Screening for alcohol misuse in older people
S. Luttrell
Bok Engelsk 1997
| Utgitt | 1997
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| Omfang | Side 1151- 1154
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| Opplysninger | Objectives. To evaluate whether the CAGE, MAST-G or an abnormallyhigh MCV are effective screening instruments for alcohol misuse andif not to devise a new instrument.Design. Questionnaire survey of randomly selected patients.Setting. Acute admission wards of two district general hospitals.Period. 9 months.Subjects. Randomly selected patients, aged 65 and over, admitted asemergencies,Main outcome measures. Excessive alcohol intake, alcohol dependence.Results. The sensitivities of the CAGE, MAST-G and an abnormally highMCV for excess alcohol intake and alcohol abuse are low, ranging from0.13 to 0.54.Conclusion. The results confirm previous UK studies which indicatethat the CAGE and an abnormally high MCV are poor screeninginstruments for alcohol misuse in older patients and also indicatethat the MAST-G is an insensitive screening instrument. A new two-step instrument with five questions in total was generated. Thisrequires further validation. (C) 1997 John Wiley & Sons, Ltd.
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