Repérage standardisé du mésusage de l’alcool au service d’accueil des urgences : l’exemple de la passation systématique du questionnaire FACE à l’hôpital Européen Georges-Pompidou

Abstract

IntroductionBy using a standardized and systematic screening with the FACE questionnaire, our aims were :– to determine the prevalence of alcohol misuse (AM) among patients admitted in the emergency department of the European Georges-Pompidou Hospital;– to search for risk factors associated with AM. MethodsPatients admitted between 9 am and 5 pm were included for 7 consecutive days in June 2017. The variables collected were age, gender, reason for and day of admission, acute alcohol intoxication, benzodiazepines misuse, use of illicit drugs, and the FACE. An AM was defined by a score ≥5 for men and ≥4 for women. Descriptive analyses calculated the prevalence of AM and logistic regressions calculated the risks for AM. ResultsA total of 190 men and 221 women were included, with 31% and 19% of them with AM, respectively. The risk of AM was positively associated with male gender, weekend admission and illicit drug use. It was negatively associated with age. The risk of AM was not significantly different according to the reason for admission (trauma versus medical). The risk of AM was not associated with misuse of benzodiazepines. Among the 100 patients with AM, only six had been admitted in acute alcohol intoxication. ConclusionA systematic screening is crucial to identify patients that should benefit from brief intervention or specialized intervention in an addictology unit.