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检查仪器检测有问题的酒精使用在医院的成年人和他们的诊断测试准确性:一个系统的审查

Jacqueline M Bisschop^1,2,3, Hendrik J M de Jonge¹, Anja H Brunsveld-Reinders^3,4

¹Jeroen Bosch Hospital, s-Hertogenbosch, the Netherlands.

Drug and alcohol review

|January 19, 2025

概括

这次审查评估了医院中问题性酒精使用的查工具. AUDIT,AUDIT-C和RAPS4-QF在急诊室和住院患者的诊断测试中显示出高的诊断准确性.

科学领域:

医学查医学查
诊断的准确性诊断的准确性
公共卫生公共卫生

背景情况:

饮酒会导致严重的身体,心理和社会问题,往往导致住院治疗.
医院查对于识别需要因问题性酒精使用而进行干预的患者至关重要.

研究的目的:

系统地审查成年医院患者问题性酒精使用查仪器的诊断测试准确性 (DTA).
确定验证的查工具,以在医疗保健机构有效早期检测.

主要方法:

在三个数据库中进行了全面的文献搜索,以寻找关于验证查仪器的研究.
诊断准确性研究质量评估2 (QUADAS-2) 工具被用于评估纳入研究中的偏差风险.
20项研究符合系统审查的纳入标准.

主要成果:

在急诊室 (11项研究),AUDIT,AUDIT-C,RAPS4-QF,2个问题选器和HOLD 5显示了高的DTA.
对于住院患者 (8项研究),AUDIT,CAGE-C和CAGE +10项目显示了高的DTA.
在评估的单一门诊研究中,AUDIT-C显示了高的DTA.

结论:

审计是一个可靠的查仪器,用于住院患者和急诊室患者.
推AUDIT-C和RAPS4-QF用于紧急部门的查.
门诊查需要进一步的研究,因为许多仪器缺乏广泛的验证.

关键词:

成年人成年人成年人成年人成年人酒精使用障碍饮酒障碍医院医院医院医院问题性的酒精使用问题性的酒精使用选仪器选仪器选仪器

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