کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6081516 1588526 2014 10 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
General medicine/original researchIdentifying Patients With Problematic Drug Use in the Emergency Department: Results of a Multisite Study
ترجمه فارسی عنوان
پزشکی عمومی / تحقیق اصلی شناسایی بیماران با استفاده از داروهای مشکوک در بخش اورژانس: نتایج مطالعه چندمتغیره
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
چکیده انگلیسی

Study objectiveDrug-related emergency department (ED) visits have steadily increased, with substance users relying heavily on the ED for medical care. The present study aims to identify clinical correlates of problematic drug use that would facilitate identification of ED patients in need of substance use treatment.MethodsUsing previously validated tests, 15,224 adult ED patients across 6 academic institutions were prescreened for drug use as part of a large randomized prospective trial. Data for 3,240 participants who reported drug use in the past 30 days were included. Self-reported variables related to demographics, substance use, and ED visit were examined to determine their correlative value for problematic drug use.ResultsOf the 3,240 patients, 2,084 (64.3%) met criteria for problematic drug use (Drug Abuse Screening Test score ≥3). Age greater than or equal to 30 years, tobacco smoking, daily or binge alcohol drinking, daily drug use, primary noncannabis drug use, resource-intense ED triage level, and perceived drug-relatedness of ED visit were highly correlated with problematic drug use. Among primary cannabis users, correlates of problematic drug use were age younger than 30 years, tobacco smoking, binge drinking, daily drug use, and perceived relatedness of the ED visit to drug use.ConclusionClinical correlates of drug use problems may assist the identification of ED patients who would benefit from comprehensive screening, intervention, and referral to treatment. A clinical decision rule is proposed. The correlation between problematic drug use and resource-intense ED triage levels suggests that ED-based efforts to reduce the unmet need for substance use treatment may help decrease overall health care costs.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Annals of Emergency Medicine - Volume 64, Issue 5, November 2014, Pages 516-525
نویسندگان
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