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AUDIT-C

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1. Prevalence of risk-drinking in critically ill patients, screened with carbohydrate-deficient transferrin and AUDIT-C score: A retrospective study. (Abstract)

Prevalence of risk-drinking in critically ill patients, screened with carbohydrate-deficient transferrin and AUDIT-C score: A retrospective study. Background Studies demonstrate that up to one-third of intensive care unit (ICU) admissions are directly or indirectly related to alcohol. Screening for alcohol use is not routine. This study examined the prevalence of elevated %CDT (carbohydrate-deficient transferrin) and above risk-level AUDIT-C (Alcohol Use Disorders Identification Test (...) , Consumption) in patients admitted to ICU. Methods We conducted a retrospective analysis of clinical and laboratory data from a single ICU where %CDT and AUDIT-C were included in routine assessment. After excluding readmissions, 2532 adult patients from a 21-month period were included. Admission values of %CDT were available for 2049 patients, and AUDIT-C was available for 1617 patients. The association of %CDT and AUDIT-C with short- and long-term outcome was studied by using univariate and multivariate

2019 Acta Anaesthesiologica Scandinavica

2. Improving screening and brief intervention activities in primary health care: Secondary analysis of professional accuracy based on the AUDIT-C. Full Text available with Trip Pro

Improving screening and brief intervention activities in primary health care: Secondary analysis of professional accuracy based on the AUDIT-C. The ODHIN trial found that training and support and financial reimbursement increased the proportion of patients that were screened and given advice for their heavy drinking in primary health care. However, the impact of these strategies on professional accuracy in delivering screening and brief advice is underresearched and is the focus (...) of this paper.From 120 primary health care units (24 in each jurisdiction: Catalonia, England, the Netherlands, Poland, and Sweden), 746 providers participated in the baseline and the 12-week implementation periods. Accuracy was measured in 2 ways: correctness in completing and scoring the screening instrument, AUDIT-C; the proportion of screen-negative patients given advice, and the proportion of screen-positive patients not given advice. Odds ratios of accuracy were calculated for type of profession

2018 Journal of evaluation in clinical practice Controlled trial quality: uncertain

3. Cut-off points for screening at-risk drinking by AUDIT-C Korean version at emergency department Full Text available with Trip Pro

Cut-off points for screening at-risk drinking by AUDIT-C Korean version at emergency department To reduce problems caused by alcohol drinking, it is necessary to identify those with 'at-risk drinking' behavior to maximize therapeutic access or intervention. To this end, we sought to determine the cut-off point for screening of at-risk drinking by the Korean version of the AUDIT-C (Alcohol Use Disorder Identification Test-Consumption).We obtained data from the scientific research project (...) and the cut-off points of the AUDIT-C were determined.Cut-off points were 5 for men [Area Under the Receiver Operation Characteristic (AUROC) 0.956], 4 for women (AUROC 0.966), and 4 in elders >65-year-of age (AUROC 0.972).This study is the first research about the cut-off points of Korean version of AUDIT-C for patients including women and elders to screen for at-risk drinking in South Korea. AUDIT-C is a useful and accurate tool to screen patients for at-risk drinking.

2018 Turkish journal of emergency medicine

4. Two Brief Measures of Alcohol Use Produce Different Results: AUDIT-C and Quick Drinking Screen Full Text available with Trip Pro

Two Brief Measures of Alcohol Use Produce Different Results: AUDIT-C and Quick Drinking Screen Several psychometrically sound measures of alcohol use have been developed to assess drinking. The Alcohol Use Disorders Identification Test (AUDIT) and its shorter counterpart the AUDIT-C, which contains the first 3 AUDIT questions, were developed by the World Health Organization and have become the preferred brief measures for screening and evaluating problem severity. This study compared the first (...) 3 questions on the AUDIT with another psychometrically sound brief measure of alcohol use, the Quick Drinking Screen (QDS).Data were obtained from a randomized controlled trial of a mail-based intervention promoting self-change with 472 alcohol abusers (n = 280, no prior alcohol treatment; n = 192, prior alcohol treatment). Participants' retrospective self-reports of alcohol consumption were collected using the QDS and the 3 AUDIT-C questions and compared. Although both measures contain similar

2017 Alcoholism, clinical and experimental research Controlled trial quality: uncertain

5. Comparison of the Substance Use Brief Screen (SUBS) to the AUDIT-C and ASSIST for detecting unhealthy alcohol and drug use in a population of hospitalized smokers Full Text available with Trip Pro

Comparison of the Substance Use Brief Screen (SUBS) to the AUDIT-C and ASSIST for detecting unhealthy alcohol and drug use in a population of hospitalized smokers Hospitalized patients have high rates of unhealthy substance use, which has important impacts on health both during and after hospitalization, but is infrequently identified in the absence of screening. The Substance Use Brief Screen (SUBS) was developed as a brief, self-administered instrument to identify use of tobacco, alcohol (...) of the SUBS for identifying illicit drug and non-medical use of prescription drugs in comparison to a modified Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) and its performance for identifying excessive alcohol use in comparison to the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C). At the standard cutoff (response other than 'never' indicates a positive screen), the SUBS had a sensitivity of 98% (95% CI 95-100%) and specificity of 61% (95% CI 55-67%) for unhealthy

