AI Article Synopsis
- The study analyzes clinical toxicology data from a major urban hospital for 1976 and compares it to 1972, highlighting trends in tests for various drugs.
- The majority of requests continue to focus on quick turnaround tests, with a significant 70% increase in total workload despite a drop in overall hospital admissions.
- Requests for certain drugs, such as ethanol and diazepam, rose notably, while testing for other drugs remained stable or declined.
Article Abstract
Analytical data from the clinical toxicology laboratory of a large urban hospital, the Los Angeles County--University of Southern California Medical Center, are reported for the year 1976 and are compared to similar data previously documented for the year 1972. Drugs assayed, number of tests requested, and number of positive results are collated. Data on 58 assays show that the overwhelming majority of the requests continue to be for those tests that were originally classified as tests with 4-h turn-around time in the patient-focused concept for a clinical toxicology service in 1972. Total workload increased by 70%. The number of patients on whom some toxicologic assay was requested doubled in spite of a decrease in the number of patients admitted to the hospital during this five-year period. The data show that assays for some socially and clinically significant drugs--ethanol diazepam, tricyclics, and phencyclidine--increased disproportionally while others remained relatively constant, or even decreased.
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