在老年患者中对酒精消费的术前评估
Vera Guttenthaler1, Maria Wittmann2, Jan Menzenbach2
1Clinic for Anesthesia and Intensive Care Medicine, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany. Vera.Guttenthaler@ukbonn.de.
Addiction science & clinical practice
|May 21, 2025
概括
酒精使用障碍识别测试-消费 (AUDIT-C) 准确评估老年患者的酒精摄入量,比简单的问题更能确定健康相关的饮酒水平.
科学领域:
- 老年医学 老年医学
- 麻醉学 麻醉学
- 公共卫生 公共卫生
背景情况:
- 评估老年人的酒精消费对于手术前风险分层至关重要.
- 在临床环境中评估酒精摄入量之前的方法在准确性和可靠性方面存在局限性.
研究的目的:
- 为了比较单句问题 (SSQ) 与酒精使用障碍识别测试-消费 (AUDIT-C) 的有效性,评估老年患者的酒精消费.
- 使用这两种方法来评估酒精摄入量的检测率,可靠性和量化.
主要方法:
- 一项涉及1084名59岁以上患者的PROPDESC研究的子分析.
- 患者最初被问到关于日常饮酒量的一句话问题.
- 一组668名患者还补充了AUDIT-C问卷.
主要成果:
- 在SSQ中,11.72%的患者被确定为每日饮酒者.
- AUDIT-C确定了25.90%的中等到高摄入量和41.92%的不经常/低摄入量;31.89%的人报告戒断.
- 很大一部分 (25.13%) 拒绝每日摄入量仍然显示在AUDIT-C.中适度至高消费.
结论:
- 与更简单的询问方法相比,AUDIT-C提供了更精确和客观的评估患者的酒精摄入量.
- AUDIT-C识别了更多具有潜在健康和手术相关的酒精消费水平的老年患者.
- 在麻醉前咨询中使用像AUDIT-C这样的验证问卷有助于医生,并鼓励患者进行自我评估.
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