Vnitr Lek 2021, 67(2):e38-e43 | DOI: 10.36290/vnl.2021.033

Screening for risk alcohol use in clinical settings

Jana Malinovská1,2, Lucie Kršková3, Barbora Švarcová4, Veronika Vejtasová5, Jana Urbanová6, Jan Brož1
1 Interní klinika 2. LF UK a FN Motol, Praha
2 Adiktologická poradna, specializované pracoviště Area fausta, Praha
3 Národní linka pro odvykání
4 Psychiatrické oddělení, Ústřední vojenská nemocnice - Vojenská fakultní nemocnice, Praha
5 Kardiologická klinika, 2. LF UK a FN Motol, Praha
6 Centrum pro výzkum diabetu, metabolismu a výživy, II. interní klinika 3. LF UK a FNKV Praha

Alcohol is an important risk factor for development of numerous chronic diseases and it is a cause of 3 million deaths worldwide every year. The Czech Republic is one of the countries with highest alcohol consumption per capita in the world. AUDIT and CAGE are examples of fast and easy screening tools for early diagnostics of patients at risk that help in estimating a level of risk related to patient's drinking. The screening is followed by simple advice for risk drinking and brief intervention for harmful drinking, based on the estimated level of risk. This approach is an easy and effective prevention measure to reduce risk and harmful alcohol drinking and prevent further progression of drinking. Implementation of this approach into routine clinical practice can be a significant step in reducing alcohol consumption in the Czech population.

Keywords: alcohol, brief intervention, early diagnostics, harmful drinking, risk drinking, screening.

Published: April 21, 2021  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Malinovská J, Kršková L, Švarcová B, Vejtasová V, Urbanová J, Brož J. Screening for risk alcohol use in clinical settings. Vnitr Lek. 2021;67(2):e38-43. doi: 10.36290/vnl.2021.033.
Download citation

References

  1. Recorded alcohol per capita consumption, from 2010. Global Health Observatory Data Repository (European Region), Global Information System on Alcohol and Health, updated May 2018. [cit. 2020-05-01]. Dostupné z WWW: .
  2. Mravčík V, Chomynová P, Grohmannová K et al. Výroční zpráva o stavu ve věcech drog v České republice v roce 2018. Mravčík V. (Ed.). Úřad vlády České republiky: Praha 2019.
  3. Csémy L, Fialová A, Kodl M, Skývová M. Užívání tabáku a alkoholu v České republice 2018. Státní zdravotní ústav: Praha 2019.
  4. Hnilicová H, Dobiášová K. Alkohol z pohledu veřejného zdraví v ČR: fakta a souvislosti. Čas. Lék. čes. 2018; 157: 248-253.
  5. Nešpor K. Návykové chování a závislost. Portál: Praha 2011. ISBN 978-80-7367-908-8.
  6. Global status report on alcohol and health 2018. World Health Organization: Geneva 2018. ISBN 978-92-4-156563-9.
  7. Zemřelí podle seznamu příčin smrti, pohlaví a věku v ČR, krajích a okresech - 2008 až 2017. Český statistický úřad. [cit. 2020-05-01]. Dostupné z WWW: .
  8. Rehm J, Room R, Monteiro M et al. Alcohol as a risk factor for global burden of disease. Eur Addict Res 2003; 9: 157-164. Go to original source... Go to PubMed...
  9. Rehm J, Room R, Graham K, Monteiro et al. The relationship of average volume of alcohol consumption and patterns of drinking to burden of disease: an overview. Addiction 2003; 98: 1209-1228. Go to original source... Go to PubMed...
  10. Racková S, Kitzlerová E., Anders M, Raboch J. Screeningové hodnocení míry závažnosti zneužívání alkoholu. Čes a slov Psychiatr 2018; 114(1): 24-28.
  11. Glass JE, Andréasson S, Bradley KA et al. Rethinking alcohol interventions in health care: a thematic meeting of the International Network on Brief Interventions for Alcohol & Other Drugs (INEBRIA). Addict Sci Clin Pract. 2017; 12(1): 14. Go to original source... Go to PubMed...
  12. Jonas DE, Garbutt JC, Amick HR et al. Behavioral Counseling After Screening for Alcohol Misuse in Primary Care: A Systematic Review and Meta‑analysis for the U.S. Preventive Services Task Force. Ann Intern Med. 2012; 157: 645-654. Go to original source... Go to PubMed...
  13. Beich A, Gannik D, Malterud K. Screening and brief intervention for excessive alcohol use: qualitative interview study of the experiences of general practitioners. BMJ. 2002; 325(7369): 870. Go to original source... Go to PubMed...
  14. Pilowsky DJ, Wu LT. Screening for alcohol and drug use disorders among adults in primary care: a review. Subst Abuse Rehabil 2012; 3(1): 25-34. Go to original source... Go to PubMed...
  15. Erwing JA. Detecting alcoholism: The CAGE questionnaire. JAMA: Journal of the American Medical Association 1984; 252: 1905-1907. Go to original source...
  16. Babor T, Higgins‑Biddle JC, Sovinová H. Krátké intervence u rizikového a škodlivého pití: manuál pro použití v primární péči. 2., upr. vyd. Státní zdravotní ústav: Praha 2010. ISBN 978-80-7071-316-7.
  17. Bradley KA, DeBenedetti AF, Volk RJ, et al. AUDIT-C as a Brief Screen for Alcohol Misuse in Primary Care. Alcoholism: Clinical and Experimental Research 2007; 31: 1208-1217. Go to original source... Go to PubMed...
  18. Screeningové vyšetření na problémové užívání alkoholu a navazující krátká intervence: metodika SBI: příručka pro pracovníky v oblasti veřejného zdraví. Albert: Boskovice 2013. ISBN 978-80-7326-230-3.
  19. Aristeiguieta CA. Screening patients for alcohol, tobacco, and other drug misuse: the role of brief interventions. West J Med 2000; 172(1): 53-57. Go to original source... Go to PubMed...
  20. Kašpárek T, Dreisig M, Barteček R. Alkoholový odvykací stav a delirium - od patofyziologie k léčbě. Cesk Slov Neurol N 2014; 77/110(2): 153-157.




Vnitřní lékařství

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.