在急救部门对有害物质使用的查:系统性审查
Jessica Moe1, Justin Koh2, Jennifer A Ma3
1Department of Emergency Medicine, University of British Columbia, Diamond Health Care Centre, 11 Floor - 2775 Laurel Street, Vancouver, BC, V5Z 1M9, Canada. jessica.moe@ubc.ca.
International journal of emergency medicine
|April 7, 2024
概括
六种查工具在急诊室检测酒精滥用时具有很高的准确性. 酒精使用障碍识别测试 (AUDIT) 和快速酒精问题屏幕 (RAPS) 为识别有害物质使用提供了最佳的灵敏度.
科学领域:
- 紧急医疗 紧急医疗
- 成精神病学成精神病学
- 公共卫生 公共卫生
背景情况:
- 在北美,因使用物质而访问急诊室 (ED) 的次数大幅增加.
- 建议在ED中对物质使用进行查,但最佳方法尚不清楚.
- 本审查评估了ED查工具对有害物质使用的诊断准确性.
研究的目的:
- 系统地审查和综合有关紧急部门用于检测有害物质使用的查工具的诊断准确性的证据.
- 在ED环境中识别酒精和其他物质使用障碍的有效查工具.
主要方法:
- 进行了系统的搜索,结合了"紧急部门"",查"和"物质使用"的概念.
- 包括的研究是成人ED患者查工具的衍生或验证.
- 使用 QUADAS-2 评估了偏差风险;由于异质性,结果被描述性地总结.
主要成果:
- 包括33项研究,其中大多数评估酒精查工具,如AUDIT,CAGE和RAPS.
- 六种工具对酒精滥用/依赖的敏感性和特异性 ≥83%.
- 单一酒精查问题 (SASQ) 显示了82-85%的灵敏度和70-77%的特异性.
结论:
- 几个查工具是有效的检测酒精滥用/依赖在EDs.
- 在AUDIT (≥8) 和RAPS (≥1) 显示出高灵敏度.
- 对于基于ED的物质使用查,建议优先考虑像SASQ这样简单有效的工具.
相关概念视频
Substance Use Disorders Affecting Sleep
166
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
166
Drug Regulation
1.4K
Drug regulation encompasses the management of drug usage by evaluating its safety and efficacy through assessments conducted by regulatory authorities. Regrettably, the history of drug regulation is marred by several catastrophic events. One such incident is the Elixir Sulfanilamide tragedy, in which the toxic compound diethyl glycol was included in a sweet-tasting medication, leading to numerous fatalities. This event prompted the enactment of the Food, Drug, and Cosmetic Act in 1938. Under...
1.4K
Pharmacovigilance
830
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
830


