Assessing Alcohol Dependence in Hospitalized Patients

Juliana Doering-Silveira, Thiago Marques Fidalgo, Carolina Lins E. Silva Nascimento, Juliana Bernardo Alves, Caroline Lumy Seito, Maria Claudia Saita, Lorenza Oliveira Belluzzi, Laila Carolina Silva, Dartiu Silveira and Leonardo Rosa-Oliveira
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Juliana Doering-Silveira: Department of Psychiatry, Federal University of São Paulo, São Paulo School of Medicine, Rua Prof. Ascendino Reis 763, Sao Paulo, Brazil
Thiago Marques Fidalgo: Department of Psychiatry, Federal University of São Paulo, São Paulo School of Medicine, Rua Prof. Ascendino Reis 763, Sao Paulo, Brazil
Carolina Lins E. Silva Nascimento: Department of Psychiatry, Federal University of São Paulo, São Paulo School of Medicine, Rua Prof. Ascendino Reis 763, Sao Paulo, Brazil
Juliana Bernardo Alves: Department of Psychiatry, Federal University of São Paulo, São Paulo School of Medicine, Rua Prof. Ascendino Reis 763, Sao Paulo, Brazil
Caroline Lumy Seito: Department of Psychiatry, Federal University of São Paulo, São Paulo School of Medicine, Rua Prof. Ascendino Reis 763, Sao Paulo, Brazil
Maria Claudia Saita: Department of Psychiatry, Federal University of São Paulo, São Paulo School of Medicine, Rua Prof. Ascendino Reis 763, Sao Paulo, Brazil
Lorenza Oliveira Belluzzi: Department of Psychiatry, Federal University of São Paulo, São Paulo School of Medicine, Rua Prof. Ascendino Reis 763, Sao Paulo, Brazil
Laila Carolina Silva: Department of Psychiatry, Federal University of São Paulo, São Paulo School of Medicine, Rua Prof. Ascendino Reis 763, Sao Paulo, Brazil
Dartiu Silveira: Department of Psychiatry, Federal University of São Paulo, São Paulo School of Medicine, Rua Prof. Ascendino Reis 763, Sao Paulo, Brazil
Leonardo Rosa-Oliveira: Department of Psychiatry, Federal University of São Paulo, São Paulo School of Medicine, Rua Prof. Ascendino Reis 763, Sao Paulo, Brazil

IJERPH, 2014, vol. 11, issue 6, 1-9

Abstract: Alcohol misuse is generally not detected in hospital settings. The goal of this study was to estimate the prevalence of alcohol abuse and dependence in hospitalized patients in a university hospital in Sao Paulo (Brazil). Patients were randomly selected from all hospital admissions. The final sample consisted of 169 adult inpatients. Two screening tools were used: the Short Alcohol Dependence Data (SADD) and the CAGE questionnaires. In this sample, 25.4% of patients could be considered alcohol dependent according to the CAGE questionnaire, whereas 32.9% of patients fulfilled the criteria according to the SADD. The only predictor of alcohol dependence was gender; male inpatients were 3.2 times more prone to alcohol dependence with female inpatients. All inpatients should be systematically screened for alcohol use disorders. The choice of the screening tool will depend on whether the goal is to identify inpatients with hazardous drinking behaviors or with established alcohol-related problems. To maximize proper case identification, the CAGE questionnaire should be used as a first-step screening tool, and patients who screen positive on this scale should be subsequently administered the SADD questionnaire to assess the severity of the condition.

Keywords: alcohol; assessment; general hospital (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2014
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