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Will emergency and surgical patients participate in and complete alcohol interventions? A systematic review

Pedersen, Bolette LU ; Oppedal, Kristian; Egund, Lisa LU and Tønnesen, Hanne LU (2011) In BMC Surgery 11.
Abstract
Background: In the everyday surgical life, staff may experience that patients with Alcohol Use Disorders (AUDs) seem reluctant to participate in alcohol intervention programs. The objective was therefore to assess acceptance of screening and intervention as well as adherence to the intervention program among emergency department (ED) and surgical patients with AUDs. Methods: A systematic literature search was followed by extraction of acceptance and adherence rates in ED and surgical patients. Numbers needed to screen (NNS) were calculated. Subgroup analyses were carried out based on different study characteristics. Results: The literature search revealed 33 relevant studies. Of these, 31 were randomized trials, 28 were conducted in EDs... (More)
Background: In the everyday surgical life, staff may experience that patients with Alcohol Use Disorders (AUDs) seem reluctant to participate in alcohol intervention programs. The objective was therefore to assess acceptance of screening and intervention as well as adherence to the intervention program among emergency department (ED) and surgical patients with AUDs. Methods: A systematic literature search was followed by extraction of acceptance and adherence rates in ED and surgical patients. Numbers needed to screen (NNS) were calculated. Subgroup analyses were carried out based on different study characteristics. Results: The literature search revealed 33 relevant studies. Of these, 31 were randomized trials, 28 were conducted in EDs and 31 evaluated the effect of brief alcohol intervention. Follow-up was mainly conducted after six and/or twelve months. Four in five ED patients accepted alcohol screening and two in three accepted participation in intervention. In surgical patients, two in three accepted screening and the intervention acceptance rate was almost 100%. The adherence rate was above 60% for up to twelve months in both ED and surgical patients. The NNS to identify one eligible AUD patient and to get one eligible patient to accept participation in alcohol intervention varied from a few up to 70 patients. The rates did not differ between randomized and non-randomized trials, brief and intensive interventions or validated and self-reported alcohol consumption. Adherence rates were not affected by patients' group allocation and type of follow-up. Conclusions: Most emergency and surgical patients with AUD accept participation in alcohol screening and interventions and complete the intervention program. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
BMC Surgery
volume
11
publisher
BioMed Central
external identifiers
  • wos:000296455400001
  • scopus:80053174773
ISSN
1471-2482
DOI
10.1186/1471-2482-11-26
language
English
LU publication?
yes
id
005d8c35-ea08-41ce-9e95-66a956ccfa6f (old id 2208019)
alternative location
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3189859/?tool=pubmed
date added to LUP
2011-12-01 08:27:26
date last changed
2017-08-06 04:08:03
@article{005d8c35-ea08-41ce-9e95-66a956ccfa6f,
  abstract     = {Background: In the everyday surgical life, staff may experience that patients with Alcohol Use Disorders (AUDs) seem reluctant to participate in alcohol intervention programs. The objective was therefore to assess acceptance of screening and intervention as well as adherence to the intervention program among emergency department (ED) and surgical patients with AUDs. Methods: A systematic literature search was followed by extraction of acceptance and adherence rates in ED and surgical patients. Numbers needed to screen (NNS) were calculated. Subgroup analyses were carried out based on different study characteristics. Results: The literature search revealed 33 relevant studies. Of these, 31 were randomized trials, 28 were conducted in EDs and 31 evaluated the effect of brief alcohol intervention. Follow-up was mainly conducted after six and/or twelve months. Four in five ED patients accepted alcohol screening and two in three accepted participation in intervention. In surgical patients, two in three accepted screening and the intervention acceptance rate was almost 100%. The adherence rate was above 60% for up to twelve months in both ED and surgical patients. The NNS to identify one eligible AUD patient and to get one eligible patient to accept participation in alcohol intervention varied from a few up to 70 patients. The rates did not differ between randomized and non-randomized trials, brief and intensive interventions or validated and self-reported alcohol consumption. Adherence rates were not affected by patients' group allocation and type of follow-up. Conclusions: Most emergency and surgical patients with AUD accept participation in alcohol screening and interventions and complete the intervention program.},
  author       = {Pedersen, Bolette and Oppedal, Kristian and Egund, Lisa and Tønnesen, Hanne},
  issn         = {1471-2482},
  language     = {eng},
  publisher    = {BioMed Central},
  series       = {BMC Surgery},
  title        = {Will emergency and surgical patients participate in and complete alcohol interventions? A systematic review},
  url          = {http://dx.doi.org/10.1186/1471-2482-11-26},
  volume       = {11},
  year         = {2011},
}