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Int. J. Environ. Res. Public Health 2014, 11(6), 5783-5791; doi:10.3390/ijerph110605783

Assessing Alcohol Dependence in Hospitalized Patients

* ,
Department of Psychiatry, Federal University of São Paulo, São Paulo School of Medicine, Rua Prof. Ascendino Reis 763, Sao Paulo, Brazil
* Author to whom correspondence should be addressed.
Received: 10 December 2013 / Revised: 6 April 2014 / Accepted: 29 April 2014 / Published: 28 May 2014
(This article belongs to the Special Issue Alcohol Abuse: Newer Approaches to an Old Problem)
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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 alcohol; assessment; general hospital
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Doering-Silveira, J.; Fidalgo, T.M.; Nascimento, C.L.E.S.; Alves, J.B.; Seito, C.L.; Saita, M.C.; Belluzzi, L.O.; Silva, L.C.; Silveira, D.; Rosa-Oliveira, L. Assessing Alcohol Dependence in Hospitalized Patients. Int. J. Environ. Res. Public Health 2014, 11, 5783-5791.

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