McCusker M T, Basquille J, Khwaja M, Murray-Lyon I M, Catalan J
Brent, Kensington, Chelsea and Westminster Mental Health Trust Substance Misuse Service, London, UK.
QJM. 2002 Sep;95(9):591-5. doi: 10.1093/qjmed/95.9.591.
Hazardous and harmful use of alcohol remains a public health concern, and many general hospital admissions are alcohol-related.
To compare the CAGE and Alcohol Use Disorders Identification Test (AUDIT) questionnaires in screening general medical admissions for harmful or hazardous drinking.
Prospective questionnaire-based study.
Both questionnaires were administered, and demographic data collected.
One hundred and three patients were included. Of these, 36% were identified by the AUDIT to be drinking hazardously or harmfully, and 22% were identified as CAGE cases. All CAGE cases were also AUDIT cases.
As the CAGE and the AUDIT are designed to identify different populations, it is not surprising that significantly fewer cases were identified using the CAGE. The AUDIT identifies not just the harmful drinkers detected by the CAGE, but also hazardous drinkers, who have not yet reached that level of harm. As drinkers at an earlier stage may respond better to interventions aimed at reducing their consumption, the AUDIT is preferable in clinical practice.
酒精的有害使用仍然是一个公共卫生问题，许多综合医院的入院病例都与酒精有关。
比较CAGE问卷和酒精使用障碍识别测试（AUDIT）问卷在筛查综合内科入院患者中有害或危险饮酒情况的效果。
基于问卷的前瞻性研究。
发放两种问卷，并收集人口统计学数据。
纳入103名患者。其中，AUDIT问卷识别出36%的患者存在危险或有害饮酒行为，CAGE问卷识别出22%的患者为CAGE阳性病例。所有CAGE阳性病例也都是AUDIT阳性病例。
由于CAGE问卷和AUDIT问卷旨在识别不同人群，因此使用CAGE问卷识别出的病例明显较少也就不足为奇了。AUDIT问卷不仅能识别出CAGE问卷所检测出的有害饮酒者，还能识别出尚未达到有害程度的危险饮酒者。由于处于早期阶段的饮酒者可能对旨在减少饮酒量的干预措施反应更好，因此在临床实践中AUDIT问卷更可取。
