Abstract
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, gamma-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.
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Selected References
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- Anderson P., Cremona A., Wallace P. What are safe levels of alcohol consumption? Br Med J (Clin Res Ed) 1984 Dec 15;289(6459):1657–1658. doi: 10.1136/bmj.289.6459.1657. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Barrison I. G., Viola L., Mumford J., Murray R. M., Gordon M., Murray-Lyon I. M. Detecting excessive drinking among admissions to a general hospital. Health Trends. 1982 Aug;14(3):80–83. [PubMed] [Google Scholar]
- Bernadt M. W., Mumford J., Taylor C., Smith B., Murray R. M. Comparison of questionnaire and laboratory tests in the detection of excessive drinking and alcoholism. Lancet. 1982 Feb 6;1(8267):325–328. doi: 10.1016/s0140-6736(82)91579-3. [DOI] [PubMed] [Google Scholar]
- Chick J., Kreitman N., Plant M. Mean cell volume and gamma-glutamyl-transpeptidase as markers of drinking in working men. Lancet. 1981 Jun 6;1(8232):1249–1251. doi: 10.1016/s0140-6736(81)92413-2. [DOI] [PubMed] [Google Scholar]
- Chick J., Lloyd G., Crombie E. Counselling problem drinkers in medical wards: a controlled study. Br Med J (Clin Res Ed) 1985 Mar 30;290(6473):965–967. doi: 10.1136/bmj.290.6473.965. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Holt S., Stewart I. C., Dixon J. M., Elton R. A., Taylor T. V., Little K. Alcohol and the emergency service patient. Br Med J. 1980 Sep 6;281(6241):638–640. doi: 10.1136/bmj.281.6241.638. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jarman C. M., Kellett J. M. Alcoholism in the general hospital. Br Med J. 1979 Aug 25;2(6188):469–472. doi: 10.1136/bmj.2.6188.469. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lloyd G., Chick J., Crombie E. Screening for problem drinkers among medical inpatients. Drug Alcohol Depend. 1982 Dec;10(4):355–359. doi: 10.1016/0376-8716(82)90037-0. [DOI] [PubMed] [Google Scholar]
- Pokorny A. D., Miller B. A., Kaplan H. B. The brief MAST: a shortened version of the Michigan Alcoholism Screening Test. Am J Psychiatry. 1972 Sep;129(3):342–345. doi: 10.1176/ajp.129.3.342. [DOI] [PubMed] [Google Scholar]
- Quinn M. A., Johnston R. V. Alcohol problems in acute male medical admissions. Health Bull (Edinb) 1976 Sep;34(5):253–256. [PubMed] [Google Scholar]
- Wallace P., Cremona A., Anderson P. Safe limits of drinking: general practitioners' views. Br Med J (Clin Res Ed) 1985 Jun 22;290(6485):1875–1876. doi: 10.1136/bmj.290.6485.1875. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Whitehead T. P., Clarke C. A., Whitfield A. G. Biochemical and haematological markers of alcohol intake. Lancet. 1978 May 6;1(8071):978–981. doi: 10.1016/s0140-6736(78)90261-1. [DOI] [PubMed] [Google Scholar]