Paddington alcohol test
The Paddington alcohol test (PAT) was first published in the Journal of Accident and Emergency Medicine in 1996. It was designed to identify alcohol-related problems amongst those attending accident and emergency departments. It concords well with the Alcohol Use Disorders Identification Test (AUDIT) questionnaire but is administered in a fifth of the time.
When 40–70% of the patients in an accident and emergency department (AED) are there because of alcohol-related issues, it is useful for the staff of the AED to determine which of them are hazardous drinkers so that they can treat the underlying cause and offer brief advice which may reduce the health impact of alcohol for that patient. In accident and emergency departments it is also important to triage incoming patients as quickly as possible, to reduce staff size and cost. In one study, it took an average of 73 seconds to administer the AUDIT questionnaire but only 20 seconds for the PAT.
The working version of the PAT is reviewed at St Mary's Hospital based on feedback from frontline doctors in the emergency department (A&E) (see below). There is also a modified version in use for an English multi-site programme research (Screening and Intervention Programme for Sensible Drinking, SIPS).
The latest version of the PAT is available on the UK Department of Health website, the Alcohol Learning Centre.(also with annotated version)
- Alcohol Use Disorders Identification Test (AUDIT)
- CRAFFT Screening Test
- Smith, SG; R Touquet; S Wright; N Das Gupta (Sep 1996). "Detection of alcohol misusing patients in accident and emergency departments: the Paddington alcohol test (PAT)" (abstract page). Journal of Accident and Emergency Medicine (British Association for Accident and Emergency Medicine) 13 (5): 308–312. doi:10.1136/emj.13.5.308. PMC 1342761. PMID 8894853. Retrieved 2006-11-19.
- Patton, Robert; Catriona Hilton; Michael J. Crawford; Robin Touquet (2004). "The Paddington Alcohol Test: A Short Report". Alcohol & Alcoholism (Medical Council on Alcohol) 39 (3): 266–268. doi:10.1093/alcalc/agh049. ISSN 1464-3502. PMID 15082467. Retrieved 2006-11-19.
- Patton R, Crawford M & Touquet R, 2005, "Hazardous drinkers in the AED – Who attends an appointment with an alcohol health worker?" Emergency Medicine Journal, 22:722–723
- Crawford M, Patton R & Touquet R et al., 2004, "Referral for brief intervention of patients misusing alcohol in an accident and emergency department: a pragmatic randomised controlled trial", The Lancet, 364:1334–1339
- Patton R, Crawford M & Touquet R, 2004, "Hazardous drinkers in the AED – Who accepts advice?", Emergency Medicine Journal, 21:491–492
- PAT revisions 2009
- Related papers at the Dept of Health "Alcohol Learning Centre" site (originally produced by Alcohol Concern for their HubCAPP site)
- Paddington Alcohol Test, November 2000
- Alcohol health work conference (March 2007) with links to presentations by Touquet & Patton, and PAT updates
- The National Addiction Centre
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