The rising tide of methamphetamine use in elderly trauma patients.

Autor: Benham DA; Trauma Service, Scripps Mercy Hospital, 4077 Fifth Avenue, San Diego, CA, 92103, USA. Electronic address: benhamderek@gmail.com., Rooney AS; Trauma Service, Scripps Mercy Hospital, 4077 Fifth Avenue, San Diego, CA, 92103, USA. Electronic address: rooney.alexandra@scrippshealth.org., Calvo RY; Trauma Service, Scripps Mercy Hospital, 4077 Fifth Avenue, San Diego, CA, 92103, USA. Electronic address: calvo.richard@scrippshealth.org., Carr MJ; Trauma Service, Scripps Mercy Hospital, 4077 Fifth Avenue, San Diego, CA, 92103, USA. Electronic address: carr.usn@gmail.com., Diaz JA; Trauma Service, Scripps Mercy Hospital, 4077 Fifth Avenue, San Diego, CA, 92103, USA. Electronic address: josephdiaz927@gmail.com., Sise CB; Trauma Service, Scripps Mercy Hospital, 4077 Fifth Avenue, San Diego, CA, 92103, USA. Electronic address: sise.beth@scrippshealth.org., Bansal V; Trauma Service, Scripps Mercy Hospital, 4077 Fifth Avenue, San Diego, CA, 92103, USA. Electronic address: bansal.vishal@scrippshealth.org., Sise MJ; Trauma Service, Scripps Mercy Hospital, 4077 Fifth Avenue, San Diego, CA, 92103, USA. Electronic address: sise.mike@scrippshealth.org., Martin MJ; Trauma Service, Scripps Mercy Hospital, 4077 Fifth Avenue, San Diego, CA, 92103, USA. Electronic address: martin.matthew@scrippshealth.org.
Jazyk: angličtina
Zdroj: American journal of surgery [Am J Surg] 2021 Jun; Vol. 221 (6), pp. 1246-1251. Date of Electronic Publication: 2021 Mar 06.
DOI: 10.1016/j.amjsurg.2021.02.030
Abstrakt: Background: Methamphetamine (METH) is associated with an elevated risk of injury and the outcomes in the elderly remain unclear. We analyzed METH's impact in elderly trauma patients.
Methods: Retrospective analysis (2009-2018) of trauma patients at a Level I trauma center. Elderly patients were defined as age ≥55. Substance use was identified by blood alcohol test and urine drug screen. Cox proportional hazard model was used to assess patient and injury characteristics with mortality.
Results: Of 15,770 patient encounters with substance use testing, 5278 (34%) were elderly. Elderly METH use quadrupled over time (2%-8%; p < 0.01). Elderly METH + patients were more likely to require surgical intervention (35% vs. 17%), mechanical ventilation (15% vs. 7%), and a longer hospitalization (6.5 vs. 3.6 days) compared with elderly substance negative. Multivariate analysis showed increasing age, ventilator use, and injury severity were associated with mortality (ps < 0.01); METH was not related to mortality.
Conclusion: Substance use in elderly trauma patients increased significantly. METH use in elderly trauma patients is a risk factor for significantly greater resource utilization.
Competing Interests: Declaration of competing interest The authors report no proprietary or commercial interest in any product mentioned or concept discussed in this article.
(Copyright © 2021 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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