Nielsen S D, Storgaard H, Moesgaard F, Gluud C
Department of Medical Gastroenterology, Hvidovre University Hospital, Copenhagen, Denmark.
Alcohol Alcohol. 1994 Sep;29(5):583-90.
The adult patients of somatic departments of a Copenhagen hospital were screened on a randomly selected day during a 14 day period by interviewers who examined them using a structured questionnaire regarding life-style. A patient was considered having an alcohol problem if one or more of the following criteria was fulfilled: (1) a self-reported daily alcohol consumption for at least 2 years of at least 60 g of ethanol in men and 36 g in women, (2) a Michigan Alcoholism Screening Test (MAST) score of or above 5, (3) an alcohol-related discharge diagnosis. In total, 692 patients fulfilled the entry criteria, but 181 patients (26.2%) had to be excluded owing to predefined exclusion criteria (terminal illness, dementia, etc.), and 74 patients (14.5%) refused to participate. Among the 437 interviewed patients, 125 patients (28.6%; 95%-confidence limits 24.4-33.1%) fulfilled one or more of the diagnostic criteria for an alcohol problem. Only 14 patients (3.2%; 95%-confidence limits 1.8-5.3%) had an alcohol-related discharge diagnosis. The prevalence of patients with alcohol problems was significantly (P < 0.05) higher among male patients (82 of 171 men (48.0%; 95%-confidence limits 40.3-55.7%)) than among female patients (43 of 266 women (16.2%; 95%-confidence limits 12.0-21.2%)). The prevalence of patients with alcohol problems was 32.4% (95%-confidence limits 25.5-39.8%) in internal medicine departments, 28.5% (95%-confidence limits 21.3-36.6%) in surgical departments, and of female patients 22.2% (95%-confidence limits 13.7-32.8%) in the department of gynaecology and obstetrics.
哥本哈根一家医院躯体科的成年患者在14天期间的某一天被随机挑选出来，由访员使用一份关于生活方式的结构化问卷对他们进行检查。如果患者符合以下一项或多项标准，则被认为存在酒精问题：（1）自我报告至少2年每天饮酒量男性至少为60克乙醇，女性至少为36克乙醇；（2）密歇根酒精中毒筛查测试（MAST）得分达到或高于5分；（3）与酒精相关的出院诊断。总共有692名患者符合入选标准，但由于预先设定的排除标准（绝症、痴呆等），181名患者（26.2%）不得不被排除，74名患者（14.5%）拒绝参与。在接受访谈的437名患者中，125名患者（28.6%；95%置信区间24.4 - 33.1%）符合一项或多项酒精问题诊断标准。只有14名患者（3.2%；95%置信区间1.8 - 5.3%）有与酒精相关的出院诊断。男性患者（171名男性中的82名（48.0%；95%置信区间40.3 - 55.7%））中存在酒精问题的患者患病率显著高于女性患者（266名女性中的43名（16.2%；95%置信区间12.0 - 21.2%））（P < 0.05）。内科部门存在酒精问题的患者患病率为32.4%（95%置信区间25.5 - 39.8%），外科部门为28.5%（95%置信区间21.3 - 36.6%），妇产科女性患者为22.2%（95%置信区间13.7 - 32.8%）。
