Department of Emergency Medicine, College of Medicine, Chung-Ang University, Seoul, Republic of Korea.
Department of Emergency Medicine, College of Medicine, Ewha Womans University, Seoul, Republic of Korea.
Drug Alcohol Depend. 2022 Jan 1;230:109181. doi: 10.1016/j.drugalcdep.2021.109181. Epub 2021 Nov 21.
The Alcohol Use Disorder Identification Test (AUDIT) is widely used and validated in primary care settings for alcohol screening, yet practical challenges in conducting it in crowded clinics exist. Recently, a new abbreviated version of the AUDIT, was presented: the Screening Test for At-risk Drinking (STAD). This study aimed to evaluate the performance of STAD compared to other abbreviated versions of AUDIT for patients visiting the emergency department (ED).
This cross-sectional survey was conducted with 543 patients in the urban tertiary academic hospital ED in South Korea We diagnosed at-risk drinking using the entire AUDIT score. The optimal cut-off values, sensitivity, specificity, and the area under the receiver operating characteristics (AUROC) of the STAD were analyzed. We compared the AUROC with AUDIT-C and AUDIT-QF, which are previously abbreviated versions of AUDIT.
For males, the optimal cut-off value in the STAD test was 3 points with 83.1% sensitivity (95% CI: 75.3-89.2) and 95.9% specificity (95% CI: 91.2-98.5). For females, the optimal cut-off value was 2 points with 95.9% sensitivity (95% CI: 88.5-99.1) and 89.1% specificity (95% CI: 83.9-93.0). The AUROC curves for STAD were 0.964 (95% CI: 0.934-0.983) for males and 0.980 (95% CI: 0.965-0.993) for females.
The STAD is a simple and useful test to screen at-risk drinking in the ED, and its assisted applications will enable faster and more efficient screening and management of at-risk drinking.
酒精使用障碍识别测试（AUDIT）广泛应用于初级保健环境中的酒精筛查，但在拥挤的诊所中进行该测试存在实际挑战。最近，提出了 AUDIT 的一个新的简化版本：危险饮酒筛查测试（STAD）。本研究旨在评估 STAD 与急诊部（ED）就诊患者的其他 AUDIT 简化版本相比的性能。
本横断面调查在韩国城市三级学术医院 ED 对 543 名患者进行。我们使用整个 AUDIT 评分诊断危险饮酒。分析了 STAD 的最佳截断值、敏感性、特异性和受试者工作特征曲线下面积（AUROC）。我们将 AUROC 与 AUDIT-C 和 AUDIT-QF 进行了比较，AUDIT-C 和 AUDIT-QF 是 AUDIT 的先前简化版本。
对于男性，STAD 测试的最佳截断值为 3 分，敏感性为 83.1%（95%CI：75.3-89.2），特异性为 95.9%（95%CI：91.2-98.5）。对于女性，最佳截断值为 2 分，敏感性为 95.9%（95%CI：88.5-99.1），特异性为 89.1%（95%CI：83.9-93.0）。STAD 的 AUROC 曲线为男性 0.964（95%CI：0.934-0.983），女性 0.980（95%CI：0.965-0.993）。
STAD 是一种简单而有用的 ED 危险饮酒筛查测试，其辅助应用将能够更快、更有效地进行危险饮酒筛查和管理。
