Alcohol identification and intervention in English emergency departments

Patton, Robert; Green, Ghiselle

doi:10.1136/emermed-2016-206467

Cited by 15 publications

(10 citation statements)

References 18 publications

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“…The National Institute on Alcohol Abuse and Alcoholism has proposed several clinical situations as key opportunities to screen for at-risk drinking, including in emergency departments or urgent care centers, and when prescribing a medication that interacts with alcohol [ 3 ]. The emergency department is an important clinical setting for screening for at-risk drinking and conducting brief interventions, and many studies have shown that brief interventions in the emergency department focusing on alcohol consumption are effective [ 4 - 7 ]. However, it is often difficult to administer the full AUDIT questionnaire, which consists of 10 questions, in the emergency department, where urgent care is conducted simultaneously.…”

Section: Introductionmentioning

confidence: 99%

Validation and proposal for cut-off values of an abbreviated version of the Alcohol Use Disorder Identification Test using the Korean National Health and Nutrition Examination Survey

et al. 2018

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ObjectiveSeveral abbreviated versions of the Alcohol Use Disorder Identification Test (AUDIT) have been developed and are widely used in clinical settings. In this study, we provide evidence supporting the use of abbreviated versions of AUDIT by comparing the utility of various abbreviated versions and determining cut-off values for the population of South Korea.MethodsData were obtained from the 4th to 6th Korean National Health and Nutrition Examination Surveys. After calculating the whole AUDIT score, we applied the cut-off value of at-risk drinking proposed by the World Health Organization and divided the study sample into normal and at-risk drinking groups. Receiver operating characteristic curves were drawn for AUDIT-3rd question (Q3) alone, AUDIT-quantity and frequency (QF), AUDIT-consumption (C), AUDIT-4, and AUDIT-primary clinic (PC), and optimal cut-off values were obtained for each group.ResultsA total of 46,450 subjects were analyzed. The at-risk drinking group comprised 29.2% of all subjects. The area under receiver operating characteristic curve (AUROC) of the abbreviated versions of AUDIT increased from 0.954 to 0.991 as the number of questions increased from one to four. The differences in AUROC between the abbreviated versions of AUDIT were statistically significant. The most appropriate cut-off values for AUDIT-Q3 alone, AUDIT-QF, AUDIT-C, AUDIT-4, and AUDIT-PC for adults over age 19 were 2, 4, 5, 6, and 4 points, respectively.ConclusionAs the number of items analyzed increased from one to four items, the AUROC increased to a statistically significant level. Cut-off values for abbreviated versions of AUDIT are similar in South Korea to other countries.

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Section: Introductionmentioning

confidence: 99%

Validation and proposal for cut-off values of an abbreviated version of the Alcohol Use Disorder Identification Test using the Korean National Health and Nutrition Examination Survey

et al. 2018

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“… 5 , 6 , 7 The emergency department is an important clinical environments for screening at-risk drinking and conducting brief interventions, and many studies have shown that brief interventions in the emergency department focused on alcohol consumption are effective. 8 , 9 , 10 , 11 …”

Section: Introductionmentioning

confidence: 99%

Cut-off points for screening at-risk drinking by AUDIT-C Korean version at emergency department

Lee

Choi

Lee

2018

Turkish Journal of Emergency Medicine

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PurposeTo reduce problems caused by alcohol drinking, it is necessary to identify those with ‘at-risk drinking’ behavior to maximize therapeutic access or intervention. To this end, we sought to determine the cut-off point for screening of at-risk drinking by the Korean version of the AUDIT-C (Alcohol Use Disorder Identification Test-Consumption).Materials and methodsWe obtained data from the scientific research project of “the supervision of the Korea Center for Disease Control and Prevention (KCDCP)” in 2010. Injured patients over an 18-year-of age who visited an emergency department of an academic tertiary hospital from May to September 2010 were recruited to perform the AUDIT. The total number of patients who underwent the screening test was 640, 12.7% of the entire patients studied. Among them, 375 patients (58.4%) were men, and 265 patients (41.4%) were women. At-risk drinking was diagnosed based on the AUDIT total score and the cut-off points of the AUDIT-C were determined.ResultsCut-off points were 5 for men [Area Under the Receiver Operation Characteristic (AUROC) 0.956], 4 for women (AUROC 0.966), and 4 in elders >65-year-of age (AUROC 0.972).ConclusionThis study is the first research about the cut-off points of Korean version of AUDIT-C for patients including women and elders to screen for at-risk drinking in South Korea. AUDIT-C is a useful and accurate tool to screen patients for at-risk drinking.

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“…The study by Patton and Green in this month’s issue6 is encouraging. It is the third survey in a series, to determine the level of alcohol ‘identification’ and the provision of brief advice in EDs in England.…”

mentioning

confidence: 78%

Taking control of alcohol-related emergency department visits

Wisniacki

2017

Emerg Med J

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Alcohol identification and intervention in English emergency departments

Cited by 15 publications

References 18 publications

Validation and proposal for cut-off values of an abbreviated version of the Alcohol Use Disorder Identification Test using the Korean National Health and Nutrition Examination Survey

Validation and proposal for cut-off values of an abbreviated version of the Alcohol Use Disorder Identification Test using the Korean National Health and Nutrition Examination Survey

Cut-off points for screening at-risk drinking by AUDIT-C Korean version at emergency department

Taking control of alcohol-related emergency department visits

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