Detecting Alcohol Consumption as a Cause of Emergency General Medical Admissions
| Autor: | J. McLoughlin, A. M. Straffen, S. P. Lockhart, J. H. Baron, K. K. Pang, Yvonne H. Carter |
|---|---|
| Rok vydání: | 1986 |
| Předmět: |
Adult
Erythrocyte Indices Male medicine.medical_specialty Adolescent Alcohol Drinking Aspartate transaminase Poison control Alcohol Suicide prevention Occupational safety and health 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Injury prevention medicine Humans Aspartate Aminotransferases 030212 general & internal medicine Gamma-glutamyltransferase Aged biology business.industry Human factors and ergonomics gamma-Glutamyltransferase General Medicine Middle Aged Alkaline Phosphatase medicine.disease 030227 psychiatry Hospitalization Alcoholism chemistry Emergency medicine biology.protein Female Medical emergency Emergencies business Research Article |
| Zdroj: | Journal of the Royal Society of Medicine. 79:132-136 |
| ISSN: | 1758-1095 0141-0768 |
| DOI: | 10.1177/014107688607900303 |
| Popis: | In a general medical unit 27% of 104 admissions and 17% of bed occupancy were attributed to alcohol consumption, although only 10 of these 28 patients had classical alcohol-related conditions. Questioning on the amount of alcohol consumed was the most accurate method of screening for these patients. The brief MAST questionnaire, mean red cell volume, γ-glutamyl transferase, aspartate transaminase and urate were all inadequate as screening tests. Only 13% of the admissions were defined as ‘problem drinkers’ on the brief MAST questionnaire, suggesting that harmful effects of alcohol are not confined to ‘alcoholics’. Clinical suspicion and questions on the level of alcohol consumption are more efficient than questionnaire, biochemical or haematological screening tests in detecting alcohol-related medical problems. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|