Evidence map›Paper›PMID 28056919›Full record

ArticleBMC public health2017

Computerized alcohol screening identified more at-risk drinkers in a level 2 than a level 1 trauma center.

Ghasem Imani, Cristobal Barrios, Craig L Anderson, Maryam Hosseini Farahabadi, Faried Banimahd, Bharath Chakravarthy, Wirachin Hoonpongsimanont, Christopher E McCoy, Georginne Mercado, Babak Farivar and 2 more

Open access · goldAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Ghasem ImaniDepartment of Emergency Medicine, University of California Irvine, Orange, CA, USA.
Cristobal BarriosThe Division of Trauma, Burns, Critical Care and Acute Care Surgery, University of California Irvine, Orange, CA, USA.
Craig L AndersonDepartment of Emergency Medicine, University of California Irvine, Orange, CA, USA.
Maryam Hosseini FarahabadiDepartment of Emergency Medicine, University of California Irvine, Orange, CA, USA.
Faried BanimahdDepartment of Emergency Medicine, University of California Irvine, Orange, CA, USA.
Bharath ChakravarthyDepartment of Emergency Medicine, University of California Irvine, Orange, CA, USA.
Wirachin HoonpongsimanontDepartment of Emergency Medicine, University of California Irvine, Orange, CA, USA.
Christopher E McCoyDepartment of Emergency Medicine, University of California Irvine, Orange, CA, USA.
Georginne MercadoTrauma Services at St. Joseph Health, Mission Viejo, CA, USA.
Babak FarivarDepartment of Emergency Medicine, University of California Irvine, Orange, CA, USA.
Jacqueline K PhamThe Division of Trauma, Burns, Critical Care and Acute Care Surgery, University of California Irvine, Orange, CA, USA.
Shahram LotfipourDepartment of Emergency Medicine, University of California Irvine, Orange, CA, USA. shl@uci.edu.
University of California, Irvine · USSt. Joseph Health System · US

Funding

Institutional Career Development CoreKL2TR001416 · NCATS · UNIVERSITY OF CALIFORNIA-IRVINE · PI CAIOZZO, VINCENT JAMES, DEMETRIOU, MICHAEL · 2015 to 2023
$5.6M
NCATS NIH HHS KL2 TR001416
6 · The paper itself

Abstract

backgroundAlcohol abuse is recognized as a significant contributor to injury. It is therefore essential that trauma centers implement screening and brief intervention (SBI) to identify patients who are problem drinkers. Although, the utility of SBI in identifying at-risk drinkers have been widely studied in level 1 trauma centers, few studies have been done in level 2 centers. This study evaluates the usefulness of SBI in identifying at-risk drinkers and to investigate the pattern of alcohol drinking among level 2 trauma patients.

methodsThis is a retrospective study of a convenience sample of trauma patients participating in computerized alcohol screening, brief intervention, and referral to treatment (CASI) in an academic level 1 trauma center and a nearby suburban community hospital level 2 trauma center. CASI utilized Alcohol Use Disorders Identification Test (AUDIT) to screen patients. We compared the pattern of alcohol drinking, demographic factors, and readiness-to-change scores between those screened in a level 2 and 1 trauma center.

resultsA total of 3,850 and 1,933 admitted trauma patients were screened in level 1 and 2 trauma centers respectively. There was no difference in mean age, gender, and language between the two centers. Of those screened, 10.2% of the level 1 and 14.4% of the level 2 trauma patients scored at-risk (AUDIT 8-19) (p < 0.005). Overall, 3.7% of the level 1 and 7.2% of the level 2 trauma patients had an AUDIT score consistent with dependency (AUDIT > =20) (p < 0.005). After adjusting for age, sex, education, and language, the odds of being a drinker at the level 2 center was two times of those at the level 1 center (p < 0.005). The odds of being an at-risk or dependent drinker at level 2 trauma center were 1.72 times of those at the level 1 center (p < 0.005).

conclusionsFindings suggest that SBI is effective in identifying at-risk drinkers in level 2 trauma center. SBI was able to identify all drinkers, including at-risk and dependent drinkers at higher rates in level 2 versus level 1 trauma centers. Further studies to evaluate the effectiveness of SBI in altering drinking patterns among level 2 trauma patients are warranted.

Indexed as

AdolescentAdultAgedAlcoholismDiagnosis, Computer-AssistedFemaleHumansMaleMiddle AgedReferral and ConsultationRetrospective StudiesRisk AssessmentTrauma CentersYoung AdultAt-risk drinkingComputerized alcohol screeningLevel 1 trauma centerLevel 2 trauma center

Identifiers

PMID28056919
PMCPMC5216525
OpenAlexW2569153527

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.