Five-Year Incidence of Hospital-Based Emergencies Related to Acute Recreational Intoxication in Minors.
Adolescent
Alcoholic Intoxication
/ epidemiology
Blood Pressure
/ drug effects
Central Nervous System Depressants
/ blood
Emergencies
Emergency Medical Services
/ statistics & numerical data
Ethanol
/ blood
Female
Glasgow Coma Scale
Humans
Incidence
Male
Marijuana Abuse
Minors
Patient Discharge
/ statistics & numerical data
Socioeconomic Factors
Spain
/ epidemiology
Substance-Related Disorders
/ complications
Adolescents
Alcohol
Intoxication
Minors
Substance Use
Journal
Alcoholism, clinical and experimental research
ISSN: 1530-0277
Titre abrégé: Alcohol Clin Exp Res
Pays: England
ID NLM: 7707242
Informations de publication
Date de publication:
10 2019
10 2019
Historique:
received:
03
04
2019
accepted:
19
07
2019
pubmed:
28
8
2019
medline:
29
9
2020
entrez:
28
8
2019
Statut:
ppublish
Résumé
Alcohol or other drug (AOD) intoxication in minors is a public health challenge. We characterized underage patients admitted to an emergency department (ED) with acute, recreational AOD intoxication. We conducted a 5-year (2012 to 2016) analysis of minors admitted to the only hospital-based pediatric ED in an urban area. Episodes of AOD intoxication were selected using ICD-9-CM diagnostic codes. Sociodemographics, substance use and clinical characteristics, laboratory parameters, and discharge dispositions were collected through the revision of clinical charts. A total of 266 admissions related to recreational AOD intoxication in 258 patients occurred during the study period. Among the 258 patients, 127 (49.2%) were men, median age 16 years [IQR: 15 to 17 years], and 234 (90.7%) of episodes were alcohol-related. At admission, 202/256 (78.9%) patients had a Glasgow Coma Scale ≥ 13 points, the median systolic and diastolic blood pressure was 109 mmHg (IQR: 101 to 118 mmHg) and 67 mmHg (IQR: 60 to 73 mmHg), respectively, and the median blood glucose level was 112 mg/dl (IQR: 99 to 127 mg/dl). Only 72/258 (27.9%) patients underwent urine screening (22/72 (30.5%) were positive for cannabis), and only 30/258 (11.6%) were tested for blood ethanol (median: 185 mg/dl, IQR: 163 to 240 mg/dl). There was a trend in admissions occurring early in the morning of weekend days, and 249 (96.5%) patients were discharged home the day of admission. Though the severity of AOD intoxication seems to be mild to moderate, assessment of substance exposure is low and may underestimate polydrug use in underage populations.
Sections du résumé
BACKGROUND
Alcohol or other drug (AOD) intoxication in minors is a public health challenge. We characterized underage patients admitted to an emergency department (ED) with acute, recreational AOD intoxication.
METHODS
We conducted a 5-year (2012 to 2016) analysis of minors admitted to the only hospital-based pediatric ED in an urban area. Episodes of AOD intoxication were selected using ICD-9-CM diagnostic codes. Sociodemographics, substance use and clinical characteristics, laboratory parameters, and discharge dispositions were collected through the revision of clinical charts.
RESULTS
A total of 266 admissions related to recreational AOD intoxication in 258 patients occurred during the study period. Among the 258 patients, 127 (49.2%) were men, median age 16 years [IQR: 15 to 17 years], and 234 (90.7%) of episodes were alcohol-related. At admission, 202/256 (78.9%) patients had a Glasgow Coma Scale ≥ 13 points, the median systolic and diastolic blood pressure was 109 mmHg (IQR: 101 to 118 mmHg) and 67 mmHg (IQR: 60 to 73 mmHg), respectively, and the median blood glucose level was 112 mg/dl (IQR: 99 to 127 mg/dl). Only 72/258 (27.9%) patients underwent urine screening (22/72 (30.5%) were positive for cannabis), and only 30/258 (11.6%) were tested for blood ethanol (median: 185 mg/dl, IQR: 163 to 240 mg/dl). There was a trend in admissions occurring early in the morning of weekend days, and 249 (96.5%) patients were discharged home the day of admission.
CONCLUSIONS
Though the severity of AOD intoxication seems to be mild to moderate, assessment of substance exposure is low and may underestimate polydrug use in underage populations.
Substances chimiques
Central Nervous System Depressants
0
Ethanol
3K9958V90M
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2179-2186Subventions
Organisme : Ministry of Education, Spain
ID : PRX18/00245
Pays : International
Organisme : Ministry of Health, National Plan on Drugs (PNSD), Spain
ID : 2015/054
Pays : International
Organisme : Ministry of Health, National Plan on Drugs (PNSD), Spain
ID : 2016/024
Pays : International
Organisme : Ministry of Health, National Plan on Drugs (PNSD), Spain
ID : 2018/020
Pays : International
Organisme : Agency for Management of University and Research Grants, Government of Catalonia
ID : 2017SGR316
Pays : International
Organisme : European Fund for Regional Development (FEDER)
ID : CM17/022
Pays : International
Organisme : European Fund for Regional Development (FEDER)
ID : JR16/00020
Pays : International
Organisme : European Fund for Regional Development (FEDER)
ID : RD16/0017/0003
Pays : International
Informations de copyright
© 2019 by the Research Society on Alcoholism.
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