John Libbey Eurotext

Gériatrie et Psychologie Neuropsychiatrie du Vieillissement

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Prise en charge, dans les services d’urgences, des troubles psycho-comportementaux liés à la démence – Enquête nationale Volume 20, issue 1, Mars 2022

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Authors
1 Hôpital gériatrique des Charpennes, Hospices Civils de Lyon, Villeurbanne, France
2 Université Claude-Bernard Lyon-1, Villeurbanne, France
3 Hôpital Edouard-Herriot, Hospices Civils de Lyon, Lyon, France
* Tirés à part : C. Grangé

The management of behavioral and psychological symptoms of dementia (BPSD) is complex and may fall back on an Emergency Department (ED). The main objective of this study is to review the practices of French emergency physicians for the management of BPSD, their knowledge and their skills in this domain. This observational and quantitative study was performed between March 2021 and July 2021, using an online questionnaire, among all doctors working in ED in France. Among the 188 respondents, 72.9% declared that they were often or very often confronted with patients with BPSD, and 82.5% declared that they had little or no knowledge of BPSD. The first-line treatment was non-pharmaceutical for 63.3% of the respondents. When medication was used, short half-life benzodiazepines were preferred. There was also a significant use of first- and second-generation neuroleptics and antihistamines. Emergency physicians seemed to have a good knowledge of the pathways dedicated to BPSD, but few resort to them. This study therefore promotes the formation of emergency physicians to BPSD and the development of dedicated departments.