Document Detail

Cocaine-related symptoms in patients presenting to an urban emergency department.
MedLine Citation:
PMID:  2039099     Owner:  NLM     Status:  MEDLINE    
STUDY OBJECTIVES: Cocaine abuse is a serious social problem that precipitates a significant number of emergency hospital encounters. To determine the nature of cocaine-related symptoms, we studied patients with cocaine use presenting to all adult services of an urban emergency department. DESIGN: Review of consecutive cases, with analysis of clinical features. SETTING: All adult EDs of an urban teaching hospital. TYPE OF PARTICIPANTS: Patients acknowledging recent use of cocaine (within 72 hours) and/or with cocaine detected on a toxicologic screen. MEASUREMENTS AND MAIN RESULTS: Psychiatric complaints accounted for 44 (30.6%) presentations, followed by neurologic (17.4%), cardiopulmonary (16%), trauma (11.8%), and addiction-related (11.1%) symptoms. Cardiopulmonary symptoms were more frequently associated with intranasal than with IV or smoked cocaine (P = .003). Suicidal intent was the most common psychiatric reason for presentation, occurring in 24 patients (16.6%). Seventeen presented with trauma, including three involved in motor vehicle accidents. CONCLUSION: Cardiopulmonary symptoms such as chest pain and palpitations may be significantly more frequent in patients who use intranasal cocaine; suicidal intent is common among patients presenting with psychiatric symptoms related to cocaine; and the range of cocaine-related symptoms is varied, including not only psychiatric and cardiopulmonary symptoms but also trauma.
J A Rich; D E Singer
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Annals of emergency medicine     Volume:  20     ISSN:  0196-0644     ISO Abbreviation:  Ann Emerg Med     Publication Date:  1991 Jun 
Date Detail:
Created Date:  1991-06-28     Completed Date:  1991-06-28     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8002646     Medline TA:  Ann Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  616-21     Citation Subset:  AIM; IM    
Department of Medicine, Massachusetts General Hospital, Boston.
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MeSH Terms
Boston / epidemiology
Cardiovascular Diseases / epidemiology*,  etiology
Emergency Service, Hospital*
Hospitals, Teaching
Mental Disorders / epidemiology*,  etiology
Middle Aged
Nervous System Diseases / epidemiology*,  etiology
Substance-Related Disorders / blood,  complications*,  urine
Suicide, Attempted / statistics & numerical data
Time Factors
Grant Support
5 D28 PE51006-05/PE/BHP HRSA HHS
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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