SMAST-G 老年酒精筛查是什么？

用 10 项 SMAST-G（≥2 阳性）筛查老年人酒精相关问题。

SMAST-G 老年酒精筛查有哪些临床要点？

Cutoff ≥2. Geriatric-specific wording. 下一步： AUDIT-C / SBIRT pathways.

SMAST-G 老年酒精筛查的计算是否上传患者数据？在哪里计算？

计算在浏览器本地完成，输入与结果不上传服务器；结果仅供执业医师参考，须结合病史、检查与本机构方案判断，不构成诊断或处方依据。

SMAST-G 老年酒精筛查怎么代入计算？能举个例子吗？

代入: When talking with others, do you ever underestimate how much you drink? 否、After a few drinks, have you sometimes not eaten or been able to skip a meal? 否、Does having a drink help you sleep? 否、In the last year, have you had a drink first thing in the morning to get going? 否、Have you ever had memory loss after drinking? 否、Have you used alcohol to quiet nerves or ease loneliness? 否、Have drinking caused you to feel depressed? 否、Have you made rules to manage your drinking? 否… → 结果: SMAST-G 0 /10（Screen: Negative (<2)）代入: When talking with others, do you ever underestimate how much you drink? 是、After a few drinks, have you sometimes not eaten or been able to skip a meal? 是、Does having a drink help you sleep? 是、In the last year, have you had a drink first thing in the morning to get going? 是、Have you ever had memory loss after drinking? 是、Have you used alcohol to quiet nerves or ease loneliness? 是、Have drinking caused you to feel depressed? 是、Have you made rules to manage your drinking? 是… → 结果: SMAST-G 10 /10（Screen: Positive (≥2) — needs fuller alcohol assessment）

临床床旁工具 · 供执业医师参考 · 老年

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SMAST-G 老年酒精筛查

用途适用： geriatric primary care, ED, or pre-op alcohol risk screening.

加载计算器…

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

局限不适用： as the sole severity measure of dependence. · 易错点： skipping quantity questions after a positive screen. · Medications and falls risk amplify alcohol harm in elders.

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

⚠️ 本地计算、不上传 PHI；结果仅供执业医师参考，不替代临床判断。

本机记录，用于回访提醒

本班次下一步

评完分数后：进场景连算、看相邻评分、打开对应路径。本地参考，不写入 HIS。

方法学 · 公式代入、指南要点与完整说明

适用场景

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

需要填写的项目

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

计算方法与公式

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

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

公式代入演示

下列数值取自本工具各输入项的示例值，用本页公式在服务端实际算出，供快速核对计算过程。仅演示代入方法，不构成临床建议，也不代表任何真实病例。

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

→SMAST-G0/10

Screen：Negative (<2)

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

→SMAST-G10/10

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

结果判读与分层

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

指南要点（原创整理）

Cutoff ≥2.
Geriatric-specific wording.
下一步： AUDIT-C / SBIRT pathways.

以上为依据相应指南的关键推荐、由本站用自己的语言归纳整理（非指南原文）；完整内容请见下方官方来源。

注意事项与局限

不适用： as the sole severity measure of dependence.
易错点： skipping quantity questions after a positive screen.
Medications and falls risk amplify alcohol harm in elders.

核对与出处 · 可验证治理

参考指南与出处

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

指南全文版权归相应学会/期刊所有；本工具仅实现其决策算法并注明出处，全文请经上方官方来源获取。

依据文献年份见参考 · 数据集整理日 2026-10-08

常见问题

SMAST-G 老年酒精筛查的计算是否上传患者数据？在哪里计算？: 计算在浏览器本地完成，输入与结果不上传服务器；结果仅供执业医师参考，须结合病史、检查与本机构方案判断，不构成诊断或处方依据。
SMAST-G 老年酒精筛查怎么代入计算？能举个例子吗？: 代入: When talking with others, do you ever underestimate how much you drink? 否、After a few drinks, have you sometimes not eaten or been able to skip a meal? 否、Does having a drink help you sleep? 否、In the last year, have you had a drink first thing in the morning to get going? 否、Have you ever had memory loss after drinking? 否、Have you used alcohol to quiet nerves or ease loneliness? 否、Have drinking caused you to feel depressed? 否、Have you made rules to manage your drinking? 否… → 结果: SMAST-G 0 /10（Screen: Negative (<2)）代入: When talking with others, do you ever underestimate how much you drink? 是、After a few drinks, have you sometimes not eaten or been able to skip a meal? 是、Does having a drink help you sleep? 是、In the last year, have you had a drink first thing in the morning to get going? 是、Have you ever had memory loss after drinking? 是、Have you used alcohol to quiet nerves or ease loneliness? 是、Have drinking caused you to feel depressed? 是、Have you made rules to manage your drinking? 是… → 结果: SMAST-G 10 /10（Screen: Positive (≥2) — needs fuller alcohol assessment）

核对流程与方法学

核对与依据

本工具的公式与计算方法已在本页明示、公开可逐一核查。其公式、系数与阈值依据上方「参考指南与出处」列出的权威来源核对。想了解本站对全部临床工具的核对流程与出处覆盖情况，见临床工具核对表与方法学 →