Adams W L, Magruder-Habib K, Trued S, Broome H L
Medical College of Wisconsin, Milwaukee.
J Am Geriatr Soc. 1992 Dec;40(12):1236-40. doi: 10.1111/j.1532-5415.1992.tb03649.x.
To determine the prevalence of alcohol abuse in elderly emergency department (ED) patients; to determine the prevalence of alcohol abuse for various categories of illness and injury among these patients; and to determine the frequency of detection of elderly alcohol abusers by ED physicians.
Cross-sectional prevalence study.
The emergency department of a 625-bed university hospital that serves a mixed urban and rural population.
205 patients aged 65 and over who came to the ED during an 8-week period.
A structured interview, which included the CAGE questionnaire and other questions regarding alcohol use, was administered. Emergency department records and past medical records were reviewed.
The prevalence of lifetime alcohol abuse (CAGE positive or self-reported drinking problem) was 24%. The prevalence of current alcohol abuse (CAGE positive or self-reported drinking problem and alcohol use within the last year) was 14%. There was a particularly high prevalence (22%) among those presenting with gastrointestinal problems and a surprisingly low prevalence (7%) among those who presented with falls or other trauma. Physicians detected only 21% of the current alcohol abusers.
Alcohol abuse is a prevalent and important problem among elderly ED patients. It is not well detected by physicians in this setting. Alcohol abuse appears to be less common among elderly trauma patients than their younger counterparts, but is very common among patients with gastrointestinal problems.
确定老年急诊科患者中酒精滥用的患病率；确定这些患者中各类疾病和损伤的酒精滥用患病率；以及确定急诊科医生对老年酒精滥用者的检出频率。
横断面患病率研究。
一家拥有625张床位、服务于城乡混合人口的大学医院的急诊科。
在8周期间前来急诊科的205名65岁及以上的患者。
进行了一次结构化访谈，其中包括CAGE问卷以及其他有关饮酒情况的问题。查阅了急诊科记录和既往病历。
终生酒精滥用（CAGE问卷呈阳性或自我报告有饮酒问题）的患病率为24%。当前酒精滥用（CAGE问卷呈阳性或自我报告有饮酒问题且在过去一年中有饮酒行为）的患病率为14%。患有胃肠道问题的患者中患病率特别高（22%），而因跌倒或其他创伤前来就诊的患者中患病率出奇地低（7%）。医生仅检出了21%的当前酒精滥用者。
酒精滥用在老年急诊科患者中是一个普遍且重要的问题。在这种情况下，医生对其检出率不高。与年轻创伤患者相比，酒精滥用在老年创伤患者中似乎不太常见，但在患有胃肠道问题的患者中非常普遍。
