Prevalence of alcohol use disorders in hospitalised male patients

Résumé fourni par la source

Aim of the study To find out prevalence of Alcohol Use Disorders (AUD) among hospitalized patients at a tertiary care centre in Medical, Surgical and Orthopaedic trauma wards. Subject or material and methods : It is prospective, randomized, cross-sectional study at a tertiary hospital in a state with prohibition policy. Patients hospitalized in Medical, Surgical and Orthopaedic trauma wards (n=150 in each ward) were screened for AUD by using Alcohol Use Disorder Identification Test(AUDIT). Psychiatrist evaluated them as per DSM IV TR criteria. Case records were examined for mention of AUD by the treating physician. Chi square test, and two tailed t test were applied appropriately. p<0.05 was considered as indicative of statistically significant difference. Results As a whole prevalence of AUD was 16.9 % as per DSM IV TR criteria (Medical in-patients, 22%, surgical in-patients, 16%, Orthopaedic in-patients,12.7%). AUDIT had sensitivity 86.8%, specificity, 95.9%, overall accuracy 94.4%. Discussion AUD is prevalent in at least one fifth hospitalized patients in a state with prohibition policy. They were poorly recognized by treating physicians. Simple screening by AUDIT scale when routinely used may increase detection of AUD. Conclusions Alcohol Use Disorders (AUD) are common among medically ill indoor patients. However due to various reasons the AUD are not detected, hence an opportunity to intervene is wasted.

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