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Comparaison des méthodes d’évaluation de la consommation d’alcool dans une population de patients hospitalisés à Ouagadougou (Burkina Faso)

  • Z. D. OuattaraEmail author
  • M. Koura
  • A. K. Sermé
  • A. Sawadogo
Article / Article
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Résumé

La consommation d’alcool est un facteur de risque cardiovasculaire et oncologique avéré. Plusieurs méthodes d’évaluation existent, mais n’ont pas encore fait l’objet d’étude au Burkina Faso.

Objectif

Comparer le questionnaire AUDIT (Alcohol Use Disorder Identification Test), le questionnaire DETA (Diminuer, Entourage, Trop, Alcool) et la présence d’une macrocytose comme marqueur biologique dans le dépistage de la consommation alcoolique chez les malades hospitalisés.

Méthodes

Étude transversale analytique menée durant deux mois dans 14 services d’hospitalisation du CHU Yalgado-Ouédraogo à Ouagadougou. La consommation d’alcool a été évaluée comparativement à l’aide du questionnaire AUDIT, du questionnaire DETA et de la valeur du volume globulaire moyen (VGM): existence de macrocytose. Les normes OMS ont été utilisées comme valeur de référence pour la comparaison.

Résultats

Trois cent quatre-vingt-onze patients ont été inclus d’âge moyen de 44 ans, le sex-ratio était de 1,34 en faveur des hommes. Cent trente-cinq (34,53 %) étaient consommateurs d’alcool. La prévalence de la consommation excessive était de 7,92 % (n = 31) selon l’OMS; de 10,49 % (n = 41) selon le questionnaire AUDIT; de 8,18 % (n = 32) selon le questionnaire DETA; et de 15,16 % selon le VGM. En prenant les normes OMS comme référence, la sensibilité et la spécificité étaient de 84 et 96 % respectivement pour le questionnaire AUDIT, de 64 et 96 % respectivement pour le questionnaire DETA et de 26,32 et 85,80 % respectivement avec la macrocytose comme marqueur.

Mots clés

Évaluation Alcool Normes OMS AUDIT: DETA Macrocytose 

Comparison of assessment methods of alcohol consumption in a population of patients hospitalized in Ouagadougou (Burkina Faso)

Abstract

Alcohol consumption is a proven risk factor for cardiovascular diseases and cancers. There are several assessment methods that still need to be studied in Burkina Faso.

Objective

The objective of this paper is to compare the AUDIT (Alcohol Use Disorder Identification Test) questionnaire, the CAGE (Cut-down, Annoyed, Guilty, Eyeopener) questionnaire, and the presence of macrocytosis as a biological marker in the screening for alcohol consumption in hospitalized patients.

Methodology

A transversal analytical study was carried out during 2 months in 14 hospitalization wards of the University Hospital Yalgado Ouedraogo. Alcohol consumption was assessed comparatively with the AUDIT questionnaire, the CAGE questionnaire, and the value of the mean corpuscular volume (MCV), indicating the presence of macrocytosis; World Health Organization (WHO) standards were used as reference value for the comparison.

Results

A total of 391 patients with an average age of 44 years were included in the study; the sex ratio was 1.34 in favor of men (34.53%) who were alcohol consumers. The prevalence of excess intake of alcohol was 7.92% (N = 41) according to WHO; 10.49% (N = 41) according to the AUDIT questionnaire; 8.18% (N = 32) according to the CAGE questionnaire; and 15.16% according to MCV. In taking into account WHO standards as reference, the sensitivity and specificity were 84% and 96%, respectively, for the AUDIT questionnaire, 64% and 96%, respectively, for the CAGE questionnaire, and 26.32% and 85.80%, respectively, with the macrocytosis as marker.

Conclusion

Harmfull alcohol consumption is common among hospitalized patients in Ouagadougou. The complete AUDIT questionnaire is the most effective of screnning test.

Keywords

Assessment Alcohol WHO standards AUDIT CAGE Macrocytosis 

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Copyright information

© Lavoisier 2016

Authors and Affiliations

  • Z. D. Ouattara
    • 1
    Email author
  • M. Koura
    • 2
  • A. K. Sermé
    • 1
  • A. Sawadogo
    • 2
  1. 1.Centre hospitalier universitaire Yalgado-Ouédraogo de OuagadougouOuagadougou 06Burkina Faso
  2. 2.Centre hospitalier universitaire Sourou-Sanou de Bobo-DioulassoBobo-DioulassoBurkina Faso

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