Alcohol and drug abuse in an urban trauma center: Predictors of screening and detection
Alcohol and drug abuse in an urban trauma center: Predictors of screening and detection
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DOI：
10.1300/j069v15n01_05
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发表时间：
1996-01-01
影响因子：
2.3
通讯作者：
Radecki, SE
中科院分区：
文献类型：
--
作者：
Buchfuhrer, LA;Radecki, SE
对创伤患者中酒精和药物滥用流行率的研究提出了对所有创伤患者进行这些物质筛查的建议。但一项全国性的创伤中心调查显示，只有72.0%的一级创伤中心定期获得创伤患者的血液酒精水平，只有50.4%的创伤中心定期使用毒理学筛查。利用在长滩（CA）纪念医学中心急诊科治疗的2,246名创伤患者在2.5年期间收集的患者总结数据，以及随机抽样的246名这些患者的实验室结果，本研究试图确定与中心筛查和阳性检测结果相关的患者和表现问题特征（例如我们的）筛选是有选择性的。结果显示，75.4%的创伤患者接受了血液酒精水平筛查，58.5%的患者接受了尿液毒理学检查，12-20奥尔兹的患者比例最低，40岁以上的患者比例最高，他们感到困惑或无法理解。男性比女性更有可能接受血液酒精筛查，但他们的阳性率高出2.5倍;相比之下，毒理学阳性率在性别上没有显著差异。任何一种检测的阳性结果与另一种检测的阳性率高出40%相关。
Studies of the prevalence of alcohol and drug abuse among trauma patients have produced recommendations that all trauma patients be screened for these substances. But a national survey of trauma centers showed that just 72.0% of level 1 trauma centers routinely obtain blood alcohol levels on trauma patients and only 50.4% routinely utilize toxicology screens. Utilizing patient summary data collected on 2,246 trauma patients treated in the Emergency Department of Long Beach (CA) Memorial Medical Center over a 2.5 year period, and laboratory results for a random sample of 246 of these patients, this study sought to determine patient and presenting problem characteristics associated with screening and positive test results in centers (such as ours) where screening is done selectively. Results show that 75.4% of trauma patients are screened for blood alcohol levels, and 58.5% are given a urine toxicology, with lowest rates for 12-20 year olds and highest rates for patients over 40 who were confused or incomprehensible. Men were slightly more likely to be screened for blood alcohol than women, but their positivity rate was 2.5 times higher; by contrast, the toxicology positivity rate did not differ significantly by gender. A positive finding for either test was associated with a 40% higher rate of positivity for the other.