Alcohol
Volume 27, Issue 2 , Pages 77-82, June 2002

Screening of binge drinking among patients on an emergency surgical ward

  • Lars Forsberg

      Affiliations

    • Department of Clinical Neuroscience, Section of Clinical Alcohol and Drug Addiction Research, Magnus Huss, Karolinska Institutet, SE-171 76 Stockholm, Sweden
    • Corresponding Author InformationCorresponding author. Tel.: +46-8-517 747 35; fax: +46-8-517 766 15.(L. Forsberg). Editor: S. Borg
    • ,
  • Jan Halldin

      Affiliations

    • Department of Public Health Sciences, Division of Social Medicine, Karolinska Institutet, 171 76 Stockholm, Sweden
    • ,
  • Sören Ekman

      Affiliations

    • Surgical Clinic, Danderyd's Hospital, 182 88 Danderyd, Sweden
    • ,
  • Sten Rönnberg

      Affiliations

    • Department of Social Work at Stockholm University, 106 91 Stockholm, Sweden

Received 12 July 2001; received in revised form 8 January 2002; accepted 8 January 2002.

Abstract 

In a sample of 149 emergency surgical patients, binge drinking was assessed through interviews. Sensitivity, specificity, and positive and negative predictive values were calculated for three questionnaires—the Malmö modification of brief MAST (Mm-MAST), CAGE, and the Trauma Scale—and two biological markers—carbohydrate-deficient transferrin (CDT) and gamma-glutamyltransferase (GGT). Binge drinking was reported by 42% of male patients, aged 16–29 years; 66% of female patients, aged 16–29 years; 27% of male patients, aged 30–73 years; and 16% of female patients, aged 30–73 years. All alcohol biomarkers had low sensitivity to binge drinking among women. Mm-MAST alone and CAGE and CDT combined were sensitive to identifying binge drinking among men aged 30–73 years. The three questionnaires combined had a sensitivity of 0.82 to binge drinking among men aged 16–29 years.

Keywords:  Screening, Binge drinking, Mm-MAST, CAGE, Trauma Scale, GGT, CDT

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PII: S0741-8329(02)00202-1

Alcohol
Volume 27, Issue 2 , Pages 77-82, June 2002

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