CONTEXT: A blood @entity285 level above 0 g/dL is found in up to 50% of @entity1 presenting with @entity130 . The presence of @entity285 in the blood not only increases the risk of @entity130 , but it is also associated with worse outcomes and @entity130 recidivism. In light of these risks, the American College of Surgeons Committee on @entity130 advocates screening for at-risk drinking. Although many institutions use blood @entity285 levels to determine at-risk drinking in @entity130 @entity1 , the @entity285 Use Disorders Identification Test (AUDIT) offers a cheap and easy alternative. Few direct comparisons have been made between these 2 tests in @entity130 @entity1 . OBJECTIVE: To compare the utility of blood @entity285 level and AUDIT score as indicators of at-risk drinking in @entity130 @entity1 . METHODS: Records for all @entity130 @entity1 aged 18 years or older who were admitted to a level I @entity130 center from May 2013 through June 2014 were reviewed in this retrospective cohort study. Inclusion criteria required @entity1 to have undergone both blood @entity285 level testing and AUDIT on admission. A blood @entity285 level greater than 0 g/dL and an AUDIT score equal to or above 8 were considered positive for at-risk drinking. Performance of both tests was indexed against the National Institute of @entity285 Abuse and Alcoholism (NIAAA) criteria for at-risk drinking. RESULTS: Of 750 @entity1 admitted for @entity130 , 222 records (30%) contained data on both blood @entity285 level and AUDIT score. The @entity1 were predominantly male (178 [80%]) and had a mean (SD) age of 40.1 (16.7) years. Most @entity1 (178 [80%]) had sustained blunt @entity130 . Ninety-seven @entity1 (44%) had a positive blood @entity285 level, 70 (35%) had a positive AUDIT score, and 54 (24%) met NIAAA criteria for at-risk drinking. The sensitivity and specificity of having a positive blood @entity285 level identify at-risk drinking were 61% and 62%, respectively. The sensitivity and specificity of having a positive AUDIT score identify at-risk drinking were 83% and 81%, respectively. CONCLUSION: As a stand-alone indicator of at-risk drinking behavior in @entity130 @entity1 , the AUDIT score was shown to be superior to blood @entity285 level. The utility of obtaining routine blood @entity285 levels in @entity130 @entity1 as a screening tool for at-risk drinking should be reexamined.

Screening for at-risk drinking behavior in @entity130 XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity285 :: ('D000431', 'Chemical') :: ['alcohol', 'Alcohol'] @entity130 :: ('MESH:D014947', 'Disease') :: ['traumatic injuries', 'traumatic injury', 'Trauma', 'trauma']
@entity1 :: (9606,Species) :: ['patients']
