Cherpitel C J
Alcohol Research Group, Western Consortium for Public Health, Berkeley, CA, USA.
Drug Alcohol Depend. 1995 Dec;40(2):133-7. doi: 10.1016/0376-8716(95)01199-4.
This paper compares the sensitivity and specificity of a five-item Rapid Alcohol Problems Screen (RAPS) optimized in this sample with the CAGE, brief MAST, AUDIT, TWEAK, History of Trauma Scale and breathalyzer reading against ICD-10 criteria for alcohol dependence or harmful drinking, by gender, ethnicity and injury status in a probability sample of emergency room patients (n = 1330) from the University of Mississippi Medical Center. The RAPS performed better than all other screening instruments for the total sample of current drinkers who reported ever having had three or more drinks at one time (sensitivity of 90%, specificity of 78%), and performed consistently better across all subgroups than any other single instrument, even at alternate cut points. The Rapid Alcohol Problems Screen may hold promise for use in clinical settings in identifying those who could benefit from a brief intervention or referral for problem drinking, particularly since the instrument is short and patients need not be asked additional questions after screening positive on one of the five items. Further research is necessary to analyze and compare the performance of the RAPS with other screening instruments across demographic subgroups in other emergency room and primary care settings.
本文在密西西比大学医学中心的一个概率样本（n = 1330）的急诊室患者中，根据性别、种族和损伤状况，将在此样本中优化的五项快速酒精问题筛查（RAPS）与CAGE、简易MAST、AUDIT、TWEAK、创伤史量表及呼气酒精含量读数，针对国际疾病分类第十版（ICD - 10）中酒精依赖或有害饮酒的标准进行敏感性和特异性比较。对于报告曾一次性饮用三杯或更多酒的当前饮酒者总样本，RAPS的表现优于所有其他筛查工具（敏感性为90%，特异性为78%），并且在所有亚组中，RAPS的表现始终优于任何其他单一工具，即使在不同的切点也是如此。快速酒精问题筛查可能有望用于临床环境，以识别那些可能从简短干预或转介治疗问题饮酒中受益的人，特别是因为该工具简短，且在五项中的一项筛查呈阳性后无需向患者询问额外问题。有必要进行进一步研究，以分析和比较RAPS与其他筛查工具在其他急诊室和初级保健环境中的不同人口亚组中的表现。
