Make the Diagnosis: Alcohol Abuse
Data from the National Institute on Alcohol Abuse and Alcoholism suggest that 3 of 10 adults engage in risky drinking behaviors. In primary care clinics, the prevalence will be around 11% to 18%.
Populations for Whom Problem Drinking Should Be Assessed
All adults (see Tables 4-9 and 4-10)
Targeted populations/conditions requiring assessment include pregnant women (see Table 4-11), adolescents, and emergency patients
Table 4-9Detecting the Likelihood of At-risk, Harmful, or Hazardous Drinking in Adults ||Download (.pdf) Table 4-9 Detecting the Likelihood of At-risk, Harmful, or Hazardous Drinking in Adults
| ||LR Range |
|AUDIT or AUDIT-C ≥ 8 ||6.8-12 |
|AUDIT or AUDIT-C ≤ 8 ||0.46-0.62 |
Table 4-10Detecting the Likelihood of Alcohol Abuse or Dependence in Adultsa
Detecting the Likelihood of Alcohol Abuse or Dependence in Adultsa
||LR (95% CI)
|CAGE ≥ 1
|CAGE = 0
Table 4-11Detecting the Likelihood of 2 or More Drinks/Day During Pregnancya
Detecting the Likelihood of 2 or More Drinks/Day During Pregnancya
|TWEAK ≥ 2 or T-ACE ≥ 1
|TWEAK ≤ 1 or T-ACE = 0
Diagnostic interview schedule for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition,2 interview performed by an experienced provider in an alcohol-related interview.
Original Article: Does This Patient Have an Alcohol Problem?
A 58-year-old man was admitted to the hospital for an elective cholecystectomy. ...