Department of Health Care Administration and Policy, School of Community Health Sciences, University of Nevada, Las Vegas, NV (JJS); Department of Environmental and Occupational Health, School of Community Health Sciences, University of Nevada, Las Vegas, NV (GS); Department of Health Care Administration and Policy, School of Community Health Science, University of Nevada, Las Vegas, NV (PCK); Department of Internal Medicine, UNLV School of Medicine, Las Vegas, NV (JWY); Department of Environmental and Occupational Health, School of Community Health Sciences, University of Nevada, Las Vegas, NV (CD-F); Department of Family Medicine, Yonsei University College of Medicine, Seoul, Korea (YJL).
J Addict Med. 2019 May/Jun;13(3):193-200. doi: 10.1097/ADM.0000000000000479.
To examine national trends and contributing factors of cannabis-associated emergency department visits in the United States.
This pooled serial cross-sectional study used a hierarchical multivariable analysis on emergency department visit adjusting for year, patient and hospital characteristics. We analyzed 2006 to 2014 National Emergency Department Sample data that identified cannabis-associated emergency department visits among patients aged 12 years or older (n = 265,128).
Cannabis-associated emergency department visits per 100,000 emergency department discharges increased monotonically (annually by 7%). As compared with privately insured patients, Medicare, and Medicaid, uninsured patients were over 40% more likely to visit emergency department. The age group 12 to 17 had the highest risk of emergency department visits and the risk monotonically declined as the age increased. Hospitals in the South region showed the highest cannabis-associated emergency department utilization, yet trends of cannabis-associated emergency department visits increased in the West region from 15.4% to 26% over time.
Cannabis-associated emergency department visits increase monotonically over time. Although vulnerable persons were identified, additional policy or regional factors should explore risks of emergency department visits associated with cannabis use.
研究美国与大麻相关的急诊就诊的国家趋势和促成因素。
本研究采用分层多变量分析方法，对 2006 年至 2014 年全国急诊抽样数据进行了调整，以调整年份、患者和医院特征，该数据确定了 12 岁或以上患者中与大麻相关的急诊就诊情况（n=265128）。
每 100000 例急诊出院患者中与大麻相关的急诊就诊次数呈单调递增（每年递增 7%）。与私人保险患者相比，医疗保险和医疗补助的患者更有可能去急诊就诊，未参保患者的就诊可能性高出 40%。12 至 17 岁年龄组的急诊就诊风险最高，随着年龄的增长，风险呈单调下降趋势。南部地区的医院显示出与大麻相关的急诊就诊利用率最高，但随着时间的推移，西部地区与大麻相关的急诊就诊率从 15.4%增加到 26%。
与大麻相关的急诊就诊次数呈单调递增。尽管已经确定了弱势群体，但还应探讨与大麻使用相关的急诊就诊风险的其他政策或区域因素。
