精神科急诊服务中苯丙胺类兴奋剂滥用趋势的大数据回顾性分析。
Methamphetamine Abuse Trends in Psychiatric Emergency Services: A Retrospective Analysis Using Big Data.
机构信息
Department of Psychiatry, University of New Mexico School of Medicine, Albuquerque, NM, 87131, USA.
Health Sciences Library and Informatics Center and the Department of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, NM, USA.
出版信息
Community Ment Health J. 2020 Jul;56(5):959-962. doi: 10.1007/s10597-020-00563-1. Epub 2020 Jan 29.
OBJECTIVE
This exploratory retrospective study assessed demographic and hospital utilization characteristics of patients presenting with methamphetamine use to an urban psychiatric emergency service in New Mexico.
METHODS
De-identified data from patients presenting to PES from 2011 to 2015 were extracted from our health system. Descriptive statistics were used to characterize the study population. We employed bivariate analyses to assess the relationship between methamphetamine use and patient demographics.
RESULTS
Methamphetamine use increased faster than any other drug tested during the study's time period. Compared to non-methamphetamine patients, methamphetamine use was associated with a shorter PES stay when the patient was in the PES more than 12 h.
CONCLUSIONS
Patients with methamphetamine use are increasingly seeking emergency psychiatric evaluations. Methamphetamine use may impact certain racial, ethnic, and socioeconomic classes disproportionately. Further health service delivery studies are needed to develop clear, evidence-based interventions and policy recommendations to address the methamphetamine crisis in the United States.
目的
本探索性回顾性研究评估了新墨西哥州一家城市精神病急诊服务机构中出现的冰毒使用患者的人口统计学和医院利用特征。
方法
从我们的医疗系统中提取了 2011 年至 2015 年间向 PES 就诊的患者的匿名数据。使用描述性统计数据来描述研究人群的特征。我们采用双变量分析来评估冰毒使用与患者人口统计学特征之间的关系。
结果
在研究期间，冰毒的使用速度比任何其他测试药物都快。与非冰毒患者相比，当患者在 PES 停留超过 12 小时时，冰毒的使用与 PES 停留时间更短相关。
结论
越来越多的冰毒使用者正在寻求紧急精神病评估。冰毒的使用可能不成比例地影响某些种族、民族和社会经济阶层。需要进一步开展卫生服务提供研究，以制定明确的循证干预措施和政策建议，以应对美国的冰毒危机。
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