Imperial College London
Dr Ian Maconochie

DrIanMaconochie

Faculty of Medicine, Department of Infectious Disease

Professor of Practice (Paediatric Emergency Medicine)
 
 
 
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Contact

 

+44 (0)20 3312 3729i.maconochie

 
 
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Location

 

Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Coulton:2019:pubmed/fdy049,
author = {Coulton, S and Alam, MF and Boniface, S and Deluca, P and Donoghue, K and Gilvarry, E and Kaner, E and Lynch, E and Maconochie, I and McArdle, P and McGovern, R and Newbury-Birch, D and Patton, R and Phillips, CJ and Phillips, T and Rose, H and Russell, I and Strang, J and Drummon, C},
doi = {pubmed/fdy049},
journal = {Journal of Public Health},
pages = {E53--E60},
title = {Opportunistic screening for alcohol use problems in adolescents attending emergency departments: an evaluation of screening tools},
url = {http://dx.doi.org/10.1093/pubmed/fdy049},
volume = {41},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - ObjectiveTo estimate and compare the optimal cut-off score of Alcohol Use Disorders Identification Test (AUDIT) and AUDIT-C in identifying at-risk alcohol consumption, heavy episodic alcohol use, ICD-10 alcohol abuse and alcohol dependence in adolescents attending ED in England.DesignOpportunistic cross-sectional survey.Setting10 emergency departments across England.ParticipantsAdolescents (n = 5377) aged between their 10th and 18th birthday who attended emergency departments between December 2012 and May 2013.MeasuresScores on the AUDIT and AUDIT-C. At-risk alcohol consumption and monthly episodic alcohol consumption in the past 3 months were derived using the time-line follow back method. Alcohol abuse and alcohol dependence was assessed in accordance with ICD-10 criteria using the MINI-KID.FindingsAUDIT-C with a score of 3 was more effective for at-risk alcohol use (AUC 0.81; sensitivity 87%, specificity 97%), heavy episodic use (0.84; 76%, 98%) and alcohol abuse (0.98; 91%, 90%). AUDIT with a score of 7 was more effective in identifying alcohol dependence (0.92; 96%, 94%).ConclusionsThe 3-item AUDIT-C is more effective than AUDIT in screening adolescents for at-risk alcohol use, heavy episodic alcohol use and alcohol abuse. AUDIT is more effective than AUDIT-C for the identification of alcohol dependence.
AU  - Coulton,S
AU  - Alam,MF
AU  - Boniface,S
AU  - Deluca,P
AU  - Donoghue,K
AU  - Gilvarry,E
AU  - Kaner,E
AU  - Lynch,E
AU  - Maconochie,I
AU  - McArdle,P
AU  - McGovern,R
AU  - Newbury-Birch,D
AU  - Patton,R
AU  - Phillips,CJ
AU  - Phillips,T
AU  - Rose,H
AU  - Russell,I
AU  - Strang,J
AU  - Drummon,C
DO  - pubmed/fdy049
EP  - 60
PY  - 2019///
SN  - 1741-3842
SP  - 53
TI  - Opportunistic screening for alcohol use problems in adolescents attending emergency departments: an evaluation of screening tools
T2  - Journal of Public Health
UR  - http://dx.doi.org/10.1093/pubmed/fdy049
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000467912400015&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://academic.oup.com/jpubhealth/article/41/1/e53/4953708
UR  - http://hdl.handle.net/10044/1/82026
VL  - 41
ER  -
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