Predictive factors of cognitive impairment in alcohol use disorder inpatients

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL Addictive behaviors Pub Date : 2024-08-13 DOI:10.1016/j.addbeh.2024.108132

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Abstract

Background

Cognitive impairments are common in patients with AUD and worsen the prognosis of addiction management. There are no clear guidelines for screening cognitive impairments in hospitalized patients with AUD.

Methods

Fifty-seven patients with an AUD history who were admitted to an acute hospital and assessed by the addiction care team were included. Those patients were screened for cognitive impairments using the Montreal Cognitive Assessment (MoCA) test. We collected clinical information regarding addiction history, comorbidities, and current treatments. Chi-square tests, t-tests, and Mann-Whitney tests were performed to determine factors associated with a pathological MoCA score (<26).

Results

A pathological MoCA score was positively associated with spatial–temporal disorientation, difficulty in recalling addiction history, patient underreporting of AUD and a date of last alcohol consumption lower than 11 days ago, and negatively associated with a reason for hospitalization due to alcohol-related health issues. No medication was associated with cognitive impairments.

Conclusions

Clinical elements from assessment by the addiction care team allow for relevant indication for screening cognitive impairments.

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酒精使用障碍住院患者认知障碍的预测因素。

背景：认知障碍在 AUD 患者中很常见，会加重成瘾管理的预后。目前还没有明确的指南来筛查住院的 AUD 患者的认知障碍：方法：纳入 57 名有 AUD 病史的急诊住院患者，由成瘾治疗小组对其进行评估。我们使用蒙特利尔认知评估（MoCA）测试对这些患者进行了认知障碍筛查。我们收集了有关成瘾史、合并症和当前治疗的临床信息。我们进行了卡方检验、t 检验和曼-惠特尼检验，以确定与病态 MoCA 评分相关的因素（结果：病态 MoCA 评分与认知障碍呈正相关：病理性MoCA评分与空间-时间定向障碍、成瘾史回忆困难、患者少报AUD和最后一次饮酒日期低于11天呈正相关，与因酒精相关健康问题住院呈负相关。没有任何药物与认知障碍有关：成瘾护理团队评估的临床要素为认知障碍筛查提供了相关指征。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.