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Alcohol screening for older adults in an acute general hospital: FAST v. MAST-G assessments.

Knightly, Rachel and Tadros, George and Sharma, Juhi and Duffield, Peter and Carnall, Emma and Fisher, Jacqui and Salman, Shaza (2016) Alcohol screening for older adults in an acute general hospital: FAST v. MAST-G assessments. BJPsych bulletin, 40 (2). pp. 72-6. ISSN 2056-4694. This article is available to all HEFT staff and students via http://tinyurl.com/z795c8c by using their HEFT Athens login IDs

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Official URL: http://pb.rcpsych.org/content/pbrcpsych/40/2/72.fu...

Abstract

Aims and method Documented prevalence of alcohol misuse among older adult patients at Birmingham Heartlands Hospital is significantly lower than the national prevalence. We aimed to evaluate our alcohol misuse screening protocol for older adults to identify possible shortcomings. Hospital protocol is to screen all adults for alcohol misuse in the accident and emergency (A&E) department using the Fast Alcohol Screening Test (FAST). One hundred consecutive consenting in-patients aged 65-94 admitted via A&E subsequently undertook an additional alcohol screening test (Michigan Alcoholism Screening Test-Geriatric version; MAST-G). Results of the two tests were compared. Results FAST screening was completed for 71 patients and none were FAST-positive for alcohol misuse, yet using MAST-G, 18 patients scored positively for alcohol misuse. FAST screening failed to identify 8 patients with a documented history of alcohol misuse. Clinical implications Older adult alcohol misuse prevalence is significantly underreported using FAST. Screening older adults for alcohol problems requires a different approach to screening the general population.

Item Type: Article
Additional Information: This article is available to all HEFT staff and students via http://tinyurl.com/z795c8c by using their HEFT Athens login IDs
Subjects: WM Psychiatry. Mental health
WT Geriatrics. Elderly care
Divisions: Emergency Services > Elderly
Related URLs:
Depositing User: Mrs Caroline Tranter
Date Deposited: 09 Feb 2017 14:44
Last Modified: 10 Feb 2017 09:44
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1176

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