|Title:||Alcohol Use Disorders amongst Inpatients in a General Hospital in Singapore: Estimated Prevalence, Rates of Identification and Intervention|
|Journal:||Ann Acad Med Singapore|
|Alternate Journal:||Annals of the Academy of Medicine, Singapore|
|ISSN:||0304-4602 (Print) 0304-4602|
|Keywords:||Adult Aged Alcoholism/diagnosis/*epidemiology/therapy Female *Hospitalization *Hospitals, General Humans Male Mass Screening/*utilization Mental Health Services Middle Aged Prevalence Referral and Consultation Singapore/epidemiology Young Adult|
|Abstract:||INTRODUCTION: Many alcohol-related problems often go undetected and untreated. In Singapore, no epidemiological studies have been done in general hospitals on alcohol use disorders (AUD), i.e. alcohol dependence and abuse (DSM-IV-TR). Such fi ndings are useful in planning AUD liaison services. In this study, we aim to estimate the prevalence of AUD among non-psychiatric inpatients and to determine the rates of identi fi cation and intervention rendered by medical staff. MATERIALS AND METHODS: Non-psychiatric medical and surgical wards inpatients aged 21 years and above were recruited over a 3-month period. The Alcohol Use Disorders Identi fi cation Test (AUDIT) was used to screen for AUD and the MINI International Neuropsychiatric Interview (MINI English Version 5.0.0) was administered to diagnose AUD if the AUDIT score was 8 or above. Case notes were independently reviewed for AUD identi fi cation and if interventions were offered during admissions. RESULTS: A total of 5599 inpatients were screened, of which 673 (12%) completed the screening using the AUDIT, and of these, 154 (2.8% of total sample) were positive for AUDIT. In this group, 107 were diagnosed with AUD. The estimated prevalence was 1.9% (approximately 400 cases per year per hospital). The medical staff identi fi ed only 25 (23.4%) cases of AUD, out of which, majority of them (76%) were rendered interventions. CONCLUSION: The rate of AUD identi fi cation by medical staff was low. Of those identi fi ed, majority were given interventions. Thus, the training of health care staff to identify AUD together with the implementation of brief interventions should be considered.|
|Notes:||Tay, Andre Ts Peh, Andrew Lh Tan, Sheng Neng Chan, Herng Nieng Guo, Song Chan, Yiong Huak Journal Article Singapore Ann Acad Med Singapore. 2016 Apr;45(4):138-47.|
|Authors Address:||Department of Psychological Medicine, Changi General Hospital, Singapore.|
|Appears in Collections:||2016|
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