The purpose of routine alcohol screening is to identify patients who may benefit from brief intervention, but patients who also have alcohol and other substance use disorders (AUD/SUD) likely require more intensive interventions. This study sought to determine the prevalence of clinically documented AUD/SUD among VA outpatients with unhealthy alcohol use identified by routine screening.VA patients 18-90 years who screened positive for unhealthy alcohol use (AUDIT-C ≥3 women; ≥4 men) and were randomly selected for quality improvement standardized medical record review (6/06-6/10) were included. Gender-stratified prevalences of clinically documented AUD/SUD (diagnosis of AUD, SUD, or alcohol-specific medical conditions, or VA specialty addictions treatment on the date of or 365 days prior to screening) were estimated and compared across AUDIT-C risk groups, and then repeated across groups further stratified by age.Among 63,397 eligible patients with unhealthy alcohol use, 25

作者：Emily C, Williams；Anna D, Rubinsky；Gwen T, Lapham；Laura J, Chavez；Stacey E, Rittmueller；Eric J, Hawkins；Joel R, Grossbard；Daniel R, Kivlahan；Katharine A, Bradley

来源：Drug and alcohol dependence 2014 年 135卷