Drug Use and Screening in Pediatric Trauma
| Autor: | Murray J. Girotti, Neil Parry, Kelly Vogt, Kathryn L Martin, Tanya Charyk Stewart |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Male
Drug Canada medicine.medical_specialty Pediatrics Adolescent Substance-Related Disorders media_common.quotation_subject Population Injury Severity Score Trauma Centers Risk Factors medicine Humans Pharmacology (medical) Child Intensive care medicine education Retrospective Studies media_common Pharmacology Retrospective review education.field_of_study business.industry Medical screening Infant medicine.disease Substance Abuse Detection Substance abuse Alcohols Child Preschool Wounds and Injuries Female Substance use business Pediatric trauma Biomedical sciences |
| Zdroj: | Therapeutic Drug Monitoring. 33:439-442 |
| ISSN: | 0163-4356 |
| DOI: | 10.1097/ftd.0b013e318222d951 |
| Popis: | There is a paucity of research on substance use in the pediatric trauma population. This study aims to describe trends in substance use and screening in the Canadian pediatric trauma population.A retrospective review of the London Health Sciences Centre trauma database from April 1999 to January 2009 identified patients less than 18 years old admitted after major trauma [injury severity score (ISS)12]. Data extracted included age, gender, ISS, blood alcohol concentration (BAC), and results of toxicology screens.BAC data were available for 799 patients and toxicology screens for 761 patients. BAC testing was completed in 30% (21% positive). Toxicology screens were completed in 7% (44% positive). Increasing age was associated with screening for alcohol (odds ratio = 1.4; 95% confidence interval 1.3-1.5). Screening for drug use had a bimodal distribution, with no children aged 4-10 years screened. Those screened for drugs and alcohol had a significantly higher ISS than those not tested (BAC 28 versus 23, P0.001, toxin screening 29 versus 24, P = 0.003). The most common ingestions were alcohol, benzodiazepines, cannabinoids, and opiates.Screening for drugs and alcohol is sporadic in the pediatric trauma population. Further study utilizing a universal approach to drug and alcohol screening is needed to further delineate the true prevalence of substance use in this population. |
| Databáze: | OpenAIRE |
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