Background and aim: The evaluation of alcohol consumption is estimate by the evaluation of frequency and the concentration of alcohol ingest. Until now has been accepted the use of several methods to determine the prejudicial and risk consumption. Also, it is possible to evaluate the control and abuse of the ingestion. Nevertheless, the broad spectrum of classification sometimes causes controversy to classify the alcohol consumption in the clinical. Aim: To design a guide to classify the pattern of alcohol consumption using social, clinical and biochemical information from a Mexican population.
Material and methods: Observational study. The subjects were classified according to alcohol consumption, using AUDIT test (Alcohol Use Disorders Identification Test), and the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). The pattern of consumption was determined via the amount of alcohol in grams of alcohol per day and its equivalent in cups, frequency, as well as type of alcohol. Finally, the evaluation of liver damage considers the clinical and biochemical data referred in consultation. Protocol approved by the General Hospital of Mexico (HG/DI/16/107/03/082) and UNAM (FMD/DI /15/2019).
Results: Table. Classification of according to the pattern of alcohol consumption.
Conclusions: The pattern of alcohol consumption guide is a quick tool for the identification of prejudicial ingest of alcohol without evidence of any disease, this provides a first line to the proper diagnosis and management of patients with alcohol consumption and their future prognosis and treatment of liver alcohol diseases, which is prevalent in our country.
Conflict of interests: This work has been partially funded by CONACYT: SALUD-2016-272579 and none of the authors has a conflict of interest.
| ALCOHOL LIVER DISEASE | |||||
|---|---|---|---|---|---|
| CONTROL | RISK | ABUSE | ALCOHOLISM | CIRRHOSIS BY ALCOHOL | |
| AUDIT | <8 | >8 | >8 | >8 | >8 |
| DSM-IV | Without abuse and dependence criteria | Without abuse and dependence criteria | With abuse criteria but not alcohol dependence (1 positive answer) | With criteria of alcohol dependence (3 or more positive answers) | With criteria of alcohol dependence (3 or more positive answers) |
| FRECUENCY | Occasionally | Consuetudinary Weekend | Consuetudinary Weekend 1 to 4 times per week | Daily, almost daily or Consuetudinary | Daily or almost daily |
| AMOUNT | 1 cup <10 g | 2-4♂ y 1-3♀ cups 40-60g y 20-40g | ≥4-5♂ y ≥3-4♀ Cups +60g y +40g | ≥5♂ y ≥4 ♀ cups per 5 years +70g y +50g | ≥5♂ y ≥4 ♀ cups per 5 years +70g y +50g |
| MAIN TYPE OF ALCOHOL | Ferment | Ferment, and distilled | Ferment, and distilled | Ferment, distilled, 96° alcohol | |
| LIVER DAMAGE | Without evidence of clinical and biochemical liver damage | Without evidence of clinical and biochemical liver damage | Without evidence of clinical and biochemical liver damage | Without evidence of clinical and biochemical of liver damage | Clinical evidence: (Anorexia, weight loss, asthenia, adynamia, hepatojugular reflux) and positive for biochemical changes typical of liver cirrhosis |