2017 Journal of substance abuse treatment

6. Validation of the AUDIT-C in adults seeking help with their drinking online Full Text available with Trip Pro

Validation of the AUDIT-C in adults seeking help with their drinking online The abbreviated Alcohol Use Disorder Identification Test for Consumption (AUDIT-C) is rapidly becoming the alcohol screening tool of choice for busy practitioners in clinical settings and by researchers keen to limit assessment burden and reactivity. Cut-off scores for detecting drinking above recommended limits vary by population, setting, country and potentially format. This validation study aimed to determine AUDIT-C (...) thresholds that indicated risky drinking among a population of people seeking help over the Internet.The data in this study were collected in the pilot phase of the Down Your Drink trial, which recruited people seeking help over the Internet and randomised them to a web-based intervention or an information-only website. Sensitivity, specificity, and positive and negative likelihood ratios were calculated for AUDIT-C scores, relative to weekly consumption that indicated drinking above limits and higher

2017 Addiction science & clinical practice

7. AUDIT-C

AUDIT-C AUDIT-C Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 AUDIT-C AUDIT-C Aka: AUDIT-C , Alcohol Use Disorders Identification (...) you have six or more drinks on one occasion? Score 0: Never Score 1: Less than monthly Score 2: Mothly Score 3: Twice to three times weekly Score 4: Four or more times weekly III. Interpretation: Discriminatory levels suggestive of Problem Drinking Men: Score >4 (or >7 in college men) Women: Score >2 (or >5 in college women) IV. Resources V. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "AUDIT-C." Click on the image

2018 FP Notebook

8. The Alcohol Use Disorders Identification Test for Consumption (AUDIT-C) is more useful than pre-existing laboratory tests for predicting hazardous drinking: a cross-sectional study. Full Text available with Trip Pro

The Alcohol Use Disorders Identification Test for Consumption (AUDIT-C) is more useful than pre-existing laboratory tests for predicting hazardous drinking: a cross-sectional study. It is important to screen for alcohol consumption and drinking customs in a standardized manner. The aim of this study was 1) to investigate whether the AUDIT score is useful for predicting hazardous drinking using optimal cutoff scores and 2) to use multivariate analysis to evaluate whether the AUDIT score was more (...) . The optimal cutoff values of hazardous drinking were calculated using a 10-fold cross validation, resulting in an optimal AUDIT score cutoff of 8.2, with a sensitivity of 95.5 %, specificity of 87.0 %, false positive rate of 13.0 %, false negative rate of 4.5 %, and area under the receiver operating characteristic curve of 0.97. Multivariate analysis revealed that the most popular short version of the AUDIT consisting solely of its three consumption items (AUDIT-C) and patient sex were significantly

2016 BMC Public Health

9. Comparison of AUDIT-C Collected via Electronic Medical Record and Self-Administered Research Survey in HIV Infected and Uninfected Patients Full Text available with Trip Pro

Comparison of AUDIT-C Collected via Electronic Medical Record and Self-Administered Research Survey in HIV Infected and Uninfected Patients Using electronic medical record (EMR) data for clinical decisions, quality improvement, and research is common. While unhealthy alcohol use is particularly risky among HIV infected individuals (HIV+), the validity of EMR data for identifying unhealthy alcohol use among HIV+ is unclear. Among HIV+ and uninfected, we: (1) assess agreement of EMR and research (...) AUDIT-C at validated cutoffs for unhealthy alcohol use; (2) explore EMR cutoffs that maximize agreement; and (3) assess subpopulation variation in agreement.Using data from the Veterans Aging Cohort Study (VACS), EMR AUDIT-C cutoffs of 2+, 3+, and 4+ for men (2+ and 3+ for women) were compared to research AUDIT-C 4+ for men (3+ for women). Agreement was compared by demographics, HIV, hepatitis C infection, and alcohol related diagnosis.Among 1082 HIV+ and 1160 uninfected men, 14% and 22% had an EMR

2016 Drug and alcohol dependence

10. Use of AUDIT-C as a tool to identify hazardous alcohol consumption in admitted trauma patients. (Abstract)

Use of AUDIT-C as a tool to identify hazardous alcohol consumption in admitted trauma patients. Alcohol use is an important contributor to injuries. Simple bedside tools to identify trauma patients with potentially harmful drinking may assist in brief intervention efforts in clinical practice. The objective of the study was to determine and compare the accuracy of alcohol use disorders identification test (AUDIT) and an abbreviated version of this test, in the detection of hazardous drinking.A (...) cross-sectional study of a convenience sample of admitted trauma patients at a single Australian major trauma centre. Eligible patients completed the AUDIT. AUDIT survey responses were scored in two ways, using the full form scale and secondly an abbreviated (AUDIT C) scale which uses only the first 3 questions. AUDIT and AUDIT-C scores were then evaluated with respect to the primary study measure; the detection of hazardous alcohol consumption based on a full alcohol consumption history

