Strategy for increasing detection rates of drug and alcohol abuse in paediatric emergency departments
| Autor: | Eran Kozer, R. Bar-Hamburger, Ilan Dalal, Pinhas Fainmesser, N. Rosenfeld, Matitiahu Berkovitch, Y. Ben-Yehuda, O. Landu |
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| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Adolescent Substance-Related Disorders Psychological intervention Poison control Alcohol abuse Urine Occupational safety and health Prevalence Medicine Humans Prospective Studies Israel Prospective cohort study Child Analysis of Variance Ethanol business.industry Illicit Drugs General Medicine Emergency department medicine.disease Substance abuse Substance Abuse Detection Alcoholism Adolescent Behavior Pediatrics Perinatology and Child Health Emergency medicine Practice Guidelines as Topic Female business Emergency Service Hospital Alcoholic Intoxication |
| Zdroj: | Acta paediatrica (Oslo, Norway : 1992). 98(10) |
| ISSN: | 1651-2227 |
| Popis: | Aim: To determine whether implementation of criteria for performing a toxicology screen and increasing staff awareness improve detection of substance abuse among adolescents presenting to the emergency department. Methods: Patients 12 to 18 years of age presenting to one of three emergency departments in Israel were included in a prospective cohort study. In the ‘study’ hospital, a set of criteria for urine toxicology screen and measurements of ethanol serum level were implemented. No specific interventions were implemented in the two other hospitals. The main outcome measure was the rate of substance abuse detection. Results: The number of adolescents seen in the participating centres was 3200 at the study hospital, and 3493 and 2792 at the two other hospitals. High blood ethanol concentrations were found in 49 patients at the study hospital compared with 30 and 19 patients at the two other hospitals (p |
| Databáze: | OpenAIRE |
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