Abstract：
BACKGROUND: Cognitive impairments are common in patients with AUD and worsen the prognosis of addiction management. There are no clear guidelines for screening cognitive impairments in hospitalized patients with AUD.
METHODS: Fifty-seven patients with an AUD history who were admitted to an acute hospital and assessed by the addiction care team were included. Those patients were screened for cognitive impairments using the Montreal Cognitive Assessment (MoCA) test. We collected clinical information regarding addiction history, comorbidities, and current treatments. Chi-square tests, t-tests, and Mann-Whitney tests were performed to determine factors associated with a pathological MoCA score (<26).
RESULTS: A pathological MoCA score was positively associated with spatial-temporal disorientation, difficulty in recalling addiction history, patient underreporting of AUD and a date of last alcohol consumption lower than 11 days ago, and negatively associated with a reason for hospitalization due to alcohol-related health issues. No medication was associated with cognitive impairments.
CONCLUSIONS: Clinical elements from assessment by the addiction care team allow for relevant indication for screening cognitive impairments.
METHODS: Fifty-seven patients with an AUD history who were admitted to an acute hospital and assessed by the addiction care team were included. Those patients were screened for cognitive impairments using the Montreal Cognitive Assessment (MoCA) test. We collected clinical information regarding addiction history, comorbidities, and current treatments. Chi-square tests, t-tests, and Mann-Whitney tests were performed to determine factors associated with a pathological MoCA score (<26).
RESULTS: A pathological MoCA score was positively associated with spatial-temporal disorientation, difficulty in recalling addiction history, patient underreporting of AUD and a date of last alcohol consumption lower than 11 days ago, and negatively associated with a reason for hospitalization due to alcohol-related health issues. No medication was associated with cognitive impairments.
CONCLUSIONS: Clinical elements from assessment by the addiction care team allow for relevant indication for screening cognitive impairments.
摘要：
背景：认知障碍在AUD患者中很常见，并使成瘾管理的预后恶化。没有明确的指南来筛查AUD住院患者的认知障碍。
方法：纳入57例有AUD病史的患者，这些患者被送进了急性医院，并由成瘾护理小组进行了评估。使用蒙特利尔认知评估（MoCA）测试对这些患者进行认知障碍筛查。我们收集了有关成瘾史的临床信息，合并症,和目前的治疗方法。卡方检验,t检验,进行Mann-Whitney测试以确定与病理性MoCA评分(<26)相关的因素。
结果：病理性MoCA评分与时空定向障碍呈正相关，很难回忆起成瘾史，患者漏报AUD和上次饮酒日期低于11天前，与酒精相关的健康问题导致住院的原因呈负相关。没有药物治疗与认知障碍相关。
结论：成瘾护理小组评估的临床要素允许筛查认知障碍的相关指征。
方法：纳入57例有AUD病史的患者，这些患者被送进了急性医院，并由成瘾护理小组进行了评估。使用蒙特利尔认知评估（MoCA）测试对这些患者进行认知障碍筛查。我们收集了有关成瘾史的临床信息，合并症,和目前的治疗方法。卡方检验,t检验,进行Mann-Whitney测试以确定与病理性MoCA评分(<26)相关的因素。
结果：病理性MoCA评分与时空定向障碍呈正相关，很难回忆起成瘾史，患者漏报AUD和上次饮酒日期低于11天前，与酒精相关的健康问题导致住院的原因呈负相关。没有药物治疗与认知障碍相关。
结论：成瘾护理小组评估的临床要素允许筛查认知障碍的相关指征。
