| Author/Editor | Čebašek-Travnik, Zdenka; Beškovnik, Lucija; Krajnc, Špela; Strniša, Neža; Tavčar-Krajnc, Marina; Radovanović, Mirjana; Šibli, Renata; Štabuc, Borut | |
| Title | Diagnostika škodljive rabe in odvisnosti od alkohola med hospitaliziranimi pacienti na gastroenteroloških oddelkih | |
| Translated title | Diagnostics of harmful use of alcohol and alcohol dependence syndrome in patients hospitalized on gastroenterological departments | |
| Type | članek | |
| Source | Gastroenterolog | |
| Vol. and No. | Letnik 9, št. 20 | |
| Publication year | 2005 | |
| Volume | str. 24-9 | |
| Language | slo | |
| Abstract | Background: Diagnostics of harmful use of alcohol (HUA) and alcohol dependence syndrome (ADS) in patients with somatic diseases is often neglected. The aim of this clinical study was to explore the feasibility of regular use of simple diagnostic procedures for HUA and ADS. Patients and methods: 187 randomly selected patients, hospitalized in gastrointestinal wards were included in this study. Alcohol use was assessed with the use of AUDIT and CAGE questionnaires, laboratorial testing and relevant clinical and anamnestic data. Regarding degree of aetiological influence of alcohol use, patients were arranged into three groups of official discharge diagnoses (ODD) and three categories of paralll diagnostics (PD). Comparison was made between ODD and PD. Results: In 187 patients HUA and AUS were established in 4,3% of ODD but in 25,7% of PD. High level of correlation was found between ODD (when using alcohol attributable diagnoses) and PD. Diagnoses of HUA and ADS were significant influenced by gender (male), smoking status, previous liver disease, higher levels of gamma GT, MCV, MCHC and the CAGE and AUDIT questionnaires. Conclusions: In patients with somatic diagnoses related to alcohol use, diagnostics of HUA and ADS is often neglected, resulting in less successful treatment of both conditions - somatic disease and HUA | |
| Summary | Izhodišča. Diagnostika škodljive rabe alkohola (SRA) in sindroma odvisnosti od alkohola (SOA) je v postopkih zdravljenja bolnikov s telesnimi boleznimi pogosto zapostavljena. V klinični raziskavi smo želeli ugotoviti, ali je mogoče ugotoviti SRA in SOA z uporabo enostavnih diagnostičnih postopkov. Bolniki in metode. V raziskavo smo vključili 187 pacientov, hospitaliziranih na GE oddelkih. Rabo alkohola smo ocenjevali s pomočjo vprašalnikov AUDIT in CAGE, laboratorijskih izvidov krvi, kliničnih in anamnestičnih podatkov. Glede na etiološki vpliv alkohola smo bolnike razvrstili v tri skupine uradnih odpustnih diagnoz (UOD) in tri kategorije vzporednih diagnoz (VD) in tako oblikovane skupine primerjali med seboj. Rezultati. Pri 300 OUD smo ŠRA in SOA ugotovili pri 4,3%, pri 187 VD pa v 25,7% pacientov (p<0,05) Ugotovili smo visoko stopnjo korelacije med skupinami OUD (upoštevajoč alkoholu pripisljive bolezni) in kategorijami VD. Na postavitev diagnoze SRA in SOA so statistično pomembno vplivali: moški spol, kajenje, predhodna bolezen jeter, zvišane vrednosti gama-GT, MCV in MCHC ter vprašalnika CAGE; in AUDIT. Zaključki. Pri pacientih s somatskimi diagnozami, ki so ali so lahko posledica uživanja alkohola, je diagnoza SRA in SOA premalokrat postavljena, s tem pa se zmanjšujejo možnosti za uspešno zdravljenje teh pacientov. | |
| Descriptors | ALCOHOL DRINKING ALCOHOLISM HOSPITALIZATION GASTROINTESTINAL DISEASES PROSPECTIVE STUDIES |