Prevalence of psychoactive drugs in injured patients presenting to an emergency department

Isles, Siobhan; McBride, Paul D.; Gee, Paul; Fleischer, Dominic; Kappatos, Diana; Pandey, Rishi Ranjan; Civil, Ian; Gabbe, Belinda

doi:10.1111/1742-6723.14040

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…Furthermore, urine drug screens were limited to six drug classes. While drugs such as ketamine and antipsychotics were not commonly detected in injured patients from previous studies, others such as antidepressants are relatively prevalent 2,22 . Meanwhile, other limitations may have resulted in the overestimation of AOD detections.…”

Section: Discussionmentioning

confidence: 84%

“…While drugs such as ketamine and antipsychotics were not commonly detected in injured patients from previous studies, others such as antidepressants are relatively prevalent. 2 , 22 Meanwhile, other limitations may have resulted in the overestimation of AOD detections. For example, half of the current sample was missing urine drug screen data and it is possible that AOD testing was more likely to be completed for patients who were clinically intoxicated.…”

Section: Discussionmentioning

confidence: 99%

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

Lau,

Mitra,

Gabbe

et al. 2023

Emerg Medicine Australasia

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ObjectiveTo 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.MethodsThis 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.ResultsA 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%).ConclusionAOD 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.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

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

Lau,

Mitra,

Gabbe

et al. 2023

Emerg Medicine Australasia

Self Cite

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Prevalence of use and impairment from drugs and alcohol among trauma patients: A national prospective observational study

Bråthen,

Jørgenrud,

Bogstrand

et al. 2023

Injury

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Controlled Substance Use in Plastic Surgery Related Emergency Department Visits: An NEISS Study of Burn, Hand, and Face Injuries

Brozynski,

Nathaniel,

Seyidova

et al. 2024

Plast Surg (Oakv)

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Purpose: Psychoactive substance use is often a complicating factor in injury that requires an emergency room visit. The present study examined data recorded in the National Electronic Injury Surveillance System (NEISS) database for patients who presented to an Emergency Department (ED) and had psychoactive substance involvement, requiring management by plastic surgery. Methods: A retrospective cohort study was performed using the NEISS database, from 2019 to 2021. Data from patients aged 0 to 102 who suffered burns (46, 47, 48, 49, 51, and 73), face injuries (76), hand injuries (34, 82, and 92), and had psychoactive substance use were queried. Data regarding the specific substances involved were collected. Analysis was performed using SAS to compare the incidence of various substances and the differences in admission status with psychoactive substance use. Results: According to the NEISS estimates, in the United States, 597,916 patients visited the ED for burns, 3,671,677 for facial injuries, and 6,230,087 for hand injuries from January 2019 to December 2021. Across this population, psychoactive substance use was noted in 5605 patients with burn (0.9%), 31,198 with facial (0.8%), and 26,174 with hand (0.4%) injuries. Across all 3 injury types, the total rate of admission was 20% in the substance-use population, and 5% in the nonsubstance-use population. Conclusions: For injuries presenting to the ED that require plastic surgery management, patients with documented psychoactive substance use have higher rates of admission. Given these higher rates of admission, it is important for providers to be aware of differences in the incidences of various substances and the potential for withdrawal.

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Prevalence of psychoactive drugs in injured patients presenting to an emergency department

Cited by 3 publications

References 25 publications

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

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

Prevalence of use and impairment from drugs and alcohol among trauma patients: A national prospective observational study

Controlled Substance Use in Plastic Surgery Related Emergency Department Visits: An NEISS Study of Burn, Hand, and Face Injuries

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