Evidence map›Paper›PMID 30727811›Full record

ArticleSubstance use & misuse2019

Screening for Adolescent Alcohol Use in the Emergency Department: What Does It Tell Us About Cannabis, Tobacco, and Other Drug Use?

Anthony Spirito, Julie R Bromberg, T Charles Casper, Thomas Chun, Michael J Mello, Colette C Mull, Rohit P Shenoi, Cheryl Vance, Fahd Ahmad, Lalit Bajaj and 14 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Substance use & misuse, 2019. 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
1.5field-weighted citation impact, top 15% 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, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. Brief Underage Alcohol Use Screener Scores Predict Health Risk Behaviors.The Journal of school nursing : the official publication of the National Association of School Nurses · 2021
    Article
  4. Article
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

24 authors at 19 institutions in 1 country.

Anthony Spiritoa The Warren Alpert Medical School of Brown University, Departments of Psychiatry and Human Behavior, Pediatrics, Emergency Medicine, Providence, Rhode Island, USA.
Julie R Bromberga The Warren Alpert Medical School of Brown University, Departments of Psychiatry and Human Behavior, Pediatrics, Emergency Medicine, Providence, Rhode Island, USA.
T Charles Casperc University of Utah, Department of Pediatrics, Salt Lake City, Utah, USA.
Thomas Chuna The Warren Alpert Medical School of Brown University, Departments of Psychiatry and Human Behavior, Pediatrics, Emergency Medicine, Providence, Rhode Island, USA.
Michael J Melloa The Warren Alpert Medical School of Brown University, Departments of Psychiatry and Human Behavior, Pediatrics, Emergency Medicine, Providence, Rhode Island, USA.
Colette C Mulld Nemours/Alfred I. duPont Hospital for Children, Department of Pediatrics, Wilmington, Delaware, USA.
Rohit P Shenoie Baylor College of Medicine/Texas Children's Hospital, Departments of Emergency Medicine and Pediatrics, Houston, Texas, USA.
Cheryl Vancef University of California , Davis, Department of Pediatrics, Davis , California, USA.
Fahd Ahmadg St. Louis Children's Hospital/Washington University, Department of Emergency Medicine, St. Louis, Washington, USA.
Lalit Bajajh Children's Hospital - Colorado, Departments of Pediatric Emergency Medicine and Pediatrics, Aurora, Colorado, USA.
Kathleen M Browni Children's National Medical Center, Department of Emergency Medicine and Trauma Services, Washington, DC, USA.
Lauren S Chernickj Columbia University Medical Center, Department of Pediatric Emergency Medicine, New York, New York, USA.
Daniel M Cohenk Nationwide Children's Hospital, Departments of Pediatrics and Emergency Medicine, Columbus, Ohio, USA.
Joel Feinl The Children's Hospital of Philadelphia, Departments of Pediatrics and Emergency Medicine, Philadelphia, Pennsylvania, USA.
Timothy Horeczkom Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Department of Emergency and Pediatric Emergency Medicine, Los Angeles, California, USA.
Michael N Levasn Medical College of Wisconsin, Department of Pediatric Emergency Medicine, Milwaukee, Wisconsin, USA.
B McAnincho University of Pittsburgh/Children's Hospital of Pittsburgh of UPMC, Division of Pediatric Emergency Medicine, Pittsburgh, Pennsylvania, USA.
Michael C Monuteauxp Boston Children's Hospital, Department of Pediatrics, Boston, Massachusetts, USA.
Jackie Grupp-Phelanq University of California , San Francisco, Department of Pediatric Emergency Medicine, San Francisco , California, USA.
Elizabeth C Powellr Lurie Children's Hospital of Chicago, Department of Pediatric Emergency Medicine, Chicago, Illinois, USA.
Alexander Rogerss University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan, USA.
Brian Suffolettoo University of Pittsburgh/Children's Hospital of Pittsburgh of UPMC, Division of Pediatric Emergency Medicine, Pittsburgh, Pennsylvania, USA.
James G Linakisa The Warren Alpert Medical School of Brown University, Departments of Psychiatry and Human Behavior, Pediatrics, Emergency Medicine, Providence, Rhode Island, USA.
Pediatric Emergency Care Research Network (PECARN)
Brown University · USUniversity of Pittsburgh · USAlfred I. duPont Hospital for Children · USBoston Children's Hospital · USChildren's Hospital Colorado · USChildren's Hospital of Philadelphia · USChildren's National · USColumbia University Irving Medical Center · USLurie Children's Hospital · USMedical College of Wisconsin · USNationwide Children's Hospital · USRhode Island Hospital · USSt. Louis Children's Hospital · USTexas Children's Hospital · USUCLA Medical Center · USUniversity of California, Davis · USUniversity of California, San Francisco · USUniversity of Michigan–Ann Arbor · USUniversity of Utah · US

Funding

Teen Alcohol Screening in the Pediatric Emergency Care Applied Research NetworkR01AA021900 · NIAAA · RHODE ISLAND HOSPITAL · PI LINAKIS, JAMES G, SPIRITO, ANTHONY · 2012 to 2016
$3.3M
NIAAA NIH HHS R01 AA021900
6 · The paper itself

Abstract

backgroundThe pediatric emergency department (PED) represents an opportune time for alcohol and drug screening. The National Institute of Alcohol Abuse and Alcoholism (NIAAA) recommends a two-question alcohol screen for adolescents as a predictor of alcohol and drug misuse.

objectiveA multi-site PED study was conducted to determine the association between the NIAAA two-question alcohol screen and adolescent cannabis use disorders (CUD), cigarette smoking, and lifetime use of other drugs.

methodsParticipants included 12-17-year olds (n = 4834) treated in one of 16 participating PEDs. An assessment battery, including the NIAAA two-question screen and other measures of alcohol, tobacco and drug use, was self-administered on a tablet computer.

resultsA diagnosis of CUD, lifetime tobacco use or lifetime drug use was predicted by any self-reported alcohol use in the past year, which indicates a classification of moderate risk for middle school ages and low risk for high school ages on the NIAAA two-question screen. Drinking was most strongly predictive of a CUD, somewhat weaker for lifetime tobacco use, and weakest for lifetime drug use. This same pattern held for high school and middle school students and was stronger for high school students over middle school students for all three categories. This association was also found across gender, ethnicity and race. The association was strongest for CUD for high school students, sensitivity 81.7% (95% CI, 77.0, 86.5) and specificity 70.4% (95% CI, 68.6, 72.1). Conclusions/Importance: A single question about past year alcohol use can provide valuable information about other substance use, particularly marijuana.

Indexed as

Emergency Service, HospitalAdolescentAlcohol DrinkingChildFemaleHumansMaleMarijuana SmokingMass ScreeningSensitivity and SpecificityStudentsSubstance-Related DisordersSurveys and QuestionnairesUnderage DrinkingUnited StatesadolescentAlcohol screeningmarijuanaother drugspediatric emergency departmenttobacco

Identifiers

PMID30727811
PMCPMC6476662
OpenAlexW2913758450

What OpenQuestion holds

Textmetadata
LicenceTDM
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.