Tait Robert J, Hulse Gary K, Robertson Suzanne I, Sprivulis Peter
University Department of Psychiatry and Behavioural Science, QE II Medical Centre, Nedlands, Western Australia.
Addiction. 2002 Oct;97(10):1269-75. doi: 10.1046/j.1360-0443.2002.00191.x.
To investigate 'all cause' and the subset of 'alcohol or other drug' (AOD) related hospital emergency department (ED) presentations over 12 months by adolescents with a previously identified AOD ED presentation.
A retrospective review of medical records in four metropolitan hospitals in Perth, Australia.
One hundred and fifty-two adolescents (13-19 years) identified during a previous 4-week study. The median age was 17.5 (interquartile range (IQR) 16-19); 61 (40%) were female.
Medical records were reviewed for the 6 months either side of a previously identified index AOD presentation. Hospital events in this period were collapsed as 'all cause' morbidity with a subclassification of AOD related.
Over half (n=87, 57%) had no additional hospital events and 10 (7%) had only 'follow-up' treatment for their index event. The drug identified for both these groups was primarily alcohol or alcohol plus other drugs compared with mainly heroin or prescription drugs for those with multiple presentations. There were 55 (36%) adolescents who had 236 presentations, including 39 with 147 AOD presentations: six polydrug users accounted for 47% of multiple presentations. Polydrug users had more 'all cause' and AOD presentations (Mann-Whitney U=168.5, P < 0.001) than single drug users, as did 'heroin users' compared with other AOD users (U=177.5, P < 0.001). There were no significant gender differences in the total number of 'all cause' or AOD presentations.
Alcohol users were the largest group at index presentation, but accounted for few of the presentations over 12 months. Polydrug users typically had multiple presentations and may benefit from additional non-medical hospital support. A more labour-intensive and structured approach might help the small number of polydrug users who accounted for a large proportion of repeat presentations over the 12-month period.
调查曾有过酒精或其他药物（AOD）相关医院急诊科就诊经历的青少年在12个月内的“全因”及AOD相关医院急诊科就诊情况。
对澳大利亚珀斯四家大都市医院的病历进行回顾性研究。
在之前一项为期4周的研究中确定的152名青少年（13 - 19岁）。中位年龄为17.5岁（四分位间距（IQR）16 - 19岁）；61名（40%）为女性。
对之前确定的首次AOD就诊前后6个月的病历进行审查。该期间的医院事件合并为“全因”发病情况，并细分AOD相关情况。
超过半数（n = 87，57%）的青少年没有其他医院就诊事件，10名（7%）仅对其首次就诊事件进行了“后续”治疗。与那些有多次就诊的青少年主要使用海洛因或处方药相比，这两组青少年所确定的药物主要是酒精或酒精加其他药物。有55名（36%）青少年有236次就诊，包括39名有147次AOD就诊：6名多药使用者占多次就诊的47%。多药使用者比单一药物使用者有更多的“全因”和AOD就诊（曼 - 惠特尼U = 168.5，P < 0.001），“海洛因使用者”与其他AOD使用者相比也是如此（U = 177.5，P < 0.001）。“全因”或AOD就诊总数在性别上无显著差异。
酒精使用者是首次就诊时最大的群体，但在12个月内的就诊中占比很少。多药使用者通常有多次就诊，可能会从额外的非医疗医院支持中受益。一种劳动强度更大且结构化的方法可能有助于在12个月期间占重复就诊很大比例的少数多药使用者。
