Alcohol and drug abuse in an urban trauma center: predictors of screening and detection.

Alcohol and drug abuse in an urban trauma center: predictors of screening and detection. Research Abstract Details 

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Alcohol and drug abuse in an urban trauma center: predictors of screening and detection. Abstract Text:

Studies of the prevalence of alcohol and drug abuse among trauma patients have produced recommendations that all trauma patients be screened for these substances. But a national survey of trauma centers showed that just 72.0% of level 1 trauma centers routinely obtain blood alcohol levels on trauma patients and only 50.4% routinely utilize toxicology screens. Utilizing patient summary data collected on 2,246 trauma patients treated in the Emergency Department of Long Beach (CA) Memorial Medical Center over a 2.5 year period, and laboratory results for a random sample of 246 of these patients, this study sought to determine patient and presenting problem characteristics associated with screening and positive test results in centers (such as ours) where screening is done selectively. Results show that 75.4% of trauma patients are screened for blood alcohol levels, and 58.5% are given a urine toxicology, with lowest rates for 12-20 year olds and highest rates for patients over 40 who were confused or incomprehensible. Men were slightly more likely to be screened for blood alcohol than women, but their positivity rate was 2.5 times higher; by contrast, the toxicology positivity rate did not differ significantly by gender. A positive finding for either test was associated with a 40% higher rate of positivity for the other.

Alcohol and drug abuse in an urban trauma center: predictors of screening and detection. Publishing Authors By Initials

For similar disorders of environmental origin: wounds and injuries research abstracts see: disorders of environmental origin: wounds and injuries research

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Alcohol and drug abuse in an urban trauma center: predictors of screening and detection. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of addictive diseases

VOLUME: 15

Page Numbers: 65-74

Journal Abbreviation:

ISSN: 1055-0887

DAY: 12

MONTH: 05

YEAR: 1996

Alcohol and drug abuse in an urban trauma center: predictors of screening and detection. Information

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LANGUAGE: eng

NlmUniqueID: 9107051

Alcohol and drug abuse in an urban trauma center: predictors of screening and detection. Keywords Mesh Terms:

KEYWORDS: Wounds and Injuries

MESH TERMS: diagnosis

Chemical & Substance for Abstract: Alcohol and drug abuse in an urban trauma center: predictors of screening and detection. Information

Substance Name: Ethanol

Registry Number: 64-17-5

Grant and Affiliation Information for Alcohol and drug abuse in an urban trauma center: predictors of screening and detection.

AFFILIATION: Long Beach Memorial Medical Center Family Practice Residency, University of California Irvine 92668-3298, USA.

Country: UNITED STATES

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MEDLINETA: J Addict Dis

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