Persson J, Magnusson P H
Department of Internal Medicine, Karlstad Central Hospital, Sweden.
Br Med J (Clin Res Ed). 1987 Aug 22;295(6596):467-72. doi: 10.1136/bmj.295.6596.467.
The prevalence of alcohol related morbidity was studied among 2038 patients attending somatic outpatient clinics. A further 76 patients had refused the study, giving an overall drop out rate of 3.6%. Several methods were combined so as to detect as many patients with problem drinking as possible. According to the criteria and definitions employed 17% of men (confidence interval 15% to 19%) and 4% of women (confidence interval 3% to 5%) were excessive consumers of alcohol or problem drinkers. The highest proportion of such patients--that is, 17%--was noted in the emergency rooms (27% of men, 8% of women). At other clinics the proportions varied from 11% to 17% of men and from 2% to 4% of women. The strongest relations between overconsumption of alcohol and consultation at the clinic were among patients attending the medical outpatient clinic and the emergency rooms; in 86% (confidence interval 75% to 97%) and 88% (confidence interval 81% to 95%) of problem drinkers attending these clinics, respectively, alcohol was related to the consultation. Consultations were related to alcohol in 82% of women with excessive or problem drinking and 73% of men defined in this way. There was a tendency to a higher proportion of men with excessive or problem drinking in the age group 40-49 years. These findings show that among patients classified as excessive or problem drinkers attending somatic outpatient clinics there was a close relation between alcohol consumption and utilisation of medical resources, especially in women.
对2038名到普通门诊就诊的患者进行了与酒精相关疾病患病率的研究。另外有76名患者拒绝参与研究，总体退出率为3.6%。综合运用了多种方法，以便尽可能多地检测出有饮酒问题的患者。根据所采用的标准和定义，17%的男性（置信区间为15%至19%）和4%的女性（置信区间为3%至5%）是过度饮酒者或有饮酒问题。此类患者比例最高的——即17%——出现在急诊室（男性为27%，女性为8%）。在其他诊所，男性的比例在11%至17%之间，女性在2%至4%之间。在门诊和急诊室就诊的患者中，饮酒过量与就诊之间的关联最为紧密；在这些诊所就诊的问题饮酒者中，分别有86%（置信区间为75%至97%）和88%（置信区间为81%至95%）的就诊与饮酒有关。在饮酒过量或有饮酒问题的女性中，82%的就诊与饮酒有关，男性中这一比例为73%。在40 - 49岁年龄组中，饮酒过量或有饮酒问题的男性比例有升高趋势。这些研究结果表明，在到普通门诊就诊的被归类为过度饮酒者或有饮酒问题的患者中，酒精消费与医疗资源利用之间存在密切关联，尤其是在女性中。
