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SMAST-G高齢者アルコールスクリーニング

用途適応： geriatric primary care, ED, or pre-op alcohol risk screening.

層別Positive screen warrants fuller AUD assessment — not a diagnosis by itself.

限界非適応： as the sole severity measure of dependence. · 落とし穴： skipping quantity questions after a positive screen. · Medications and falls risk amplify alcohol harm in elders.

出典Blow FC, et al. SMAST-G geriatric alcohol screening

⚠️ ブラウザ内ローカル計算（PHI 非送信）。医師向け参考であり、臨床判断の代替ではありません。
端末内の記録。再訪リマインダー用

当直の次の一手

スコア後：シーン連算・隣接スコア・対応パスへ。ローカル参照のみ、HIS書き込みなし。

方法論 · 代入例・ガイドライン要点・詳細

適用場面

適応： geriatric primary care, ED, or pre-op alcohol risk screening.

入力項目

  • When talking with others, do you ever underestimate how much you drink? · 選択
  • After a few drinks, have you sometimes not eaten or been able to skip a meal? · 選択
  • Does having a drink help you sleep? · 選択
  • In the last year, have you had a drink first thing in the morning to get going? · 選択
  • Have you ever had memory loss after drinking? · 選択
  • Have you used alcohol to quiet nerves or ease loneliness? · 選択
  • Have drinking caused you to feel depressed? · 選択
  • Have you made rules to manage your drinking? · 選択
  • When you feel lonely, does having a drink help? · 選択
  • Have you had a drink after getting up and before breakfast? · 選択

計算方法と公式

Ten yes/no items; score = number of yes answers. ≥2 = positive screen.

Self- or clinician-administered; follow positives with quantity/frequency and brief intervention.

計算例（数値代入）

以下の数値は本ツールの入力欄に定義された例示値であり、本ページの数式でサーバー側で実際に計算したものです。計算過程を素早く確認できます。代入方法の例示のみで、臨床上の助言ではなく、実在する症例でもありません。

When talking with others, do you ever underestimate how much you drink?No
After a few drinks, have you sometimes not eaten or been able to skip a meal?No
Does having a drink help you sleep?No
In the last year, have you had a drink first thing in the morning to get going?No
Have you ever had memory loss after drinking?No
Have you used alcohol to quiet nerves or ease loneliness?No
Have drinking caused you to feel depressed?No
Have you made rules to manage your drinking?No
When you feel lonely, does having a drink help?No
Have you had a drink after getting up and before breakfast?No

→SMAST-G0/10

  • Screen：Negative (<2)
When talking with others, do you ever underestimate how much you drink?Yes
After a few drinks, have you sometimes not eaten or been able to skip a meal?Yes
Does having a drink help you sleep?Yes
In the last year, have you had a drink first thing in the morning to get going?Yes
Have you ever had memory loss after drinking?Yes
Have you used alcohol to quiet nerves or ease loneliness?Yes
Have drinking caused you to feel depressed?Yes
Have you made rules to manage your drinking?Yes
When you feel lonely, does having a drink help?Yes
Have you had a drink after getting up and before breakfast?Yes

→SMAST-G10/10

  • Screen：Positive (≥2) — needs fuller alcohol assessment

結果の判読と層別

Positive screen warrants fuller AUD assessment — not a diagnosis by itself.

ガイドライン要点（独自整理）

  • Cutoff ≥2.
  • Geriatric-specific wording.
  • 次： AUDIT-C / SBIRT pathways.

以上は該当ガイドラインの要点を本サイトが独自に整理したものであり、原文の引用ではありません。

注意点と限界

  • 非適応： as the sole severity measure of dependence.
  • 落とし穴： skipping quantity questions after a positive screen.
  • Medications and falls risk amplify alcohol harm in elders.
照合と出典 · 検証可能なガバナンス

参考ガイドラインと出典

  • Blow FC, et al. SMAST-G geriatric alcohol screening
  • China elderly health / substance use guidance on zh when cited

ガイドライン全文の著作権は各学会・出版社に帰属します。 · データセット整理日 2026-10-08

よくある質問

よくある質問

SMAST-G高齢者アルコールスクリーニングは患者データをアップロードしますか？どこで計算しますか？
計算はブラウザ内でローカルに行われ、入力と結果はサーバーに送信されません。免許を有する医師向けであり、病歴・検査・施設プロトコルと合わせて解釈すること。診断や処方の代替ではありません。
SMAST-G高齢者アルコールスクリーニングは実際にどう計算しますか？計算例を示せますか？
代入値: When talking with others, do you ever underestimate how much you drink? No、After a few drinks, have you sometimes not eaten or been able to skip a meal? No、Does having a drink help you sleep? No、In the last year, have you had a drink first thing in the morning to get going? No、Have you ever had memory loss after drinking? No、Have you used alcohol to quiet nerves or ease loneliness? No、Have drinking caused you to feel depressed? No、Have you made rules to manage your drinking? No… → 結果: SMAST-G 0 /10（Screen: Negative (<2)） 代入値: When talking with others, do you ever underestimate how much you drink? Yes、After a few drinks, have you sometimes not eaten or been able to skip a meal? Yes、Does having a drink help you sleep? Yes、In the last year, have you had a drink first thing in the morning to get going? Yes、Have you ever had memory loss after drinking? Yes、Have you used alcohol to quiet nerves or ease loneliness? Yes、Have drinking caused you to feel depressed? Yes、Have you made rules to manage your drinking? Yes… → 結果: SMAST-G 10 /10（Screen: Positive (≥2) — needs fuller alcohol assessment）
照合手順

照合と根拠

本ツールの数式と計算方法は本ページに明示しており、公開のうえ逐一照合できます。数式・係数・閾値は上記の権威ある情報源に基づき照合しています。 臨床ツール一覧 →

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