Document Detail


Toxicology screening results: injury associations among hospitalized trauma patients.
MedLine Citation:
PMID:  15761352     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Substance abuse is associated with injuries, but these associations have not been well characterized by type of substance and injury type. METHODS: A cross-sectional study of patients selected for toxicology screening compared those with positive and those with negative test results for drugs and alcohol. RESULTS: Patients with positive alcohol toxicology results were more likely to have violence-related and penetrating injuries than patients with negative results. However, after adjustment for positive cocaine toxicology results, the association between alcohol and penetrating injury was no longer significant. Positive test results for any drug were not associated with any specific injury type, but cocaine was independently associated with violence-related injury. The associations of alcohol and cocaine with violence-related injury appear to be additive. In contrast, opiates were independently associated with nonviolent injuries and burns. CONCLUSIONS: Alcohol and cocaine use is independently associated with violence-related injuries, whereas opiate use is independently associated with nonviolent injuries and burns.
Authors:
Richard D Blondell; Heather N Dodds; Stephen W Looney; Casey M Lewis; Joseph L Hagan; James K Lukan; Timothy J Servoss
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of trauma     Volume:  58     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-03-11     Completed Date:  2005-04-08     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  United States    
Other Details:
Languages:  eng     Pagination:  561-70     Citation Subset:  AIM; IM    
Affiliation:
Department of Family Medicine, State University of New York, University at Buffalo, 14215-3021, USA. blondell@buffalo.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Causality
Comorbidity
Cross-Sectional Studies
Female
Hospitalization / statistics & numerical data*
Humans
Length of Stay / statistics & numerical data
Male
Mass Screening / methods*
Middle Aged
Midwestern United States / epidemiology
Needs Assessment
Odds Ratio
Registries
Substance Abuse Detection / methods*
Substance-Related Disorders / complications,  diagnosis*,  epidemiology*,  metabolism
Tomography, X-Ray Computed
Trauma Centers
Violence / statistics & numerical data
Wounds and Injuries / complications,  epidemiology*

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


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