Onen S-Hakki, Onen Fannie, Mangeon Jean-Philippe, Abidi Hassane, Courpron Philippe, Schmidt Jeannot
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.
Arch Gerontol Geriatr. 2005 Sep-Oct;41(2):191-200. doi: 10.1016/j.archger.2005.02.002. Epub 2005 Apr 1.
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.
尽管老年人特别容易受到酒精不良反应的影响，但晚年酒精使用障碍在文献中受到的关注相对较少。我们的目标是评估就诊于急诊科（ED）的老年人中酒精使用障碍（滥用和依赖）的患病率、医学概况和社会心理特征。对一所大学医院急诊科在3个月期间接诊的2405名60岁以上患者进行了队列研究。通过回顾患者病历收集酒精使用障碍诊断（DSM-IV）、医学概况和社会特征数据。数据来源于128例酒精使用障碍患者（平均年龄69.8±6.8岁；87%为男性）和128例非酒精使用障碍对照者。当前酒精使用障碍的患病率为5.3%。当前最常见的酒精所致障碍是酒精中毒和酒精所致心境障碍。与酒精使用障碍相关的社会因素包括无家可归、独居、离婚和未婚。跌倒和谵妄是老年饮酒者频繁入住急诊科的情况。饮酒者更常出现胃肠道疾病。总之，急诊科收治的老年患者中酒精使用障碍很常见，且在男性中更频繁发生。跌倒和谵妄是老年饮酒者入住急诊科的主要情况。酒精使用障碍还与胃肠道问题有关。
