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Use of alcohol and illicit drugs by trauma patients in Sao Paulo, Brazil. | LitMetric

AI Article Synopsis

  • The study investigates the prevalence of alcohol and illicit drug use among patients with traumatic injuries in an emergency department in Sao Paulo, Brazil.
  • Conducted from July 2018 to June 2019, it involved analyzing blood samples from 376 injured patients, revealing that 32% had alcohol or drugs in their system, with males and younger individuals being the most affected.
  • Alcohol was identified as the most common substance found (23%), followed by cocaine (12%) and cannabis (5%), indicating that substance use was likely a significant factor in many of the injuries.

Article Abstract

Introduction: Alcohol and illicit drugs impair cognitive and psychomotor skills and may thereby increase the risk of involvement in a road traffic crash and other types of injuries. However, the knowledge on the use of psychoactive substances among injured patients presenting to emergency departments in low and middle-income countries remains limited.

Aims: To estimate the prevalence of alcohol and illicit drug use among patients with traumatic injuries admitted to an emergency department in Sao Paulo, Brazil.

Methods: Blood samples from injured patients requiring hospitalization for more than 24 h due to road traffic crashes, falls, or violence, were collected from July 2018 to June 2019. The samples were analyzed for alcohol and illicit drugs.

Results: A total of 376 patients were included in this study; the median age was 36 years and 80% of patients were male. The majority (56%) of injuries resulted from road traffic crashes, with approximately half of them being motorcyclists. Alcohol, drugs, or both were detected in 32% of samples. The proportion that tested positive was highest for males (35%), for the age group 18-39 years (41%), for singles (43%), and for patients injured at nighttime (44%). Patients injured due to violence had the highest prevalence of alcohol or drugs in their blood samples (44%). Alcohol was most prevalent (23%), followed by cocaine (12%) and cannabis (5%).

Conclusion: The use of alcohol and illicit drugs was common among injured patients in Sao Paulo; it was likely a contributing factor in a third of the injurious accidents. Alcohol was the most prevalent substance followed by cocaine and cannabis.

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Source
http://dx.doi.org/10.1016/j.injury.2021.10.032DOI Listing

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