Show simple item record

dc.contributor.authorWilson, Thomas
dc.contributor.authorWisborg, Torben
dc.contributor.authorVindenes, Vigdis
dc.contributor.authorJamt, Ragnhild Elén Gjulem
dc.contributor.authorBogstrand, Stig Tore
dc.date.accessioned2024-01-19T11:27:28Z
dc.date.available2024-01-19T11:27:28Z
dc.date.issued2023-11-27
dc.description.abstractBackground - Patients admitted to hospital after an injury are often found to have used psychoactive substances prior to the injury. The aim of this study was to investigate the associations between psychoactive substances (alcohol, psychoactive medicinal drugs and illicit drugs) and previous hospital admissions, triage and length of stay in the arctic Norwegian county of Finnmark.<p> <p>Methods - Patients ≥ 18 years admitted due to injury to trauma hospitals in Finnmark from January 2015 to August 2016 were approached. Parameters regarding admittance and hospital stay were collected from 684 patients and blood was analysed for psychoactive substances. Using a prospective, observational design, time, triage, length of stay in hospital, use of intensive care unit (ICU), injury severity, Alcohol Use Disorder Identification Test—Consumption (AUDIT-C) and number of previous admittances were investigated by bivariable testing and logistical regression analysis.<p> <p>Results - Of 943 patients approached, 81% consented and 684 were included in the study. During the weekend, 51.5% tested positive for any substance versus 27.1% Monday–Friday. No associations were identified between testing positive and either triage or injury severity for any substance group although triage level was lower in patients with AUDIT-C ≥ 5. Short length of stay was associated with alcohol use prior to injury [odds ratio (OR) 0.48 for staying > 12 h, confidence interval (CI) 0.25–0.90]. The OR for staying > 24 h in the ICU when positive for an illicit substance was 6.33 (CI 1.79–22.32) while negatively associated with an AUDIT-C ≥ 5 (OR 0.30, CI 0.10–0.92). Patients testing positive for a substance had more often previously been admitted with the strongest association for illicit drugs (OR 6.43 (CI 1.47–28.08), compared to patients in whom no substances were detected.<p> <p>Conclusions - Triage level and injury severity were not associated with psychoactive substance use. Patients using alcohol are more often discharged early, but illicit substances were associated with longer ICU stays. All psychoactive substance groups were associated with having been previously admitted.en_US
dc.identifier.citationWilson, Wisborg, Vindenes, Jamt, Bogstrand. Psychoactive substances and previous hospital admissions, triage and length of stay in rural injuries: a prospective observational study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2023;31(1)en_US
dc.identifier.cristinIDFRIDAID 2214822
dc.identifier.doi10.1186/s13049-023-01156-z
dc.identifier.issn1757-7241
dc.identifier.urihttps://hdl.handle.net/10037/32645
dc.language.isoengen_US
dc.publisherSpringer Natureen_US
dc.relation.journalScandinavian Journal of Trauma, Resuscitation and Emergency Medicine
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2023 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titlePsychoactive substances and previous hospital admissions, triage and length of stay in rural injuries: a prospective observational studyen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


File(s) in this item

Thumbnail

This item appears in the following collection(s)

Show simple item record

Attribution 4.0 International (CC BY 4.0)
Except where otherwise noted, this item's license is described as Attribution 4.0 International (CC BY 4.0)