2014 Injury

11. Australian general practitioner perceptions of the detection and screening of at-risk drinking, and the role of the AUDIT-C: a qualitative study. Full Text available with Trip Pro

Australian general practitioner perceptions of the detection and screening of at-risk drinking, and the role of the AUDIT-C: a qualitative study. At-risk drinking is common in Australia. Validated screening tools such as the AUDIT-C have been promoted to general practitioners (GPs), but appear rarely used and detection of at-risk drinking in primary care remains low. We sought to describe Australian GP perceptions of the detection and screening of at-risk drinking; to understand their low (...) of, and barriers to, detecting at-risk drinking appear to be inextricably linked to the sociocultural beliefs surrounding alcohol use. Screening questionnaires such as the AUDIT-C are not designed to address these issues. In the current context, it is unlikely that approaches that focus on the use of these tools will be effective at improving detection of at-risk drinking by GPs.

2013 BMC Family Practice

12. AUDIT-C

AUDIT-C AUDIT-C Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 AUDIT-C AUDIT-C Aka: AUDIT-C , Alcohol Use Disorders Identification (...) you have six or more drinks on one occasion? Score 0: Never Score 1: Less than monthly Score 2: Mothly Score 3: Twice to three times weekly Score 4: Four or more times weekly III. Interpretation: Discriminatory levels suggestive of Problem Drinking Men: Score >4 (or >7 in college men) Women: Score >2 (or >5 in college women) IV. Resources V. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "AUDIT-C." Click on the image

2015 FP Notebook

13. AUDIT-C Alcohol Screening Results and Postoperative Inpatient Health Care Use. (Abstract)

AUDIT-C Alcohol Screening Results and Postoperative Inpatient Health Care Use. Alcohol screening scores ≥5 on the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) up to a year before surgery have been associated with postoperative complications, but the association with postoperative health care use is unknown. This study evaluated whether AUDIT-C scores in the year before surgery were associated with postoperative hospital length of stay, total ICU days, return to the operating (...) room, and hospital readmission.This cohort study included male Veterans Affairs patients who completed the AUDIT-C on mailed surveys (October 2003 through September 2006) and were hospitalized for nonemergent noncardiac major operations in the following year. Postoperative health care use was evaluated across 4 AUDIT-C risk groups (scores 0, 1 to 4, 5 to 8, and 9 to 12) using linear or logistic regression models adjusted for sociodemographics, smoking status, surgical category, relative value unit

2012 Journal of the American College of Surgeons

14. Systematic Review - Relationship of Deployment-related Mild Traumatic Brain Injury to Posttraumatic Stress Disorder, Depressive Disorders, Substance Use Disorders, Suicidal Ideation, and Anxiety Disorders

Acceptance and Commitment Therapy AIS Abbreviated Injury Scale AOC Alteration of consciousness AS Altered state AUDIT-(C) Alcohol Use Disorders Identification Test-(Consumption) BAI Beck Anxiety Inventory BDI Beck Depression Inventory BHM Behavioral Health Measure BSI Brief Symptom Inventory CAGE Cutting down, Annoyance by criticism, Guilty feeling, and Eye openers CAPS (CAPS- IV) Clinician Administered PTSD Scale (CAPS for DSM-IV) CCT Controlled clinical trial CESD Center for Epidemiologic Studies

2019 Veterans Affairs Evidence-based Synthesis Program Reports

15. Prenatal Care

questionnaire • The U.S. Surgeon General’s My Family Health Portrait Tool: www.hhs.gov/familyhistory/ Behavior, lifestyle and social issues If the patient: • Smokes, advise to quit and refer to Quit For Life® or other tobacco cessation program. • Discloses intimate partner violence, complete safety assessment and supply information regarding support services. • Reports, or provider suspects, that she is drinking any alcohol, do a brief intervention. • Has screened positive on the AUDIT-C for unhealthy (...) vaccine (LAIV) form; pregnant patients should receive inactive form. • MMR or its component vaccines (measles, mumps, rubella) • Varicella • BCG (tuberculosis vaccine given for travel)5 Initial screening and testing Table 4. Initial prenatal screening and testing Test Eligible population • Blood type and Rh • Antibody screen • CBC • HbA1c 1 • Depression, PHQ-9 2 • Alcohol use, AUDIT-C 3 • HIV, with patient counseling • Syphilis • Chlamydia testing 4 • Hepatitis B surface antigen • Rubella immunity

2018 Kaiser Permanente Clinical Guidelines

16. Cardiovascular Disease: Secondary Prevention

(by increasing blood pressure and subsequently the workload of the heart), patients with existing ASCVD should not exceed 1 drink per day for women or 2 drinks per day for men. • Consider having patients complete the AUDIT-C alcohol use questionnaire. • See the Unhealthy Drinking in Adults Guideline for additional information. Physical activity As recommended by the American Heart Association, encourage patients with coronary and other vascular diseases who are physically capable of exercising to participate

2018 Kaiser Permanente Clinical Guidelines

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