Psychoactive substance use disorders among seriously injured trauma center patients
Psychoactive substance use disorders among seriously injured trauma center patients
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DOI：
10.1001/jama.277.22.1769
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发表时间：
1997-06-11
影响因子：
120.7
通讯作者：
Read, KM
中科院分区：
文献类型：
--
作者：
Soderstrom, CA;Smith, GS;Read, KM
Objective.-To assess the prevalence of psychoactive substance use disorders (PSUDs) among a large, unselected group of seriously injured trauma center patients, using a standardized diagnostic interview and criteria.Design.-Prevalence study.Setting.-A level I regional trauma center.Patients. Trauma center patients fulfilling the following criteria were eligible subjects: aged 18 years or older, admission from injury scene, length of stay of 2 days or longer, and intact cognition.Outcome Measures. The PSUDs were diagnosed using the Structured Clinical Interview (SCID) for the Diagnostic and Statistical Manual of Mental Disorders, Revised Third Edition (DSM-III-R) and were categorized as abuse or dependence and past or current (within past 6 months). The SCID results were analyzed with respect to demographic factors, injury type, and blood alcohol concentration and urine toxicology results, using chi(2) and logistic regression techniques.Results.-Of the 1220 patients approached for study, 1118 (91.6%) consented. More than half (54.2%) had a diagnosis of a PSUD in their lifetime. Approximately 90% of alcohol and other drug use diagnoses were for dependence and more than 62% were current. Overall, 24.1% of patients were currently alcohol dependent (men, 27.7%; women, 14.7%; P
