Skip to main content

Problems encountered with opportunistic screening for alcohol-related problems in patients attending an Accident and Emergency department

Buy Article:

$51.00 plus tax (Refund Policy)

Abstract:

Aims. To assess the value of opportunistic screening in Accident and Emergency (A&E) for patients with alcohol-related problems and provision of an intervention . Design. Screening of A&E attendees for the purpose of recruitment to a randomized trial of a counselling intervention . Setting. A General Hospital A&E department . Participants. All 17 000 adult A&E attendees, during a 6-month period and all nursing staff working within the department . Measurements. Patients' self-reported alcohol consumption, responses to the CAGE questionnaire (four questions designed to identify problem drinking) and proportions offered, and taking up offer of help . Findings. Only 4663 (28%) adult attendees at A&E were actually screened and of these 2% declined and 25% were judged unable to answer. Of the rest, 86% drank alcohol, with 22% drinking in excess of current guidelines or with two or more positive answers to CAGE. Only 41% (264) of those drinking to excess were offered help and 88% of these declined it. This left 13 patients to be included in the trial . Conclusion. There is a significant need for an effective intervention in this area but considerable barriers exist to testing the efficacy of potential screening strategies and interventions.

Document Type: Research Article

DOI: http://dx.doi.org/10.1046/j.1360-0443.1998.93458914.x

Publication date: April 1, 1998

Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Partial Open Access Content
Partial Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
X
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more