Document Detail


Guidelines for alcohol screening in adolescent trauma patients: a report from the Pediatric Trauma Society Guidelines Committee.
MedLine Citation:
PMID:  23354268     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Alcohol misuse is an important source of preventable injuries in the adolescent population. While alcohol screening and brief interventions are required at American College of Surgeons-accredited trauma centers, there is no standard screening method. To develop guidelines for testing, we reviewed available evidence regarding adolescent alcohol screening after injury, focusing on the questions of which populations require screening, which screening tools are most effective, and at which time point screening should be performed.
METHODS: A comprehensive PubMed search for articles related to alcoholism, trauma, and screening resulted in 1,013 article abstracts for review. Eighty-five full-length articles were considered for inclusion. Articles were excluded based on study type, location (non-US), year of publication, and nonapplicability to the study questions.
RESULTS: Twenty-six articles met full inclusion criteria. Results support universal screening for alcohol misuse in the adolescent trauma population. Although adolescents 14 years and older are more likely to test positive for alcohol misuse, studies suggest screening may need to start at 12 years or younger. Both survey and biochemical screens can identify at-risk adolescents, with the Alcohol Use Disorders Identification Test and the two-question survey based on the Diagnostic and Statistical Manual for Mental Disorders, Fourth Edition criteria for alcohol-use disorders being the most sensitive surveys available.
CONCLUSION: Injured adolescent trauma patients should be universally screened for alcohol misuse during their hospital visit. To maximize the number of at-risk adolescents targeted for interventions, screening should begin at minimum at 12 years. As no screen identifies all at-risk adolescents, a serial screening method using both biochemical tests and standardized questionnaires may increase screening efficacy.
Authors:
Deirdre C Kelleher; Elizabeth J Renaud; Peter F Ehrlich; Randall S Burd;
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Publication Detail:
Type:  Journal Article; Practice Guideline    
Journal Detail:
Title:  The journal of trauma and acute care surgery     Volume:  74     ISSN:  2163-0763     ISO Abbreviation:  J Trauma Acute Care Surg     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-28     Completed Date:  2013-04-05     Revised Date:  2013-09-25    
Medline Journal Info:
Nlm Unique ID:  101570622     Medline TA:  J Trauma Acute Care Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  671-82     Citation Subset:  AIM; IM    
Affiliation:
Division of Trauma and Burn Surgery, Children's National Medical Center, Washington, District Of Columbia 20010, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Age Factors
Alcoholism / complications,  diagnosis*,  epidemiology
Child
Emergency Service, Hospital / standards
Ethanol / analysis
Female
Humans
Male
Mass Screening* / methods,  standards
Time Factors
United States / epidemiology
Wounds and Injuries / epidemiology,  etiology*
Young Adult
Chemical
Reg. No./Substance:
64-17-5/Ethanol
Investigator
Investigator/Affiliation:
Kathryn D Bass / ; Arthur Cooper / ; Susan A Cox / ; Philip H Ewing / ; Richard A Falcone / ; Lynn Haas / ; Martin S Keller / ; Laurie A Latchaw / ; Robert W Letton / ; Lillian Liao / ; Karen Lidsky / ; Robert T Maxson / ; Chris McKenna / ; David P Mooney / ; Kennith H Sartorelli / ; Susan Ziegfeld /

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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