酒精使用障碍。鉴定测试(审计)分数对预测酒精消费量是有用的。

Hideki Fujii, Naoki Nishimoto, Masato Miyano, Wataru Ueda, Hiroko Oba, Seiko Yamaguchi, Tetsuya Aoki, Osamu Kurai, Norifumi Kawada, Kiyotaka Okawa
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摘要

使用标准化的方法对酒精消费和饮酒习惯进行筛查很重要。本研究的目的是探讨标准化问卷对预测饮酒量是否有用。使用酒精使用障碍鉴定测试(AUDIT)对334名在大阪市Juso医院内科就诊的门诊患者进行了横断面研究。患者完成自我报告问卷,并接受诊断性访谈、体格检查和实验室检测。40名(23%)男性患者报告每日饮酒40克,16名(10%)女性患者报告每日饮酒20克。采用10倍交叉验证法计算危险饮酒(所有患者)/饮酒者(男性)/饮酒者(女性)的最佳截断值,得到最佳AUDIT评分截断值为8.2/ 7.2/ 6.1,灵敏度为95.5%/ 96.3%/ 88.9%,特异性为87.0%/ 96.3%/ 88.9%,假阳性率为13.0%/ 9.4%/6.6%,假阴性率为4.5%/ 3。’%/ 11.1%,受试者工作特性曲线下面积为0.97/ 0.98/ 0.99。总之,本研究表明,审计评分是有用的预测酒精消费量。
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The Alcohol Use Disorders. Identification Test (AUDIT) score is useful for predicting alcohol consumption.

It is important to screen for alcohol consumption and drinking customs by using a stan- dardized method. The aim of this study was to investigate whether standardized questionnaire was useful for predicting alcohol consumption. A cross-sectional study using the Alcohol Use Disorders Identification Test (AUDIT) was conducted in 334 outpatients who consulted the Internal Medicine Department of Osaka City Juso Hospital. The patients completed self-reported questionnaires and underwent a diagnostic interview, physical examination, and laboratory testing. Forty (23%) male patients reported daily alcohol consumption 40 g, and 16 (10%) female patients reported consumption 20 g. The optimal cutoff values of hazardous drinking (all patients)/ drinker (male)/ drinker (female) were calculated using a 10-fold cross validation, resulting in an optimal AUDIT score cutoff of 8.2/ 7.2/ 6.1, with sensitivity of 95.5%/ 96.3%/ 88.9%, specificity of 87.0%/ 96.3%/ 88.9%, false positive rate of 13.0%/ 9.4%/6.6%, false negative rate of 4.5%/ 3.'%/ 11.1%, and area under the receiver operating characteristic curve of 0.97/ 0.98/ 0.99. In conclusion, this study showed that the AUDIT score was useful for predicting alcohol consumption.

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