{"id":2442,"date":"2023-01-24T13:46:56","date_gmt":"2023-01-24T12:46:56","guid":{"rendered":"https:\/\/angh.net\/abstracts\/reperage-et-prise-en-charge-du-trouble-de-lusage-de-lalcool-par-des-medecins-dun-hopital-general-public-il-faut-diffuser-les-recommandations-de-lafef\/"},"modified":"2023-01-24T13:46:56","modified_gmt":"2023-01-24T12:46:56","slug":"reperage-et-prise-en-charge-du-trouble-de-lusage-de-lalcool-par-des-medecins-dun-hopital-general-public-il-faut-diffuser-les-recommandations-de-lafef","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/reperage-et-prise-en-charge-du-trouble-de-lusage-de-lalcool-par-des-medecins-dun-hopital-general-public-il-faut-diffuser-les-recommandations-de-lafef\/","title":{"rendered":"Rep\u00e9rage et prise en charge du trouble de l\u2019usage de l\u2019alcool par des m\u00e9decins d\u2019un h\u00f4pital g\u00e9n\u00e9ral public : il faut diffuser les recommandations de l\u2019AFEF !"},"content":{"rendered":"

2022<\/strong><\/p>\n

Auteurs : M. Medmoun (1), G. Fantognon (1), H. Zougmore (1), B. Affeltranger (1), P. Pulwermacher (1), R. Smadhi (1), D. Belloula (1), G. Pulwermacher (1), T. Lemagoarou (2), C. Barrault (3), JF.D. Cadranel (1)
\n(1)\t Service d\u2019H\u00e9patogastroent\u00e9rologie, Nutrition, Alcoologie, GHPSO Creil
\n(2)\t DIM, GHPSO Creil
\n(3)\t Service d\u2019H\u00e9patogastroent\u00e9rologie, d\u2019Addictologie, Centre Hospitalier Intercommunal de Cr\u00e9teil<\/em><\/p>\n

