadequate information about alcohol intake. CONCLUSION: Alcohol use disorders are common and often undetected in the general hospital setting.
Language:
eng
MeSH:
Adolescent; Adult; Aged; Alcohol Drinking/*epidemiology/psychology; Alcoholism/*epidemiology/psychology; Confidence Intervals; Female; Health Status Indicators; Hospitals, General/*statistics & numerical data; Humans; Ireland/epidemiology; Male; Middle Aged; Odds Ratio; Prevalence; Psychometrics; Questionnaires; Sensitivity and Specificity; Substance-Related Disorders/*epidemiology; Young Adult
ISSN:
1863-4362 (Electronic); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorBradshaw, Pen_GB
dc.contributor.authorDenny, Men_GB
dc.contributor.authorCassidy, E Men_GB
dc.date.accessioned2012-02-03T15:16:41Z-
dc.date.available2012-02-03T15:16:41Z-
dc.date.issued2012-02-03T15:16:41Z-
dc.identifier.citationIr J Med Sci. 2008 Dec;177(4):339-42. Epub 2008 Oct 25.en_GB
dc.identifier.issn1863-4362 (Electronic)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid18953625en_GB
dc.identifier.doi10.1007/s11845-008-0243-yen_GB
dc.identifier.urihttp://hdl.handle.net/10147/209267-
dc.description.abstractAIMS: To examine (1) the prevalence of alcohol use disorders in adult general hospital inpatients; (2) the accuracy of documentation in relation to alcohol use. METHODS: A total of 210 random patients were interviewed out of 1,448 consecutive new admissions to CUH over 7 days. Case notes were reviewed for 206 (98%). Alcohol consumption was assessed using the Fast Alcohol Screening Test (FAST) and weekly drinking diary. FAST-positive (and a random sample of FAST-negative) patients then had a standardized interview. RESULTS: A total of 82% admitted for drinking alcohol. Among them 22% were drinking in excess of guidelines, 9% had DSM-IV Alcohol Abuse and 7% dependence. The sensitivity and specificity of the FAST for detecting those drinking above guidelines were 89 and 94% and for detecting a DSM-IV diagnosis was 100 and 73%. The majority of case notes contained inadequate information about alcohol intake. CONCLUSION: Alcohol use disorders are common and often undetected in the general hospital setting.en_GB
dc.language.isoengen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshAlcohol Drinking/*epidemiology/psychologyen_GB
dc.subject.meshAlcoholism/*epidemiology/psychologyen_GB
dc.subject.meshConfidence Intervalsen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHealth Status Indicatorsen_GB
dc.subject.meshHospitals, General/*statistics & numerical dataen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIreland/epidemiologyen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshOdds Ratioen_GB
dc.subject.meshPrevalenceen_GB
dc.subject.meshPsychometricsen_GB
dc.subject.meshQuestionnairesen_GB
dc.subject.meshSensitivity and Specificityen_GB
dc.subject.meshSubstance-Related Disorders/*epidemiologyen_GB
dc.subject.meshYoung Adulten_GB
dc.titleAlcohol misuse in the general hospital: some hard facts.en_GB
dc.contributor.departmentSouth Lee Mental Health Service, GF Unit, Cork University Hospital, Wilton, Cork,, Ireland.en_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceMunster-
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