DRUG AND ALCOHOL USE IN ORTHOPAEDIC TRAUMA PATIENTS: A PROSPECTIVE STUDY
DOI:
https://doi.org/10.54112/bcsrj.v2024i1.757Keywords:
Alcohol, Trauma, Drug, InjuryAbstract
The objective of this study is to prospectively investigate the prevalence, patterns, and correlates of drug and alcohol use among orthopaedic trauma patients. After the ethical approval from the institutional review board, this cross-sectional study was conducted at Jinnah Postgraduate Medical Center from 01/09/23 to 29/02/24. Baseline data was collected upon admission and included demographic information (such as age and gender) and a comprehensive assessment of substance use history. Substance use was assessed using validated screening tools, including the Alcohol Use Disorders Identification Test (AUDIT) and the Drug Abuse Screening Test (DAST), to capture patterns of alcohol and drug use, frequency, duration, and any previous treatment history for substance use disorders. In the present study, the prevalence of drug and alcohol use among the orthopedic traumatic participants was (40%). Among them, the majority (51%) were using alcohol, followed by marijuana use (25%), and then cocaine (11%). The means of hospital stay of participants in substance non-users and users (2.4±0.8 vs. 6.83±1.1; P<0.0001). Pre-injury alcohol and drug use appear to correlate with extended hospital stays among patients with traumatic orthopaedic injuries.
Downloads
References
Ahmed, N., & Greenberg, P. (2019). Patient mortality following alcohol use and trauma: a propensity-matched analysis. European journal of trauma and emergency surgery, 45, 151-158.
Anderson, E. S., Rusoja, E., Luftig, J., Ullal, M., Shardha, R., Schwimmer, H., . . . Herring, A. A. (2023). Effectiveness of substance use navigation for emergency department patients with substance use disorders: An implementation study. Annals of emergency medicine, 81(3), 297-308.
Bedell, B.-R., Boggs, K.-M., Espinola, J.-A., Sullivan, A.-F., Hasegawa, K., Samuels-Kalow, M., . . . Camargo Jr, C.-A. (2023). Development of a unified national trauma center database, 2018. Injury, 54(2), 461-468.
Cherpitel, C. J., Ye, Y., Bond, J., Borges, G., Monteiro, M., Chou, P., & Hao, W. (2015). Alcohol attributable fraction for injury morbidity from the dose‐response relationship of acute alcohol consumption: emergency department data from 18 countries. Addiction, 110(11), 1724-1732.
Haines, K. L., Agarwal, S., & Jung, H. S. (2018). Socioeconomics affecting quality outcomes in Asian trauma patients within the United States. Journal of Surgical Research, 228, 63-67.
Kowalenko, T., Burgess, B., Szpunar, S. M., & Irvin-Babcock, C. B. (2013). Alcohol and trauma—in every age group. The American journal of emergency medicine, 31(4), 705-709.
MacLeod, J. B., & Hungerford, D. W. (2011). Alcohol-related injury visits: do we know the true prevalence in US trauma centres? Injury, 42(9), 922-926.
O’Hara, N. N., Isaac, M., Slobogean, G. P., & Klazinga, N. S. (2020). The socioeconomic impact of orthopaedic trauma: a systematic review and meta-analysis. PLoS One, 15(1), e0227907.
Organization, W. H. (2019). Global status report on alcohol and health 2018: World Health Organization.
Savola, O., Niemelä, O., & Hillbom, M. (2005). Alcohol intake and the pattern of trauma in young adults and working aged people admitted after trauma. Alcohol and alcoholism, 40(4), 269-273.
Spratt, J., Adkins, Z., Warda, D., Smith, M., Bruggers, J., Weiss, P., & Becher, S. (2023). Illicit drug and alcohol use and measures of musculoskeletal function and mental health in orthopaedic trauma patients. OTA International, 6(2), e270.
von Oelreich, E., Eriksson, M., Brattström, O., Sjölund, K.-F., Discacciati, A., Larsson, E., & Oldner, A. (2020). Risk factors and outcomes of chronic opioid use following trauma. Journal of British Surgery, 107(4), 413-421.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 MU FAROOQUE , K ANWAR , S HUSSAIN , MR KIFAYATULLAH, A GHAFFAR , J AHMED
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.