title: Alcohol abuse and dependence in elderly emergency department patients.
abstract: Although elderly people are particularly vulnerable to the adverse effects of alcohol, alcohol use disorders in late life have received relatively little attention in the literature. Our objectives were to assess the prevalence of alcohol use disorders (abuse and dependence), the medical profile and psychosocial characteristics in elderly people visiting emergency department (ED). A cohort of 2405 patients aged over 60 who came to the ED of a university hospital during a 3-month period was studied. Alcohol use disorder diagnosis (DSM-IV), medical profile and social characteristics were collected from retrospective review of patient files. The data derived from 128 patients (mean age, 69.8+/-6.8 years; 87% males) with alcohol use disorders and 128 non-alcoholic controls. The prevalence of current alcohol use disorder was 5.3%. The most common current alcohol-induced disorders were alcohol intoxication and alcohol-induced mood disorder. Social factors associated with alcohol use disorders were being homeless, living alone, being divorced and never married. Falls and delirium were frequent ED admission circumstances in elderly drinkers. Drinkers more commonly presented with gastrointestinal disorders. In conclusion, alcohol use disorders among older patients admitted in ED are common and occur more frequently among men. Falls and delirium are the main ED admission circumstances in elderly drinkers. Alcohol use disorders are also associated with gastrointestinal problems.
authors.affiliation: Hôpital Gériatrique A. Charial, CHU de Lyon, 40, ave de la Table de Pierre, 69340 Francheville, France; Service d'Urgences, CHU de Clermont-Ferrand, 63000 Clermont-Ferrand, France. hakki-onen@chu-lyon.fr
authors.forename: S-Hakki
authors.initials: SH
authors.lastname: Onen
authors.forename: Fannie
authors.initials: F
authors.lastname: Onen
authors.forename: Jean-Philippe
authors.initials: JP
authors.lastname: Mangeon
authors.forename: Hassane
authors.initials: H
authors.lastname: Abidi
authors.forename: Philippe
authors.initials: P
authors.lastname: Courpron
authors.forename: Jeannot
authors.initials: J
authors.lastname: Schmidt
mesh_terms: D000368:Aged; D020751:Alcohol-Induced Disorders / Q000453:epidemiology*; D000437:Alcoholism / Q000453:epidemiology*; D016022:Case-Control Studies; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D005602:France / Q000453:epidemiology; D005853:Geriatrics; D006801:Humans; D008297:Male; D017533:Marital Status; D015995:Prevalence; D012189:Retrospective Studies; D017678:Sex Distribution