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Alcohol and Alcoholism Advance Access published online on March 27, 2009
Alcohol and Alcoholism, doi:10.1093/alcalc/agp016
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© The Author 2009. Published by Oxford University Press on behalf of the Medical Council on Alcohol. All rights reserved.
The online version of this article has been published under an open access model. Users are entitle to use, reproduce, disseminate, or display the open access version of this article for non-commercial purposes provided that: the original authorship is properly and fully attributed; the Journal and the Medical Council on Alcohol are attributed as the original place of publication with the correct citation details given; if an article is subsequently reproduced or disseminated not in its entirety but only in part or as a derivative work this must be clearly indicated. For commercial re-use, please contact journals.permissions@oxfordjournals.org

PAT (2009)—Revisions to the Paddington Alcohol Test for Early Identification of Alcohol Misuse and Brief Advice to Reduce Emergency Department Re-attendance

Robin Touquet1,* and Adrian Brown2

1 Accident & Emergency Department, Imperial College Healthcare Trust, St Mary's Hospital Campus, Praed Street, Paddington, London W2 1NY, UK;
2 Central and North West London Foundation Trust, London, UK

* Corresponding author: Accident & Emergency Department, Imperial College Healthcare Trust, St Mary's Hospital Campus, Praed Street, Paddington, London W2 1NY, UK. Fax: +207-886-6366; E-mail: robin.touquet{at}imperial.nhs.uk

Received 11 February 2009; ; accepted 3 March 2009


  Abstract

The Paddington Alcohol Test (PAT) has evolved over 15 years as a clinical tool to facilitate emergency physicians and nurses giving brief advice and the offer of an appointment for brief intervention by an alcohol nurse specialist. Previous work has shown that unscheduled emergency department re-attendance is reduced by ‘making the connection’ between alcohol misuse and resultant problems necessitating emergency care. The revised ‘PAT (2009)’ now includes education on clinical signs of alcohol misuse and advice on when to request a blood alcohol concentration.


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