高齢なプライマリーケア患者の飲酒問題に対するスクリーニング
W L Adams1, K L Barry, M F Fleming
1Medical College of Wisconsin, Milwaukee, USA. wadams@netserv.unmc.edu
JAMA
|December 25, 1996
まとめ
危険なアルコールの使用は,高齢のプライマリケア患者で一般的です. CAGEのアンケートでは,この集団で重度の飲酒や乱飲を検出するには不十分です.
科学分野:
- ゲリアトリクス ゲリアトリクス
- 公衆衛生は公衆衛生である.
- 依存症医学 薬物中毒医学
背景:
- 潜在的に危険なアルコールの消費は,高齢者の間で一般的です.
- 初等医療施設でリスクの高い高齢者を特定するために,スクリーニングツールが必要です.
研究 の 目的:
- 高齢のプライマリケア患者における危険なアルコール使用を記述する.
- この集団における重度の飲酒と乱飲の検出におけるCAGEアンケートの有効性を評価する.
主な方法:
- 21のプライマリケア施設で60歳以上の患者5065人を対象とした横断的な研究.
- 飲酒の量/頻度,飲酒乱用のエピソード,CAGEのアンケートを含む自己管理のアンケートを使用しました.
- アルコール乱用とアルコール依存症に関する国立研究所 (National Institute of Alcohol Abuse and Alcoholism) のガイドラインに照らしてアルコール消費量を評価した.
主要な成果:
- 男性の15%,女性の12%が,推奨される週間のアルコール摂取量を上回った.
- 9%の男性と3%の女性がCAGEアンケートで陽性だった.
- CAGEのアンケートでは,重度の飲酒者または乱飲者の半数未満が特定されました.
結論:
- アルコールの過剰摂取は,高齢の診療外科患者の間で一般的です.
- CAGEのアンケートだけでは,高齢者の危険な飲酒の検出には不十分です.
- CAGEと数量/頻度に関する質問を組み合わせることで,問題のある飲酒の検出が改善されます.
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