Beresford T, Low D, Adduci R, Goggans F
J Bone Joint Surg Am. 1982 Jun;64(5):730-3.
We reviewed the initial history, obtained by the orthopaedic house staff, of each of eighty-seven patients who were consecutively admitted to an acute orthopaedic-surgery service. A diagnosis of alcoholism was made by the house staff in only one of every ten patients who had been identified as having symptoms of alcohol addiction in a previous study. Alcohol abuse was identified in only five of every ten such patients. Of the orthopaedic patients in this sample who had been shown to be abusing alcohol, 37 per cent were neither suspected nor diagnosed as abusers by the orthopaedic house staff. We recommend the use of a brief screening interview (CAGE) to increase diagnostic effectiveness in this area, and discuss the clinical usefulness of an early diagnosis of alcoholism among orthopaedic surgical patients.
我们回顾了八十七名连续入住急性骨外科病房的患者的初始病历，这些病历由骨科住院医师收集。在前一项研究中被确定有酒精成瘾症状的患者中，每十名患者中只有一名被住院医师诊断为酒精中毒。每十名此类患者中只有五名被确定为酗酒。在该样本中已被证明酗酒的骨科患者中，37%既未被骨科住院医师怀疑也未被诊断为酗酒者。我们建议使用简短的筛查访谈（CAGE）来提高该领域的诊断效率，并讨论骨外科患者酒精中毒早期诊断的临床实用性。
