Drug and alcohol use in orthopedic trauma patients : a prospective study.
Alcohol has been shown to confound the initial assessment of trauma victims, and cocaine is associated with numerous medical and anesthetic complications.
A prospective study was performed to determine the prevalence of alcohol and illicit drug use in orthopedic trauma patients at an inner-city teaching hospital.
All patients admitted to the orthopedic service during a 2-year period (January 1993 to December 1994) were prospectively studied.
Patients<14 years old were excluded
Blood alcohol levels were determined, and the urine was screened for cocaine, opiates, marijuana, barbiturates, amphetamines, benzodiazepines, and phencyclidine.
Demographic data and a medical history were obtained.
Seven hundred sixty-six patients met the study parameters.
Of these, 628 (82%) had complete drug and alcohol screens available for review.
The data were then sorted by diagnosis, mechanism of injury, type of injury (closed versus open), length of inpatient stay, age, sex, and race, and a statistical analysis was performed.
The overall incidence of positive drug or alcohol tests was 56%. Twenty-four percent of patients tested positive for two or more drugs, and 9% for three or more.
Alcohol (25%) was the most commonly detected drug, followed by cocaine (22%) and marijuana (21%). The highest incidence of drug use was found in males and in those ages 31-40 years.
Hospital stay averaged 1.3 days longer in patients with positive screens.
Patients with tibia fractures or open ...
Mots-clés Pascal : Traumatisme, Homme, Association, Prévalence, Epidémiologie, Santé publique, Louisiane, Etats Unis, Amérique du Nord, Amérique, Intoxication, Ethanol, Substance toxicomanogène, Toxicomanie, Orthopédie
Mots-clés Pascal anglais : Trauma, Human, Association, Prevalence, Epidemiology, Louisiana, United States, North America, America, Poisoning, Ethanol, Drug of abuse, Drug addiction, Orthopedics
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0143234
Code Inist : 002B16N. Création : 199608.