INTRODUCTION: In small studies, Screening, Brief Intervention and Referral to Treatment (SBIRT) in Emergency Departments (EDs) is effective in reducing hazardous @entity285 use. OBJECTIVE: To examine the effectiveness of SBIRT at an inner-city @entity2613 in routine clinical practice. METHODS: Of the 41   900 consecutive @entity2613 @entity1 aged 18 years and older, 22   537 (53.8%) were screened using the @entity285 Use Disorders Identification Test (AUDIT-C). @entity1 with positive AUDIT-C scores ( @entity1 >= 5 and @entity1 >= 4) received educational leaflets. Brief interventions were performed by @entity2613 personnel trained in motivational interviewing. At 3 months, @entity1 were contacted by telephone and recent drinking pattern was assessed. RESULTS: Out of 22   537 @entity1 , 2209 (9.8%) had an elevated AUDIT-C score. Male sex, @entity285 -related reason for @entity2613 visit, @entity285 or other intoxication at @entity2613 visit, @entity542 , stomach or intestinal @entity548 and wounds were significant predictors of hazardous @entity285 use in both univariate and multivariate analysis (all P<0.001). Out of 2209 @entity1 , 894 (40.5%) AUDIT-C-positive @entity1 received an intervention: of these 894 @entity1 , 70% received educational material and 30% received motivational intervention and educational material. In the subset of @entity1 available for follow-up, 34.9% either reduced or stopped @entity285 use. CONCLUSION: Our study shows that in a large inner-city @entity2613 , SBIRT can be implemented in daily care. Screening uncovered large numbers of @entity1 with hazardous @entity285 use and identified several risk factors. Moreover, screening and intervention appeared to be effective in reducing @entity285 intake.

Evaluation of screening and brief intervention for hazardous XXXX use integrated into clinical practice in an inner-city Emergency Department.

@entity1 :: ('9606', 'Species') :: ['women', 'Patients', 'patients', 'men'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity542 :: ('MESH:D006259', 'Disease') :: ['head injury'] @entity2613 :: ('MESH:C536181', 'Disease') :: ['ED'] @entity285 :: ('D000431', 'Chemical') :: ['alcohol', 'Alcohol']
@entity285 :: (D000431,Chemical) :: ['alcohol']
