Alcohol abuse and dependence in elderly emergency department patients

Archives of Gerontology and Geriatrics
S-Hakki OnenJeannot Schmidt

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 di...Continue Reading

References

Dec 1, 1992·Journal of the American Geriatrics Society·W L AdamsH L Broome
Nov 1, 1990·Journal of Studies on Alcohol·P L Colsher, R B Wallace
Oct 12, 1984·JAMA : the Journal of the American Medical Association·J A Ewing
Sep 1, 1995·Journal of the American Geriatrics Society·W L Adams
Apr 1, 1997·Neuropsychology·M Oscar-Berman, J L Pulaski
May 1, 1997·Alcoholism, Clinical and Experimental Research·A PfefferbaumK O Lim
Feb 17, 1998·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·M ReynaudC Ruch
Aug 5, 2000·International Journal of Geriatric Psychiatry·I Johnson
May 12, 2001·Journal of the American Geriatrics Society·V S Thomas, K J Rockwood
May 2, 2003·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Michel LejoyeuxJean Adès
Sep 23, 2003·BMJ : British Medical Journal·Henry O'ConnellBrian Lawlor

Citations

Jul 1, 2009·Journal of Nutrition for the Elderly·Roschelle A Heuberger
Nov 5, 2008·The Gerontologist·Ana I BalsaMichael T French
Oct 3, 2006·Current Opinion in Psychiatry·Helen ChristensenKaarin J Anstey
Oct 1, 2006·Indian Journal of Psychiatry·Akhil BhallaAmit Chakrabarti
Feb 6, 2013·The American Journal of Emergency Medicine·Terry KowalenkoCharlene B Irvin-Babcock
Aug 17, 2010·Emergency Medicine Clinics of North America·Henry Z Pitzele, Vaishal M Tolia
Jul 14, 2010·Annals of Emergency Medicine·Nikolaos SamarasGabriel Gold
Apr 14, 2010·The Psychiatric Clinics of North America·Mudhasir Bashir, Suzanne Holroyd
Oct 17, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Namkee G ChoiBryan Y Choi
Sep 22, 2009·International Journal of Geriatric Psychiatry·Edson Shiguemi HirataCássio M C Bottino
Oct 4, 2007·Journal of the American Geriatrics Society·John T Chang, David A Ganz
Aug 11, 2015·International Journal of Mental Health Nursing·Adam SearbyIan McGrath
Jun 22, 2006·The American Journal of Emergency Medicine·Miguel A PaniaguaElizabeth A Phelan
Nov 29, 2005·Journal of Substance Abuse Treatment·Shadi S Saleh, Steve E Szebenyi
Mar 1, 2019·British Journal of Community Nursing·Lenaig MichelMorgane Guillou Landreat
Sep 14, 2019·SAGE Open Medicine·Sirasa Ruangritchankul, Sahaphume Srisuma
Aug 8, 2020·Aging & Mental Health·Cristina B Bares, Ariel Kennedy

Related Concepts

Alcohol Abuse
Accident and Emergency Department
Gerontology
Retrospective Studies
Nested Case-Control Studies
Sex Distribution
Alcohol-Induced Disorders

Related Feeds

Cell Aging (Keystone)

This feed focuses on cellular aging with emphasis on the mitochondria, autophagy, and metabolic processes associated with aging and longevity. Here is the latest research on cell aging.

Alcohol Use Disorder

Alcohol use disorder involves a pattern of alcohol consumption that includes compulsive use and a loss of control over intake of alcohol. The impact on physical health, socioeconomic factors, and psychiatric health is profound. Find the latest research on alcohol use disorder here.