Department of Anesthesiology and Intensive Care Medicine, Campus Virchow-Klinikum and Campus Charité Mitte, Charité-Universitätsmedizin Berlin, Germany.
J Subst Abuse Treat. 2012 Jul;43(1):80-5. doi: 10.1016/j.jsat.2011.10.021. Epub 2011 Dec 5.
The aim of this study was to evaluate whether a computer-based 3-item version (Alcohol Use Disorders Identification Test-Consumption [AUDIT-C]) of the Alcohol Use Disorders Identification Test (AUDIT) identifies alcohol use disorder (AUD) in the same patients as the full 10-item version in 809 women and 747 men in an anesthesiology preoperative assessment clinic. According to cutoffs used (
5-8 points, AUDIT-C: 4-6 points), rate of disagreement (AUDIT-positive and AUDIT-C-negative or vice versa) ranged between 4% and 31% (men) and between 4% and 19% (women). In male patients, 15% were positive for both the AUDIT (≥8 points) and the AUDIT-C (≥6 points), 7% were positive for AUDIT-C only, and 4% were positive for AUDIT only. In female patients, using cutoffs of 5 more points (AUDIT) and 4 or more points (AUDIT-C), 16% were positive for both versions, 9% were positive for AUDIT-C only, and 2% were positive for AUDIT only. The AUDIT and AUDIT-C seem to identify AUD in differing patients.
本研究旨在评估在麻醉术前评估诊所的 809 名女性和 747 名男性患者中,基于计算机的 3 项(酒精使用障碍识别测试-摄入量 [AUDIT-C])酒精使用障碍识别测试(AUDIT)是否能与完整的 10 项版本一样识别出酒精使用障碍(AUD)。根据使用的截断值(AUDIT:5-8 分,AUDIT-C:4-6 分),不一致的发生率(AUDIT 阳性和 AUDIT-C 阴性或反之亦然)在男性中为 4%-31%(男性)和 4%-19%(女性)之间。在男性患者中,15%的患者 AUDIT(≥8 分)和 AUDIT-C(≥6 分)均为阳性,7%的患者仅 AUDIT-C 阳性,4%的患者仅 AUDIT 阳性。在女性患者中,使用 5 分以上(AUDIT)和 4 分以上(AUDIT-C)的截断值,两个版本均为阳性的患者占 16%,仅 AUDIT-C 阳性的患者占 9%,仅 AUDIT 阳性的患者占 2%。AUDIT 和 AUDIT-C 似乎能在不同的患者中识别出 AUD。