title: Alcohol Use at the Time of Traumatic Brain Injury: Screening and Brief Intervention in a Community Hospital.
abstract: The use of screening and brief interventions (SBI) has been proposed to reduce future alcohol misuse and injury in traumatic brain injury (TBI) patients. As a result a SBI protocol for TBI patients was introduced with nursing training at a community hospital. In the 2 years following the implementation of a SBI protocol and nursing training, the number of patients with positive alcohol results decreased. The number of brief interventions increased to 83 (40.1%, 95% confidence limit [CL] = 33.4, 46.8), and CAGE questionnaire screenings decreased to 88 (42.5%, 95% CL = 35.8, 49.2), with 31 (35.2%) having positive results. These results highlight the need to assess processes and training in the emergency department to ensure that SBIs occur.
authors.affiliation: Essentia Institute of Rural Health, Duluth, Minnesota (Mss Eyer, Renier, and Woehrle and Drs Conway and McCarty); and Essentia Health St. Mary's Medical Center, Duluth, Minnesota (Ms Vogel).
authors.forename: Madeline M
authors.initials: MM
authors.lastname: Eyer
authors.forename: Colleen M
authors.initials: CM
authors.lastname: Renier
authors.forename: Theo A
authors.initials: TA
authors.lastname: Woehrle
authors.forename: Linda E
authors.initials: LE
authors.lastname: Vogel
authors.forename: Pat G
authors.initials: PG
authors.lastname: Conway
authors.forename: Catherine A
authors.initials: CA
authors.lastname: McCarty
mesh_terms: D000328:Adult; D000367:Age Factors; D000428:Alcohol Drinking / Q000009:adverse effects*; D000067401:Blood Alcohol Content; D000070642:Brain Injuries, Traumatic / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D016001:Confidence Intervals; D016208:Databases, Factual; D061345:Early Medical Intervention / Q000458:organization & administration*; D005260:Female; D015600:Glasgow Coma Scale; D006764:Hospitals, Community; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies; D018570:Risk Assessment; D012737:Sex Factors; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000067401:Blood Alcohol Content