Abstract
Aim of the studyTo find out prevalence of Alcohol Use Disorders (AUD) among hospitalized patients at a tertiary care centre in Medical, Surgical and Orthopaedic trauma wards.Subject or material and methods: It is prospective, randomized, cross-sectional study at a tertiary hospital in a state with prohibition policy. Patients hospitalized in Medical, Surgical and Orthopaedic trauma wards (n=150 in each ward) were screened for AUD by using Alcohol Use Disorder Identification Test(AUDIT). Psychiatrist evaluated them as per DSM IV TR criteria. Case records were examined for mention of AUD by the treating physician. Chi square test, and two tailed t test were applied appropriately. p<0.05 was considered as indicative of statistically significant difference.ResultsAs a whole prevalence of AUD was 16.9 % as per DSM IV TR criteria (Medical in-patients, 22%, surgical in-patients, 16%, Orthopaedic in-patients,12.7%). AUDIT had sensitivity 86.8%, specificity, 95.9%, overall accuracy 94.4%.DiscussionAUD is prevalent in at least one fifth hospitalized patients in a state with prohibition policy. They were poorly recognized by treating physicians. Simple screening by AUDIT scale when routinely used may increase detection of AUD.ConclusionsAlcohol Use Disorders (AUD) are common among medically ill indoor patients. However due to various reasons the AUD are not detected, hence an opportunity to intervene is wasted.
Highlights
Alcohol use disorders are among major public health problems concerning both high-income and middle-income countries
Hospital Physicians can do much to stem the progression of alcohol use disorder (AUD)
This study focuses on AUD in hospitalised patients in medical, surgical and orthopaedic wards
Summary
Alcohol use disorders are among major public health problems concerning both high-income and middle-income countries. According to the World Health Organization (WHO) alco-. Researchers have calculated that the direct and indirect cost associated with alcohol addiction is more than triple the profits derived from alcohol taxation [3]. General hospitals are widely distributed and accessible to most of the population. Hospitalisation is an excellent opportunity to identify alcohol-related problems and initiate interventions. Hospital Physicians can do much to stem the progression of alcohol use disorder (AUD). Evidence indicates that brief interventions by health professionals can reduce alcohol-related problems [4,5,6,7]. AUD detection rates by physicians are low. Responsible factors may be inadequate knowledge and negative attitudes toward patients with AUD
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