Implicación de las sustancias psicoactivas en las consultas de adolescentes en urgencias

Constantí, Vanessa Arias; Marcos, N. Sanz; Maza, Victoria Trenchs Sainz de la; Barcenilla, A.I. Curcoy; Costa, J.; Cubells, Carles Luaces

doi:10.1016/j.medcli.2010.01.019

Cited by 6 publications

(2 citation statements)

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“…Dichos resultados pueden indicar la necesidad de usar gran número de recursos para gestionar a los pacientes con patología dual, por lo tanto revelando las importancia de detectar la presencia y prevenir el consumo de sustancias en los pacientes con un trastorno externalizante. De manera análoga, estudios con población adulta con patología dual atendida en servicios de urgencias (Martín-Santos, 2006) detectan una prevalencia alta de problemas de conducta y patologías sociales (Arias Constantí et al, 2010;Christodulu, Lichenstein, Weist, Shafer, y Simone, 2002), recalcando la necesidad de una detección temprana para prevenir consecuencias peores en la adultez (Larm, Hodgins, Larsson, Samuelson, y Tengström, 2008).…”

Section: Discussionunclassified

Adolescents and Dual Diagnosis in a Psychiatric Emergency Service

et al. 2016

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In recent years, both the prevalence of drug use and related child and adolescent psychiatric emergencies have risen sharply. There are few studies about the impact on child and adolescent emergency services. This study has a twofold aim. The first is to describe the prevalence of substance use disorders, mental disorders and dual diagnosis (substance use problems plus mental disorder) in adolescents in psychiatric emergency service. The second is to analyze clinical and healthcare differences between patients with dual diagnosis and patients with a mental disorder without substance use disorder.We retrospectively reviewed 4012 discharge forms for emergencies treated at the psychiatric emergency department during the period 2007-2009. We obtained a sample of 1795 visits. This sample was divided into two groups: the dual diagnosis group (n = 477) and the psychiatric disorder group (n = 1318).The dual diagnosis group accounted for 26.5% of psychiatric emergencies analyzed. Compared to the psychiatric disorder group,the dual diagnosis group had significantly more conduct disorders, social problems, involuntariness in the visit, less hospital admissions and less connection with the healthcare network.Adolescents with a dual diagnosis account for a high percentage of visits at child and adolescent psychiatric emergency services. This patient group requires specialized care both at emergency services and in specific units. Accordingly, these units should play a triple role when handling dual diagnosis: detection, brief treatment and referral to a specialised unit.

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Section: Discussionunclassified

Adolescents and Dual Diagnosis in a Psychiatric Emergency Service

et al. 2016

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“…Estos estudios son probablemente dispares en cuanto a instrumentos y méto-dos de recogida de datos y carecen de representatividad estatal, pero pueden ayudar a hacerse una idea del peso y las característi-cas de las IEA. Se estima que entre 1998 y 2010 en los servicios hospitalarios españo-les de urgencias las IEA supusieron aproximadamente un 0,5-1,1% del conjunto de urgencias atendidas, el 25-49% del total de intoxicaciones por cualquier sustancia y el 45-65% del total de intoxicaciones por drogas de abuso [79][80][81][82][83][84][85][86][87][88][89][90][91][92][93][94] . El peso del problema en las urgencias extrahospitalarias era seguramente incluso mayor 84 .…”

Section: Intoxicación Etílica Aguda (Iea)unclassified