Historique
Périodique
Substance use in the general hospital
(L'usage de substances psychoactives à l'hôpital général)
Auteur(s) :
KOUIMTSIDIS C. ;
REYNOLDS, M. ;
HUNT, M. ;
LIND J. ;
BECKETT, J. ;
DRUMMOND, C. ;
GHODSE, H.
Année
2003
Page(s) :
483-499
Langue(s) :
Anglais
Refs biblio. :
22
Domaine :
Plusieurs produits / Several products
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
ROYAUME-UNI
Thésaurus mots-clés
ALCOOL
;
TABAC
;
MEDICAMENTS
;
HOPITAL GENERAL
;
PREVALENCE
;
MESUSAGE
;
CONSOMMATION
Note générale :
Addictive Behaviors, 2003, 28, (3), 483-499
Note de contenu :
tabl.
Résumé :
ENGLISH :
lntroduction : People misusing substances are overrepresented in health settings. Substance misuse can also be an underlying factor complicating medical diagnosis and management. Aims : (i) To establish the prevalence of substance misuse in the general hospital inpatient population ; and (ii) to examine the relationship between medical diagnosis and substance misuse problem as identified by screening tools. Method : This study adopted a three-step screening approach including a prospective questionnaire survey, interview, and case note review. Subjects included all adult patients admitted to a London teaching hospital over a 1-week period. Results : Seventy percent completed the questionnaire. Twenty-three percent was currently smoking, 14% was rated positive for alcohol misuse, and 12% positive for drug misuse. Only 65% of patients was screened for smoking, 54% for alcohol, and 9% for other substances. Conclusions : People misusing one substance were more likely to be misusing others, hence the importance of screening all patients for all substances. Doctors were screening a small percentage of patients and they identified and intervened with only the severe ones. (Editor's abstract.)
Affiliation :
Dept. Addict. Behav. Psychol. Med., St George's Hosp. Med. Sch., Univ. London, Cranmer Terrace, Tooting, London SW17 ORE. E-mail : depadsghms.ac.uk
Royaume-Uni. United Kingdom.
Royaume-Uni. United Kingdom.