The rising tide of methamphetamine use in elderly trauma patients

被引：8
|
作者：
Benham, Derek A. [1 ]
Rooney, Alexandra S. [1 ]
Calvo, Richard Y. [1 ]
Carr, Matthew J. [1 ]
Diaz, Joseph A. [1 ]
Sise, C. Beth [1 ]
Bansal, Vishal [1 ]
Sise, Michael J. [1 ]
Martin, Matthew J. [1 ]
机构：
[1] Scripps Mercy Hosp, Trauma Serv, 4077 Fifth Ave, San Diego, CA 92103 USA
来源：
AMERICAN JOURNAL OF SURGERY | 2021年 / 221卷 / 06期
关键词：
Methamphetamine; Geriatric trauma; Substance use; Blood alcohol level; Intoxication; CLINICAL-OUTCOMES; GERIATRIC TRAUMA; IMPACT;
D O I：
10.1016/j.amjsurg.2021.02.030
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Background: Methamphetamine (METH) is associated with an elevated risk of injury and the outcomes in the elderly remain unclear. We analyzed METH's impact in elderly trauma patients. Methods: Retrospective analysis (2009-2018) of trauma patients at a Level I trauma center. Elderly patients were defined as age >= 55. Substance use was identified by blood alcohol test and urine drug screen. Cox proportional hazard model was used to assess patient and injury characteristics with mortality. Results: Of 15,770 patient encounters with substance use testing, 5278 (34%) were elderly. Elderly METH use quadrupled over time (2%-8%; p < 0.01). Elderly METH + patients were more likely to require surgical intervention (35% vs. 17%), mechanical ventilation (15% vs. 7%), and a longer hospitalization (6.5 vs. 3.6 days) compared with elderly substance negative. Multivariate analysis showed increasing age, ventilator use, and injury severity were associated with mortality (ps < 0.01); METH was not related to mortality. Conclusion: Substance use in elderly trauma patients increased significantly. METH use in elderly trauma patients is a risk factor for significantly greater resource utilization. (C) 2021 Elsevier Inc. All rights reserved.
引用
收藏
页码：1246 / 1251
页数：6
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