Frequency and results of urine toxicology screens in a state-guided system of emergency rooms in a large city were compared with frequency and results of the same tests in the same population at a university-run intensive treatment psychiatric unit.
Differences both in prevalence and in results were noted, with the emergency rooms testing significantly less patients than the intensive treatment unit and documenting a significantly lower rate of active substance abuse comorbidity to psychiatric disorders.
Possible explanations for these differences are discussed, including clinical, attitudinal, and cost containment factors.
These findings have a definite impact on treatment decision making, diagnostic precision, and validity of epidemiologic reports.
Mots-clés Pascal : Toxicomanie, Association morbide, Trouble psychiatrique, Etude comparative, Dépistage, Urgence, Service hospitalier, Psychiatrie, Urine, Diagnostic, Organisation santé, Santé mentale, Homme
Mots-clés Pascal anglais : Drug addiction, Concomitant disease, Mental disorder, Comparative study, Medical screening, Emergency, Hospital ward, Psychiatry, Urine, Diagnosis, Public health organization, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0033389
Code Inist : 002B18C05A. Création : 199406.