Hosking Jamie, Ameratunga Shanthi, Bullen Chris, Civil Ian, Ng Alex, Rodgers Anthony
Clinical Trials Research Unit, University of Auckland, Auckland.
N Z Med J. 2007 Feb 16;120(1249):U2417.
To describe current screening and intervention practice for alcohol problems in a New Zealand trauma centre.
Retrospective analysis of a trauma registry database at a metropolitan hospital in New Zealand, and hospital chart review for documentation of alcohol screening and intervention on a random sample of 120 adults, stratified by ethnicity and blood alcohol status, admitted following unintentional injury for the period January 2003 to December 2004.
Among 1970 patients admitted following unintentional injury during the study period, 23% had a blood alcohol test at admission. Approximately half of these tests were positive. While 68% of charts reviewed included a general comment on alcohol use, only 7.3% recorded information that suggested a possible drinking problem. No formal alcohol screening interviews were documented, and in only 1.5% of admissions was an alcohol intervention in the hospital setting recorded.
Formal screening and interventions for alcohol problems among this group of inpatients were infrequent, indicating missed opportunities to reduce alcohol-related harm and, potentially, trauma recurrence. Effective approaches for alcohol screening and intervention in the New Zealand trauma inpatient setting require review.
描述新西兰一家创伤中心目前针对酒精问题的筛查与干预做法。
对新西兰一家大都市医院的创伤登记数据库进行回顾性分析，并对2003年1月至2004年12月期间因意外伤害入院的120名成年人的随机样本进行病历审查，以记录酒精筛查和干预情况，按种族和血液酒精状况分层。
在研究期间因意外伤害入院的1970名患者中，23%在入院时进行了血液酒精检测。这些检测中约一半呈阳性。虽然68%的审查病历包含了关于饮酒情况的总体评论，但只有7.3%记录了表明可能存在饮酒问题的信息。没有记录正式的酒精筛查访谈，仅1.5%的入院病例记录了在医院环境中进行的酒精干预。
这组住院患者中针对酒精问题的正式筛查和干预很少见，这表明存在减少酒精相关伤害以及潜在的创伤复发的机会错失。需要对新西兰创伤住院患者环境中酒精筛查和干预的有效方法进行审查。
