The Impact of Methamphetamine Use on Trauma Patients at a Level I Trauma Center: A 10-Year Retrospective Review
| العنوان: | The Impact of Methamphetamine Use on Trauma Patients at a Level I Trauma Center: A 10-Year Retrospective Review |
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| المؤلفون: | James M. Haan, Jeanette G. Ward, Elizabeth Ablah, Gregory R. Stroh, Fanglong Dong |
| المصدر: | The American Surgeon. 84:428-432 |
| بيانات النشر: | SAGE Publications, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | medicine.medical_specialty, Retrospective review, business.industry, Trauma center, Case-control study, 030208 emergency & critical care medicine, Retrospective cohort study, General Medicine, Logistic regression, Lower risk, Intensive care unit, law.invention, 03 medical and health sciences, 0302 clinical medicine, law, Internal medicine, medicine, Risk of mortality, business, 030217 neurology & neurosurgery |
| الوصف: | The effects of methamphetamines (MAs) on trauma patient outcomes have been evaluated, but with discordant results. The purpose of this study was to identify hospital outcomes associated with MA use after traumatic injury. Retrospective review of adult trauma patients admitted to an American College of Surgeons verified–Level I trauma center who received a urine drug screen (UDS) between January 1, 2004 and December 31, 2013. Logistic regression analysis was used to identify factors associated with mortality. Patients with a negative UDS were used as controls. Among the 2321 patients included, 75.1 per cent were male, 81.9 per cent were white, and the average age was 39. Patients were grouped by UDS results (negative, MA only, other drug plus MA, or other drug without MA). A positive drug screen result of other drug without MA demonstrated a significantly lower risk for mortality, but longer intensive care unit and hospital length of stay, as well as increased ventilator days than negative results. Results of MA only did not alter the risk of mortality. These findings suggest that patients who test positive for MAs are not at an increased risk of in-hospital mortality when compared with patients having a negative drug screen. |
| تدمد: | 1555-9823 0003-1348 |
| DOI: | 10.1177/000313481808400329 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::80c2255d71150e55150c74830827dcf9 https://doi.org/10.1177/000313481808400329 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi...........80c2255d71150e55150c74830827dcf9 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15559823 00031348 |
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| DOI: | 10.1177/000313481808400329 |