Center for Health Care Evaluation (MC152), VA Palo Alto Health Care System, 795 Willow Road, Menlo Park, CA 94025, USA.
Subst Use Misuse. 2009;44(8):1055-69. doi: 10.1080/10826080802485972.
The Alcohol Use Disorders Identification Test-Consumption (AUDIT-C; 0-12 points) was included on health surveys in a cohort of 32,622 general medicine outpatients from seven US Department of Veterans Affairs (VA) hospitals. Cox proportional hazards models were used to estimate the risk of fracture (mean follow-up = 1.6 years) by AUDIT-C category. After adjusting for confounders, AUDIT-C scores of 8-9 and 10-12 were associated with significantly increased risks for subsequent fractures, HR (95% CI) = 1.37 (1.03 to 1.83) and 1.79 (1.38 to 2.33) respectively. These results can be used to provide feedback to patients linking their alcohol screening scores to medical outcomes-a critical component of evidence-based brief counseling for alcohol misuse. The study's limitations are noted.
酒精使用障碍识别测试-饮酒量（AUDIT-C；0-12 分）包含在来自美国 7 家退伍军人事务部（VA）医院的 32622 名普通医学门诊患者的健康调查中。使用 Cox 比例风险模型来估计骨折风险（平均随访时间=1.6 年）按 AUDIT-C 类别。在调整混杂因素后，AUDIT-C 得分为 8-9 和 10-12 与随后骨折的风险显著增加相关，HR（95%CI）=1.37（1.03 至 1.83）和 1.79（1.38 至 2.33）。这些结果可用于向患者提供反馈，将他们的酒精筛查评分与医疗结果联系起来-这是基于证据的酒精滥用简短咨询的关键组成部分。研究的局限性已被注意到。