H\u00e9patologie <\/strong>– \u00a02022-05-03 –\u00a0CO –<\/p>\n

________________________________<\/p>\n

Introduction : Le trouble de l\u2019usage d\u2019alcool (TUA) repr\u00e9sente une des principales causes d\u2019hospitalisation avec un co\u00fbt sanitaire et financier important. Le rep\u00e9rage pr\u00e9coce avec intervention br\u00e8ve recommand\u00e9 en soins de 1ere ligne a montr\u00e9 son efficacit\u00e9, toutefois il existe peu de donn\u00e9es sur ce sujet \u00e0 l\u2019h\u00f4pital. Le but de cette \u00e9tude \u00e9tait d\u2019\u00e9valuer les pratiques des m\u00e9decins hospitaliers (MH) sur le rep\u00e9rage et la prise en charge (PEC) des patients (pts) ayant un TUA.
\nMat\u00e9riels et m\u00e9thodes : Etude prospective monocentrique utilisant un questionnaire en ligne. Le questionnaire, anonyme, explorant les connaissances et les pratiques comportait 27 items. Il \u00e9tait adress\u00e9 \u00e0 l\u2019ensemble des MH cliniciens juniors et seniors exer\u00e7ant dans les unit\u00e9s MCO d\u2019un h\u00f4pital g\u00e9n\u00e9ral sur une p\u00e9riode d\u2019un mois avec une relance.
\nR\u00e9sultats : 238 MH ont \u00e9t\u00e9 sollicit\u00e9s par courriel. Parmi eux, 88 ont r\u00e9pondu (\u00e2ge moyen 42 ans, 48 % de femmes) et 77 (32%) questionnaires \u00e9taient exploitables. Les sp\u00e9cialit\u00e9s les plus repr\u00e9sent\u00e9es \u00e9taient : Urgences, G\u00e9riatrie, M\u00e9decine Polyvalente, Cardiologie, H\u00e9pato-gastroent\u00e9rologie. Concernant le rep\u00e9rage, 57,9 % des MH interrogeaient syst\u00e9matiquement leurs pts sur leur consommation d\u2019alcool quand 5,5 % n\u2019abordaient jamais la question. Ils \u00e9valuaient leur score d\u2019auto-efficacit\u00e9 pour rep\u00e9rer le TUA \u00e0 4,48\/10, permettant \u00e0 46 % des MH d\u2019identifier un TUA chez 21,1% de leurs patients. Toutefois, seuls 28,6 % des MH connaissaient un questionnaire de rep\u00e9rage du TUA (DETA, l\u2019AUDIT et FACE) et parmi eux 86,9 % n\u2019en faisaient rarement ou jamais usage. Pass\u00e9e l\u2019\u00e9tape du rep\u00e9rage, 72,8 % des MH disaient ne pas savoir quoi proposer face \u00e0 un TUA. Les obstacles identifi\u00e9s \u00e9taient : le manque de formation en addictologie (80 % des MH rapportaient n\u2019en avoir jamais b\u00e9n\u00e9fici\u00e9), la minimisation des consommations par les pts et le faible taux de r\u00e9ussite th\u00e9rapeutique. D\u2019ailleurs, en pr\u00e9sence d\u2019une alcool\u00e9mie positive, 38,3 % des MH ne proposaient une PEC addictologique qu\u2019en pr\u00e9sence de signes de d\u00e9pendance ou de complications somatiques. En effet, 66,2 % des MH ignoraient l\u2019existence d\u2019une \u00e9quipe mobile d\u2019alcoologie au sein de leur h\u00f4pital, 72.4 % ne connaissaient aucun C.S.A.P.A de leur r\u00e9gion et 49,4 % n\u2019avaient jamais adress\u00e9 de patients \u00e0 un addictologue. Ils se disaient \u00e9galement largement int\u00e9ress\u00e9s (88,3%) par une formation sur l\u2019offre de soins alcoologique.
\nConclusion : Les r\u00e9sultats de cette enqu\u00eate montrent la difficult\u00e9 des MH exer\u00e7ant en h\u00f4pital g\u00e9n\u00e9ral pour rep\u00e9rer et prendre en charge les TUA chez leurs pts. Les fortes recommandations \u00e9mises r\u00e9cemment par l\u2019AFEF (G1+) insistent sur une \u00e9valuation syst\u00e9matique de la consommation d\u2019alcool, sur l\u2019utilisation du questionnaire AUDIT \u2013 C pour rep\u00e9rer le TUA et l\u2019impl\u00e9mentation de la pratique de l\u2019intervention br\u00e8ve. Des formations \u00e0 destination des MH doivent donc \u00eatre mises en place. A la suite de cette enqu\u00eate, une \u00e9tude concernant l\u2019usage de l\u2019AUDIT \u2013 C en rep\u00e9rage de routine va \u00eatre d\u00e9but\u00e9e dans notre l\u2019h\u00f4pital.<\/p>\n","protected":false},"excerpt":{"rendered":"

2022 Auteurs : M. Medmoun (1), G. Fantognon (1), H. Zougmore (1), B. Affeltranger (1), P. Pulwermacher (1), R. Smadhi (1), D. Belloula (1), G. Pulwermacher (1), T. Lemagoarou (2), C. Barrault (3), JF.D. Cadranel (1) (1) Service d\u2019H\u00e9patogastroent\u00e9rologie, Nutrition, Alcoologie, GHPSO Creil (2) DIM, GHPSO Creil (3) Service d\u2019H\u00e9patogastroent\u00e9rologie, d\u2019Addictologie, Centre Hospitalier Intercommunal de […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[3],"tags":[35],"class_list":["post-2442","post","type-post","status-publish","format-standard","hentry","category-hepatologie","tag-35"],"yoast_head":"\nRep\u00e9rage et prise en charge du trouble de l\u2019usage de l\u2019alcool par des m\u00e9decins d\u2019un h\u00f4pital g\u00e9n\u00e9ral public : il faut diffuser les recommandations de l\u2019AFEF ! - Abstracts des congr\u00e8s de l'ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/reperage-et-prise-en-charge-du-trouble-de-lusage-de-lalcool-par-des-medecins-dun-hopital-general-public-il-faut-diffuser-les-recommandations-de-lafef\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Rep\u00e9rage et prise en charge du trouble de l\u2019usage de l\u2019alcool par des m\u00e9decins d\u2019un h\u00f4pital g\u00e9n\u00e9ral public : il faut diffuser les recommandations de l\u2019AFEF ! 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