Use of the CAGE questionnaire for detecting alcohol use disorders in the emergency room

Revista da Associação Médica Brasileira
G J Paz FilhoB Spadoni

Abstract

Alcoholism is seldom detected among emergency room outpatients, which is attributed to the non-adoption of diagnostic routines, to the difficulty of doing a special anamnesis for diagnosing alcoholism, and to the lack of sensitivity and specificity of the laboratory tests. This study has the purpose to determine whether the CAGE assay (composed by 4 questions of easy memorization) is able to supply this difficulty in detecting alcoholism. We did a transversal study with consecutive sampling among outpatients of the Internal Medicine Department at Cajuru University Hospital emergency room. They were submitted to a standardized interview constituted by the CAGE and the CIDI assays (Composite International Diagnostic Interview, "demographics" and "disorders resulting from the use of alcohol" sections). From the sample obtained (n=374), we correlated the prevalence of alcoholism according to both questionnaires, considering the CIDI (DSM-IV criteria) to be the gold standard. The prevalence of alcohol dependence according to the DSM-IV criteria was 15.77%. We verified that the CAGE has 84.74% of sensitivity and 73.33% of specificity, with a cut point of 2 positive responses. We concluded that the CAGE is an instrument of easy applic...Continue Reading

Citations

May 4, 2005·Revista brasileira de psiquiatria : orgão oficial da Associação Brasileira de Psiquiatria, Asociación Psiquiátrica de la América Latina·Maria Alicia Castells, Letícia Maria Furlanetto
Oct 6, 2010·Ciência & saúde coletiva·Paulo Cavalcante Apratto Júnior
Dec 6, 2018·Revista Da Sociedade Brasileira De Medicina Tropical·Antônio Carlos FerreiraMariângela Carneiro
Jan 15, 2008·Substance Use & Misuse·Mariana Cremonte, Cheryl J Cherpitel
Sep 28, 2017·Arquivos De Gastroenterologia·Mariana de Andrade Pranke, Gabriela Perdomo Coral
Jun 25, 2005·International Journal of Health Care Quality Assurance Incorporating Leadership in Health Services·Tolga Taner, Jiju Antony
Nov 9, 2004·International nursing review·G H Rassool, M Villar-Luis
Jul 3, 2010·Journal of Occupational and Environmental Medicine·Vera Regina FonsecaLuciana Alves Santos
Aug 24, 2011·Ciência & saúde coletiva·Daniela Karina da Silva FerreiraLia Giraldo Augusto
Nov 24, 2016·Revista latino-americana de enfermagem·Wendel Mombaque Dos SantosStela Maris de Mello Padoin
Jul 12, 2012·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Suerda Fortaleza de SouzaLauro Antonio Porto
Feb 28, 2006·Revista latino-americana de enfermagem·Clarissa Mendonça Corradi-WebsterErikson Felipe Furtado

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