Love Aaron Craig, Greenberg Marna Rayl, Brice Matthew, Weinstock Michael
7437 Beaver Valley Rd, Prescott Valley, AZ 86314-1412, USA.
J Am Osteopath Assoc. 2008 Jan;108(1):12-20.
Physicians in emergency departments (EDs) treat more patients with alcohol-related disorders than do those in primary care settings.
To implement an effective screening, brief intervention, and referral (SBIR) program for use in EDs. Further, to evaluate the impact of the program on alcohol-consumption levels.
A prospective cohort pilot study was conducted at a suburban community teaching hospital using a convenience sample of ED patients and an original seven-question screening tool based on well-known guidelines. Subjects screening positive for possible alcohol abuse were given treatment referrals. Follow-up telephone interviews were conducted 6 months later.
Of the 1556 enrolled subjects, 251 (16%) were classified as at-risk drinkers. Seventy-nine at-risk subjects (32% [95% CI, 26%-37%]) screened positive on CAGE-based questions (Cut down, Annoyed, Guilty, Eye opener). At follow-up, 20 (25% [95% CI, 16%-35%]) were successfully contacted. Of these 20 subjects, 5 (25%) refused to participate in follow-up screening. For the remaining 15 individuals, follow-up screening indicated that the mean (SD) number of drinks consumed per week decreased from 28 (14) on study enrollment to 10 (10) at 6-month follow-up (P<.001). Maximum number of drinks per occasion decreased from 12 (8) at enrollment to 6 (7) on follow-up (P=.008). Subject scores on the CAGE-based questions decreased from pre- to postintervention, though not significantly, with an average of 2.1 (1) affirmative answers on enrollment and 1.5 (1.4) at follow-up (P=.108).
Implementation of an effective SBIR program for alcohol-related disorders can be accomplished in the ED.
急诊科医生治疗的酒精相关疾病患者比初级保健机构的医生更多。
在急诊科实施一项有效的筛查、简短干预和转诊（SBIR）计划。此外，评估该计划对酒精消费水平的影响。
在一家郊区社区教学医院进行了一项前瞻性队列试点研究，使用急诊科患者的便利样本和基于知名指南的原始七题筛查工具。对可能存在酒精滥用筛查呈阳性的受试者进行治疗转诊。6个月后进行随访电话访谈。
在1556名登记受试者中，251名（16%）被归类为高危饮酒者。79名高危受试者（32%[95%CI，26%-37%]）在基于CAGE的问题（减少饮酒量、烦恼、内疚、眼 opener）筛查中呈阳性。随访时，成功联系到20名（25%[95%CI，16%-35%]）。在这20名受试者中，5名（25%）拒绝参加随访筛查。对于其余15名个体，随访筛查表明，每周饮酒的平均（SD）数量从研究入组时的28（14）杯降至6个月随访时的10（10）杯（P<.001）。每次饮酒的最大杯数从入组时的12（8）杯降至随访时的6（7）杯（P=.008）。基于CAGE问题的受试者得分从干预前到干预后有所下降，尽管不显著，入组时平均有2.1（1）个肯定答案，随访时为1.5（1.4）个（P=.108）。
在急诊科可以实施针对酒精相关疾病的有效SBIR计划。
