Trends and Correlates of Cannabis-involved Emergency Department Visits: 2004 to 2011.
Trends and Correlates of Cannabis-involved Emergency Department Visits: 2004 to 2011.
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DOI：
10.1097/adm.0000000000000256
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发表时间：
2016
影响因子：
5.5
通讯作者：
Wu LT
中科院分区：
文献类型：
--
作者：
Zhu H;Wu LT
研究2004年至2011年美国大麻相关急诊（艾德）就诊的趋势和相关性。数据来自2004-2011年药物滥用预警网络。我们分析了年龄≥12岁人群中大麻相关艾德就诊的趋势，并按大麻相关类型（仅大麻、大麻-多药）分层。我们使用逻辑回归来确定大麻相关住院与大麻相关艾德就诊的相关性。2004年至2011年期间，艾德就诊率从每10万名年龄≥ 12岁的仅使用大麻的人群中的51人增加到73人（趋势P值=0.004），大麻-多药使用从63人增加到100人（趋势P值<0.001）。12-17岁的青少年仅涉及大麻的艾德就诊率增幅最大（比率差异=每10万青少年80例）。在人种/种族组中，最常见的艾德访视发生在非西班牙裔黑人中。与12-17岁相比，在涉及大麻的就诊中，住院率（仅与艾德就诊相比）随年龄分层而增加。这些研究结果表明，在研究期间，仅使用大麻和大麻多药的艾德就诊人数和比率显着增加，特别是在年轻人和非西班牙裔黑人中。
To examine trends and correlates of cannabis-involved emergency department (ED) visits in the United States from 2004 to 2011. Data were obtained from the 2004-2011 Drug Abuse Warning Network. We analyzed trend in cannabis-involved ED visits for persons aged ≥12 years and stratified by type of cannabis involvement (cannabis-only, cannabis-polydrug). We used logistic regressions to determine correlates of cannabis-involved hospitalization versus cannabis-involved ED visits only. Between 2004 and 2011, the ED visit rate increased from 51 to 73 visits per 100,000 population aged ≥ 12 years for cannabis-only use (P-value for trend=0.004) and from 63 to 100 for cannabis-polydrug use (P-value for trend<0.001). Adolescents aged 12-17 years showed the largest increase in the cannabis-only-involved ED visit rate (Rate difference=80 per 100,000 adolescents). Across racial/ethnic groups, the most prevalent ED visits were noted among non-Hispanic blacks. Among cannabis-involved visits, the odds of hospitalization (versus ED visits only) increased with age strata compared with aged 12-17 years. These findings suggest a notable increase in the ED visit numbers and rates for both the use of cannabis-only and cannabis-polydrug during the studied period, particularly among young people and non-Hispanic blacks.