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J Korean Soc Emerg Med > Volume 19(4); 2008 > Article
Journal of The Korean Society of Emergency Medicine 2008;19(4): 414-420.
Screening for Alcohol Use Disorder in the Emergency Department: Comparison of the AUDIT, CAGE and RAPS
Hyun Noh, Eun Kyung Eo, Koo Young Jung, Yoon Hee Choi, Dong Hoon Lee
1Department of Emergency Medicine, School of Medicine, Ewha Womans University, Seoul, Korea. kyjung@ewha.ac.kr
2Department of Emergency Medicine, College of Medicine, Eulji University, Seoul, Korea.
3Daegu Fire Station, Korea.
Early identification of alcohol use disorder (AUD) among patients coming to the emergency department (ED) for treatment is important in order to facilitate timely intervention and further evaluation. A number of brief screening tools have been developed for identifying patients with AUD. This study compared three brief screening tools for detecting DSM-IV-defined AUD.
A prospective study was performed from 20th of July 2004 to 20th of October 2004 at a university hospital emergency department (ED). We studied trauma patients including trauma patients who needed administration. Patients were screened by AUDIT, CAGE and RAPS test. Receiver operator characteristic analysis were used to evaluate the performance of the brief screens against the criterion of a DSM-IV AUD.
One hundred and thirty-five patients were enrolled in this study. Of the existing screening tools, AUDIT had the best overall performance in identifying AUD (sensitivity 98%. specificity 84%)
Of the existing screening tools used to identify AUD, AUDIT had the best overall performance in identifying AUD in the ED.
Key words: Alcohol drinking, Screening, Questionnaires
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