Cargando…
Psychoactive substances and previous hospital admissions, triage and length of stay in rural injuries: a prospective observational study
BACKGROUND: Patients admitted to hospital after an injury are often found to have used psychoactive substances prior to the injury. The aim of this study was to investigate the associations between psychoactive substances (alcohol, psychoactive medicinal drugs and illicit drugs) and previous hospita...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10680296/ https://www.ncbi.nlm.nih.gov/pubmed/38012704 http://dx.doi.org/10.1186/s13049-023-01156-z |
_version_ | 1785150696952168448 |
---|---|
author | Wilson, Thomas Wisborg, Torben Vindenes, Vigdis Jamt, Ragnhild Elèn Gjulem Bogstrand, Stig Tore |
author_facet | Wilson, Thomas Wisborg, Torben Vindenes, Vigdis Jamt, Ragnhild Elèn Gjulem Bogstrand, Stig Tore |
author_sort | Wilson, Thomas |
collection | PubMed |
description | BACKGROUND: Patients admitted to hospital after an injury are often found to have used psychoactive substances prior to the injury. The aim of this study was to investigate the associations between psychoactive substances (alcohol, psychoactive medicinal drugs and illicit drugs) and previous hospital admissions, triage and length of stay in the arctic Norwegian county of Finnmark. METHODS: Patients ≥ 18 years admitted due to injury to trauma hospitals in Finnmark from January 2015 to August 2016 were approached. Parameters regarding admittance and hospital stay were collected from 684 patients and blood was analysed for psychoactive substances. Using a prospective, observational design, time, triage, length of stay in hospital, use of intensive care unit (ICU), injury severity, Alcohol Use Disorder Identification Test—Consumption (AUDIT-C) and number of previous admittances were investigated by bivariable testing and logistical regression analysis. RESULTS: Of 943 patients approached, 81% consented and 684 were included in the study. During the weekend, 51.5% tested positive for any substance versus 27.1% Monday–Friday. No associations were identified between testing positive and either triage or injury severity for any substance group although triage level was lower in patients with AUDIT-C ≥ 5. Short length of stay was associated with alcohol use prior to injury [odds ratio (OR) 0.48 for staying > 12 h, confidence interval (CI) 0.25–0.90]. The OR for staying > 24 h in the ICU when positive for an illicit substance was 6.33 (CI 1.79–22.32) while negatively associated with an AUDIT-C ≥ 5 (OR 0.30, CI 0.10–0.92). Patients testing positive for a substance had more often previously been admitted with the strongest association for illicit drugs (OR 6.43 (CI 1.47–28.08), compared to patients in whom no substances were detected. CONCLUSIONS: Triage level and injury severity were not associated with psychoactive substance use. Patients using alcohol are more often discharged early, but illicit substances were associated with longer ICU stays. All psychoactive substance groups were associated with having been previously admitted. |
format | Online Article Text |
id | pubmed-10680296 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-106802962023-11-27 Psychoactive substances and previous hospital admissions, triage and length of stay in rural injuries: a prospective observational study Wilson, Thomas Wisborg, Torben Vindenes, Vigdis Jamt, Ragnhild Elèn Gjulem Bogstrand, Stig Tore Scand J Trauma Resusc Emerg Med Original Research BACKGROUND: Patients admitted to hospital after an injury are often found to have used psychoactive substances prior to the injury. The aim of this study was to investigate the associations between psychoactive substances (alcohol, psychoactive medicinal drugs and illicit drugs) and previous hospital admissions, triage and length of stay in the arctic Norwegian county of Finnmark. METHODS: Patients ≥ 18 years admitted due to injury to trauma hospitals in Finnmark from January 2015 to August 2016 were approached. Parameters regarding admittance and hospital stay were collected from 684 patients and blood was analysed for psychoactive substances. Using a prospective, observational design, time, triage, length of stay in hospital, use of intensive care unit (ICU), injury severity, Alcohol Use Disorder Identification Test—Consumption (AUDIT-C) and number of previous admittances were investigated by bivariable testing and logistical regression analysis. RESULTS: Of 943 patients approached, 81% consented and 684 were included in the study. During the weekend, 51.5% tested positive for any substance versus 27.1% Monday–Friday. No associations were identified between testing positive and either triage or injury severity for any substance group although triage level was lower in patients with AUDIT-C ≥ 5. Short length of stay was associated with alcohol use prior to injury [odds ratio (OR) 0.48 for staying > 12 h, confidence interval (CI) 0.25–0.90]. The OR for staying > 24 h in the ICU when positive for an illicit substance was 6.33 (CI 1.79–22.32) while negatively associated with an AUDIT-C ≥ 5 (OR 0.30, CI 0.10–0.92). Patients testing positive for a substance had more often previously been admitted with the strongest association for illicit drugs (OR 6.43 (CI 1.47–28.08), compared to patients in whom no substances were detected. CONCLUSIONS: Triage level and injury severity were not associated with psychoactive substance use. Patients using alcohol are more often discharged early, but illicit substances were associated with longer ICU stays. All psychoactive substance groups were associated with having been previously admitted. BioMed Central 2023-11-27 /pmc/articles/PMC10680296/ /pubmed/38012704 http://dx.doi.org/10.1186/s13049-023-01156-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Original Research Wilson, Thomas Wisborg, Torben Vindenes, Vigdis Jamt, Ragnhild Elèn Gjulem Bogstrand, Stig Tore Psychoactive substances and previous hospital admissions, triage and length of stay in rural injuries: a prospective observational study |
title | Psychoactive substances and previous hospital admissions, triage and length of stay in rural injuries: a prospective observational study |
title_full | Psychoactive substances and previous hospital admissions, triage and length of stay in rural injuries: a prospective observational study |
title_fullStr | Psychoactive substances and previous hospital admissions, triage and length of stay in rural injuries: a prospective observational study |
title_full_unstemmed | Psychoactive substances and previous hospital admissions, triage and length of stay in rural injuries: a prospective observational study |
title_short | Psychoactive substances and previous hospital admissions, triage and length of stay in rural injuries: a prospective observational study |
title_sort | psychoactive substances and previous hospital admissions, triage and length of stay in rural injuries: a prospective observational study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10680296/ https://www.ncbi.nlm.nih.gov/pubmed/38012704 http://dx.doi.org/10.1186/s13049-023-01156-z |
work_keys_str_mv | AT wilsonthomas psychoactivesubstancesandprevioushospitaladmissionstriageandlengthofstayinruralinjuriesaprospectiveobservationalstudy AT wisborgtorben psychoactivesubstancesandprevioushospitaladmissionstriageandlengthofstayinruralinjuriesaprospectiveobservationalstudy AT vindenesvigdis psychoactivesubstancesandprevioushospitaladmissionstriageandlengthofstayinruralinjuriesaprospectiveobservationalstudy AT jamtragnhildelengjulem psychoactivesubstancesandprevioushospitaladmissionstriageandlengthofstayinruralinjuriesaprospectiveobservationalstudy AT bogstrandstigtore psychoactivesubstancesandprevioushospitaladmissionstriageandlengthofstayinruralinjuriesaprospectiveobservationalstudy |