Psychoactive substances and previous hospital admissions, triage and length of stay in rural injuries: a prospective observational study
Abstract 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...
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ftdoajarticles:oai:doaj.org/article:ec66cacb9e134414bc229bdd9fd115ad 2024-01-07T09:42:01+01:00 Psychoactive substances and previous hospital admissions, triage and length of stay in rural injuries: a prospective observational study Thomas Wilson Torben Wisborg Vigdis Vindenes Ragnhild Elèn Gjulem Jamt Stig Tore Bogstrand 2023-11-01T00:00:00Z https://doi.org/10.1186/s13049-023-01156-z https://doaj.org/article/ec66cacb9e134414bc229bdd9fd115ad EN eng BMC https://doi.org/10.1186/s13049-023-01156-z https://doaj.org/toc/1757-7241 doi:10.1186/s13049-023-01156-z 1757-7241 https://doaj.org/article/ec66cacb9e134414bc229bdd9fd115ad Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 31, Iss 1, Pp 1-11 (2023) Psychoactive substances Injury severity MAIS Repeat admittance Duration Rural Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 article 2023 ftdoajarticles https://doi.org/10.1186/s13049-023-01156-z 2023-12-10T01:47:31Z Abstract 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 ... Article in Journal/Newspaper Arctic Finnmark Finnmark Directory of Open Access Journals: DOAJ Articles Arctic Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 31 1 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Psychoactive substances Injury severity MAIS Repeat admittance Duration Rural Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 |
spellingShingle |
Psychoactive substances Injury severity MAIS Repeat admittance Duration Rural Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Thomas Wilson Torben Wisborg Vigdis Vindenes Ragnhild Elèn Gjulem Jamt Stig Tore Bogstrand Psychoactive substances and previous hospital admissions, triage and length of stay in rural injuries: a prospective observational study |
topic_facet |
Psychoactive substances Injury severity MAIS Repeat admittance Duration Rural Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 |
description |
Abstract 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 ... |
format |
Article in Journal/Newspaper |
author |
Thomas Wilson Torben Wisborg Vigdis Vindenes Ragnhild Elèn Gjulem Jamt Stig Tore Bogstrand |
author_facet |
Thomas Wilson Torben Wisborg Vigdis Vindenes Ragnhild Elèn Gjulem Jamt Stig Tore Bogstrand |
author_sort |
Thomas Wilson |
title |
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_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_sort |
psychoactive substances and previous hospital admissions, triage and length of stay in rural injuries: a prospective observational study |
publisher |
BMC |
publishDate |
2023 |
url |
https://doi.org/10.1186/s13049-023-01156-z https://doaj.org/article/ec66cacb9e134414bc229bdd9fd115ad |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic Finnmark Finnmark |
genre_facet |
Arctic Finnmark Finnmark |
op_source |
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 31, Iss 1, Pp 1-11 (2023) |
op_relation |
https://doi.org/10.1186/s13049-023-01156-z https://doaj.org/toc/1757-7241 doi:10.1186/s13049-023-01156-z 1757-7241 https://doaj.org/article/ec66cacb9e134414bc229bdd9fd115ad |
op_doi |
https://doi.org/10.1186/s13049-023-01156-z |
container_title |
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
container_volume |
31 |
container_issue |
1 |
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1787422858228531200 |