Alcohol Abuse Clinical Trial
Official title:
Benefit of Carbohydrate Deficient Transferrin to Detect Chronic Alcohol Abuse in the Elderly. A French Multicentered Prospective Interventional Study.
Alcohol misuse affects 5 million people in France. Even though the elderly are also
concerned by this pathology, there is not much information about chronic alcohol misuse of
this population in particular.
Biological markers like gamma-glutamyltranspeptidase (GGT), mean corpuscular volume (MCV)
and carbohydrate deficient transferrin (CDT) are usually used to detect alcohol abuse. As a
biological marker of alcohol misuse, the specificity of the CDT is known to be superior to
the GGT as well.
However, when it comes to the elderly, alcoholism diagnosis tools are based on research of
younger populations.
This study aims to evaluate the benefit of the CDT to detect chronic alcohol use in the
elderly.
Problematic alcohol misuse is frequent but tends to decrease with age. According to the
French Alcohology Society, 10% of the adult population is alcohol abstinent and after 65
years old, they are 40% to abstain from alcohol.
On the other hand, the French Alcohology Society also reports that a regular or daily
alcohol consumption for older people increases the risk of dependence on alcohol.
For the elderly, biological disorders can be related to polymedication or other conditions
related to the aging process, making it difficult to diagnose alcoholism for aged people.
For the study, the three-item Alcohol Use Disorders Identification Test (AUDIT-C) will be
submitted to :
- every patient admitted in the Hospital of Mulhouse (France) for at least a day in the
Geriatrics Department
- every patient entering the General Practitioner Support Association of Alsace, France
(translated in French as the "RAG").
When the score of the AUDIT-C reaches at least 1 point, the study will collect results of
the GGT and MCV performed as routine practice and add the CDT in the blood tests.
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Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Diagnostic
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