Substance use among non-fatally injured patients attended at emergency departments in Spain

2009 ◽  
Vol 105 (3) ◽  
pp. 194-201 ◽  
Author(s):  
Katherine Pérez ◽  
Elena Santamariña-Rubio ◽  
Alicia Rodríguez-Martos ◽  
M Teresa Brugal ◽  
Isabel Ricart ◽  
...  
Keyword(s):  
Substance Use ◽  
Emergency Departments ◽  
Injured Patients

scholarly journals Severe alcohol intoxication among Canadian Youth: A 2-year surveillance study

2019 ◽  
Author(s):  
Amy Acker ◽  
Mark L Norris ◽  
Helen Coo ◽  
Alexandre Santos ◽  
Dominic Allain ◽  
...  
Keyword(s):  
Substance Use ◽  
Emergency Departments ◽  
Alcohol Intoxication ◽  
Final Analysis ◽  
Surveillance Study ◽  
Surveillance Program ◽  
Young Adolescents ◽  
Healthcare Facilities ◽  
Paediatric Emergency ◽  
Canadian Youth

Abstract Purpose To obtain data on Canadian youth, aged 11 to 15 years, presenting to paediatric emergency departments, with severe alcohol intoxication and to describe demographics, presentations to hospital, concurrent substance use, comorbidities, and short-term outcomes of admission to emergency departments. Methods Between March 2013 and February 2015, through the established methodology of the Canadian Paediatric Surveillance Program, Canadian paediatricians and paediatric subspecialists were surveyed monthly to identify cases of young adolescents presenting to paediatric emergency departments across Canada with severe alcohol intoxication. Those that identified cases were subsequently sent a detailed questionnaire. The detailed questionnaires were then screened to ensure the reported cases met the study’s inclusion criteria. Results A total of 39 cases (18 females and 21 males) were included in the final analysis. Overall, results indicate over 90% of presenting youth had consumed spirits, 39% had concurrent substance use and 46% experienced serious medical morbidity. Almost two-thirds of youth were admitted to hospital for a period ranging from 10 hours to 5 days; 12 youth required intubation. Follow-up referrals were provided to two-thirds of youth, with variable supports given. No statistically significant differences between sexes were noted for blood alcohol level or concurrent substance use. Conclusion Although rates of alcohol use in adolescents have been steadily decreasing, results from this surveillance study suggest that severe intoxication arising from the use of alcohol alone, and with concurrent substance use, results in significant immediate health consequences in young adolescents. Results from this study also highlight characteristics of patients, initial treatments and initial referrals across Canadian paediatric healthcare facilities, the results of which highlight variability and may aid in the guidance of a future longitudinal study, prevention strategies, and public health messaging.

Studying psychoactive substance use in injured patients: Does exclusion of late arriving patients bias the results?

2013 ◽  
Vol 127 (1-3) ◽  
pp. 187-192 ◽  
Author(s):  
Stig Tore Bogstrand ◽  
Ingeborg Rossow ◽  
Per Trygve Normann ◽  
Øivind Ekeberg
Keyword(s):  
Substance Use ◽  
Psychoactive Substance ◽  
Psychoactive Substance Use ◽  
Injured Patients

scholarly journals Chronic substance use and self-harm in a primary health care setting

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Elsie Breet ◽  
Jason Bantjes ◽  
Ian Lewis
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Substance Use ◽  
Primary Health Care ◽  
Emergency Departments ◽  
Service Utilisation ◽  
Health Care Settings ◽  
Primary Health ◽  
Self Harm ◽  
Primary Health Care Settings

Background: Chronic substance use (CSU) is associated with health problems, including selfharm, placing a significant burden on health care resources and emergency departments (EDs). This is problematic in low- and middle-income countries like South Africa (SA), where primary care facilitates and emergency departments (EDs) are often poorly resourced.Aim: To investigate the epidemiology of CSU and self-harm and to consider the implications for primary health care service delivery and suicide prevention in SA.Methods: Data were collected from 238 consecutive self-harm patients treated at the emergency department (ED) of an urban hospital in SA. The data were analysed using bivariate and multivariate analyses.Results: Approximately 37% of self-harm patients reported CSU. The patients in the CSU subgroup, compared to other self-harm patients, were more likely to be men (odds ratio[OR] = 8.33, 95% confidence interval [CI] = 3.19–20.9, p < 0.001), to have self-harmed by inflicting damage to their body tissue OR = 4.45, 95% CI = 1.77–11.2, p < 0.01) and to have a history of self-harm (OR = 3.71, 95% CI = 1.44–9.54, p = 0.007). A significantly smaller proportion of CSU patients, compared to other self-harm patients, were referred for psychiatric assessment (OR = 8.05, 95% CI = 4.16–15.7, p < 0.001).Conclusion: The findings of this study confirm that CSU is associated with greater service utilisation and repetition of self-harm among patients in primary health care settings. Treating self-harm as the presenting problem within primary care settings does not necessarily ensure that patients receive the care that they need. It might be helpful to include psychiatric assessments and screening for CSU as an integral component of care for self-harm patientswho present in primary health care settings.

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