Prevalence of alcohol and other drug detections in non‐transport injury events.

Autor:	Lau, Georgina, Mitra, Biswadev, Gabbe, Belinda J, Dietze, Paul M, Reeder, Sandra, Cameron, Peter A, Smit, De Villiers, Schneider, Hans G, Symons, Evan, Koolstra, Christine, Stewart, Cara, Beck, Ben
Předmět:	WOUND care NARCOTICS SUBSTANCE abuse TRAUMA centers ALCOHOLIC intoxication PATIENTS VIOLENCE SELF-injurious behavior DRUG use testing BENZODIAZEPINES AMPHETAMINES EMERGENCY medical services RESEARCH funding HEALTH care teams DESCRIPTIVE statistics COCAINE INTERPERSONAL relations WOUNDS & injuries ETHANOL URINALYSIS BLOOD testing CANNABINOIDS LONGITUDINAL method TRANQUILIZING drugs
Zdroj:	Emergency Medicine Australasia; Feb2024, Vol. 36 Issue 1, p78-87, 10p
Abstrakt:	Objective: To measure the prevalence of alcohol and/or other drug (AOD) detections in suspected major trauma patients with non‐transport injuries who presented to an adult major trauma centre. Methods: This registry‐based cohort study examined the prevalence of AOD detections in patients aged ≥18 years who: (i) sustained non‐transport injuries; and (ii) met predefined trauma call‐out criteria and were therefore managed by an interdisciplinary trauma team between 1 July 2021 and 31 December 2022. Prevalence was measured using routine in‐hospital blood alcohol and urine drug screens. Results: A total of 1469 cases met the inclusion criteria. Of cases with a valid blood test (n = 1248, 85.0%), alcohol was detected in 313 (25.1%) patients. Of the 733 (49.9%) cases with urine drug screen results, cannabinoids were most commonly detected (n = 103, 14.1%), followed by benzodiazepines (n = 98, 13.4%), amphetamine‐type substances (n = 80, 10.9%), opioids (n = 28, 3.8%) and cocaine (n = 17, 2.3%). Alcohol and/or at least one other drug was detected in 37.4% (n = 472) of cases with either a blood alcohol or urine drug test completed (n = 1263, 86.0%). Multiple substances were detected in 16.6% (n = 119) of cases with both blood alcohol and urine drug screens (n = 718, 48.9%). Detections were prevalent in cases of interpersonal violence (n = 123/179, 68.7%) and intentional self‐harm (n = 50/106, 47.2%), and in those occurring on Friday and Saturday nights (n = 118/191, 61.8%). Conclusion: AOD detections were common in trauma patients with non‐transport injury causes. Population‐level surveillance is needed to inform prevention strategies that address AOD use as a significant risk factor for serious injury. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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