Substance use among non-fatally injured patients attended at emergency departments in Spain

被引：16

作者：

Perez, Katherine ^{[1
,2
]}

Santamarina-Rubio, Elena ^{[1
]}

Rodriguez-Martos, Alicia ^{[1
,2
]}

Teresa Brugal, Ma ^{[1
,2
]}

Ricart, Isabel ^{[1
]}

Maria Suelves, Josep ^{[3
]}

de la Torre, Rafael ^{[4
]}

Pujadas, Mitona ^{[4
]}

Ariza, Carles ^{[1
,2
]}

Diez, Elia ^{[1
,2
]}

Nebot, Manel ^{[1
,2
]}

Ramos, Pilar ^{[1
]}

Martinez Beneyto, Vicencs ^{[3
]}

Plasencia, Antoni ^{[3
]}

机构：

[1] ASPB, E-08023 Barcelona, Spain

[2] CIBERESP, E-08003 Barcelona, Spain

[3] Dept Salut Gen Catalunya, E-08005 Barcelona, Spain

[4] Hosp del Mar, IMIM, E-08003 Barcelona, Spain

来源：

DRUG AND ALCOHOL DEPENDENCE | 2009年 / 105卷 / 03期

关键词：

Injury; Emergency departments; Assessment; Trauma; Epidemiology; TRAUMA CENTER PATIENTS; ORAL FLUID; ALCOHOL; CANNABIS; DRUGS; CONSUMPTION; COLLECTION; INCREASES; DRINKERS; COCAINE;

D O I：

10.1016/j.drugalcdep.2009.06.023

中图分类号：

R194 [卫生标准、卫生检查、医药管理];

学科分类号：

摘要：

Aims: To describe the prevalence of recent use of alcohol, medication, and illegal drugs among patients who attended emergency departments (EDs) as a result of suffering an injury due to any external mechanism and to identify factors associated with alcohol and drug use. Methods: A cross-sectional study was conducted in eight university hospitals in Spain. Participants were adult patients admitted to a trauma ED. Oral fluid was used to test for psychoactive substances analyzed by gas chromatography-mass spectrometry. Socio-demographic data and information on circumstances of the injury were collected through interviews. Results: The analysis included 1579 patients admitted to the EDs (56.4% men). Among Young people (<40 years), 21.4% of men and 8.5% of women were positive for any illegal substance, primarily cannabinoids or cocaine; 24.7% of men and 14.8% of women were positive for alcohol. Among patients >= 40 years, 7.4% of men and 1.6% of women were positive for any illegal substance, and 16.3% and 11.0% respectively for alcohol. Prevalence of substance detected varied across mechanism of injury, gender and age group. Night-time injury was associated with substance use. Conclusions: A high proportion of injured patients who were treated in an EDs tested positive for psychoactive drugs. Routine testing at trauma departments would maximize the identification of patients who may benefit from referral to specialized addiction treatment centers, or brief interventions. (C) 2009 Elsevier Ireland Ltd. All rights reserved.

引用

页码：194 / 201

页数：8

共 37 条

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