Yalçın Murat, Tunalı Nazlı, Yıldız Handan, Oğuz Ayşenur, Gültekin Bülent Kadri
Erenköy Training and Research Hospital for Psychiatry and Neurology, Psychiatry Department, University of Health Sciences, Istanbul, Turkey.
Fatih Sultan Mehmet Training and Research Hospital, Psychiatry Department, University of Health Sciences, Istanbul, Turkey.
J Addict Dis. 2018 Jul-Dec;37(3-4):259-267. doi: 10.1080/10550887.2019.1671146. Epub 2019 Oct 4.
Synthetic cannabinoid (SC) use is a global concern and is creating new challenges for treatment services. Although some studies have been reported, there is a need for further research regarding the sociodemographic and clinical characteristics of SC users so that general and psychiatric emergency departments can provide more effective treatments. We aimed to investigate the sociodemographic and clinical characteristics in a cohort of patients using SC who presented to the psychiatric emergency department of the University of Health Sciences, Istanbul Erenköy Training and Research Hospital for Psychiatry and Neurology (ERSHEAH) in Istanbul, Turkey. This cross-sectional and retrospective medical record review examined 340 SC users who presented to the emergency department of ERSHEAH in a 3-month period. The mean age of the SC users was 26.8 ± 7.5 years and 92.6% were men. Psychotic symptoms were present in 247 SC users (78.8%). Severe intoxication was diagnosed in 26 SC users (7.6%), although SC was detectable in the samples of only 6 patients (13.6%). Impaired consciousness (42.3%) was the most common reason for referral to the general hospital and increased liver enzyme levels (15.9%) were the most common indication in the laboratory findings. We observed that the SC users in our sample presenting as psychiatric emergencies were mostly young men experiencing psychotic symptoms. Determining the sociodemographic and clinical properties of SC users may provide an important contribution to fast recognition and more effective management of acute symptoms of SC users in emergency departments.
合成大麻素（SC）的使用是一个全球关注的问题，给治疗服务带来了新的挑战。尽管已经有一些研究报道，但仍需要进一步研究SC使用者的社会人口统计学和临床特征，以便综合医院和精神科急诊科能够提供更有效的治疗。我们旨在调查在土耳其伊斯坦布尔健康科学大学伊斯坦布尔埃伦柯伊精神病学和神经病学培训与研究医院（ERSHEAH）精神科急诊科就诊的使用SC的患者队列的社会人口统计学和临床特征。这项横断面回顾性病历审查研究了在3个月内到ERSHEAH急诊科就诊的340名SC使用者。SC使用者的平均年龄为26.8±7.5岁，92.6%为男性。247名SC使用者（78.8%）出现精神病症状。26名SC使用者（7.6%）被诊断为严重中毒，尽管仅在6名患者（13.6%）的样本中检测到SC。意识障碍（42.3%）是转诊至综合医院的最常见原因，实验室检查结果中最常见的指标是肝酶水平升高（15.9%）。我们观察到，在我们样本中作为精神科急诊就诊的SC使用者大多是出现精神病症状的年轻男性。确定SC使用者的社会人口统计学和临床特征可能有助于在急诊科快速识别并更有效地管理SC使用者的急性症状。
