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The prevalence of alcohol dependence syndrome in a rural general hospital in Northern Ireland

Published online by Cambridge University Press:  13 June 2014

Brian G Mangan
Affiliation:
Department of Mental Health, Whitla Medical Building, Queen's University of Belfast, 97 Lisburn Road, Belfast BT9 7BL, Northern Ireland
Diana G Patterson
Affiliation:
Tyrone and Fermanagh Hospital, 1 Donaghanie Road, Omagh, County Tyrone, Northern Ireland

Abstract

Objective: To estimate the prevalence of alcohol dependence syndrome in a rural General Hospital. Method: The entire inpatient population of 107 patients was administered the CAGE questionnaire to detect alcohol dependency. Patients scoring two or more (maximum score 4) were diagnosed alcohol dependent. Results: Sixteen patients were unable to complete the questionnaire due to severity of illness or dementia. Of the 91 patients who completed the CAGE questionnaire, 20 scored one or more, and 12 scored two or more, giving a prevalence of probable alcohol dependency in this population of 13%. There were significantly more male alcohol dependent patients than female, 30% vs 2% (p<0.001). Fifty percent of the patients who scored on the CAGE as alcohol dependent were not recognised by medical staff as being problem drinkers. All of the alcohol dependent patients came from the medical and surgical units including Ear, Nose and Throat surgical unit (ENT). Conclusion: Administration of the CAGE questionnaire to all medical and surgical admissions seems to be one of the most economical way of detecting alcohol dependency and engaging patients in treatment as early as possible.

Type
Clinical and Brief Reports
Copyright
Copyright © Cambridge University Press 1994

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References

1.Royal College of Physicians. A great and growing evil: the medical consequence of alcohol abuse. London: Tavistock Publications, 1987.Google Scholar
2.Lewis, DC, Gordon, AJ. Alcoholism and general hospital: the Roger Williams intervention programme. Bull NY Acad Med 1983; 59: 181–97.Google Scholar
3.Jarman, CMB, Ketter, JM. Alcoholism in the general hospital. BMJ 1979; 2: 469–72.CrossRefGoogle ScholarPubMed
4.McIntosh, ID. Alcohol related disabilities in general hospital patients: a critical assessment of the evidence. Int J Addict 1982; 17: 609–39.CrossRefGoogle ScholarPubMed
5.Ewing, JA, Rouse, BA. Identifying the hidden alcoholic. Presented at 29th International Congress on Alcohol and Drug Dependence, Sydney, Australia. 02 3, 1970.Google Scholar
5aMayfield, D, McLeod, G, Hall, P. The CAGE questionnaire: validation of a new alcoholism screening instrument. Am J Psychiatry 1974; 131: 1121–3.CrossRefGoogle ScholarPubMed
6.Schofield, Ann. The prevalence of alcoholism in an Irish general hospital. Ir J Psychol Med 1991; 8: 33–6.CrossRefGoogle Scholar
7.Raistrick, D, Dunbar, G, Davidson, R. Development of a questionnaire to measure alcohol dependence. Br J Addict 1983; 78: 8995.CrossRefGoogle ScholarPubMed
8.Corrigan, GU, Webb, MGT, Unnin, AR. Alcohol dependence among general medical inpatients. Br J Addict 1986; 81: 237–46.CrossRefGoogle ScholarPubMed
9.Sherin, K, Piotrowski, Z, Panek, S, Doot, MC. Screening for alcoholism in a community hospital. J Fam Pract 1982; 15(6): 1091–5.Google Scholar
10.Nolan, JP. Alcohol as a factor in the illness of university service patients. Am J Med Sci 1985; 249: 135–42.Google Scholar
11.Mayou, R, Hawton, K. Psychiatric disorder in the general hospital. Br J Psychiatry 1986; 149: 172–90.CrossRefGoogle ScholarPubMed
12.Bell, J, The, E, Patel, A, Lewis, J, Batey, R. The detection of at risk drinking in a teaching hospital. Med J Aust 1988; 149: 351–5.CrossRefGoogle ScholarPubMed
13.Babor, TF, Ritson, EB, Hodgson, RJ. Alcohol related problems in the primary health care setting: a review of early intervention strategies. Br J Addict 1986; 81: 2346.CrossRefGoogle ScholarPubMed
14.Price, J. Alcohol screening and early intervention: an achieveable advance in management. Med J Aust 1988; 149: 345–6.CrossRefGoogle Scholar