Incidence and impact of undisclosed cocaine use in emergency department chest pain and trauma patients.
作者信息
Burillo-Putze Guillermo, Borreguero León Juan María, García Dopico Jose Antonio, Fernández Rodríguez Jose Francisco, Pérez Carrillo Maria Angeles, Jorge Pérez Maria Jesús, de Vera González Antonia María, Vallbona Afonso Eva, Jiménez Sosa Alejandro
机构信息
Emergency Department, University Hospital of the Canary Islands, La Laguna, Santa Cruz de Tenerife, Spain.
出版信息
Int J Emerg Med. 2008 Sep;1(3):169-72. doi: 10.1007/s12245-008-0022-6. Epub 2008 Jun 7.
BACKGROUND
One of the highest rates of illicit cocaine consumption in Europe is in Spain. Our objective was to study the incidence and impact of undisclosed cocaine consumption in patients attending the emergency department (ED) for trauma or chest pain.
METHODS
We analysed urine samples from consecutive patients attending the ED for trauma or chest pain to determine the presence of cocaine, cannabis, amphetamine/metaamphetamine and opioids by semiquantative tests with fluorescence polarization immunoassay (FPIA).
RESULTS
Thirty percent of eligible patients participated. Of 75 cases, 61.3% had trauma and 38.7% chest pain; 25% presented a positive test for drugs. Cocaine was present in 13.3% and cannabis in the same proportion. No differences were found regarding positive cocaine test and chief complaint, ED or hospital stay, or additional tests. Cocaine-positive patients were significantly younger.
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