McMaster Pediatric Surgery Research Collaborative, McMaster University, Hamilton, Ontario, Canada; Division of Pediatric General Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
McMaster Pediatric Surgery Research Collaborative, McMaster University, Hamilton, Ontario, Canada.
J Pediatr Surg. 2020 May;55(5):921-925. doi: 10.1016/j.jpedsurg.2020.01.042. Epub 2020 Jan 31.
Alcohol and drug use in adolescence is associated with traumatic injuries. This study aimed to assess the rates of screening for substance use in pediatric trauma patients presenting at a single Canadian center.
A retrospective chart review of pediatric trauma patients (aged 12-17) was performed. Injury specifics, rates of patients screened for alcohol and/or substance use, and screening outcomes were determined. Patients screened were compared to those not screened. Continuous variables were analyzed using independent samples t-tests and categorical using chi-square. Significance was set at p < 0.05.
Three hundred twenty-seven patients were included, with 217(66%) being male. The average age was 14.6 years (±1.5). Traffic collisions accounted for 50% of injuries. A blood alcohol test was conducted for significantly more patients (199, 61%) than a urine drug screen (55, 17%; p < 0.001). Of those screened, 27/199(14%) tested positive for alcohol and 29/55(53%) for drugs. Older age and increased injury severity were associated with being screened for drugs (p = 0.000, p = 0.050). Only 39% of patients with positive screening tests were referred on to secondary services such as inpatient psychiatry or social work.
Screening rates remain low. Institutional guidelines for alcohol and drug screening in trauma patients should be instituted to avoid random screening and underestimations of substance involvement.
Retrospective Chart Review.
III.
青少年时期的酒精和药物使用与创伤性损伤有关。本研究旨在评估在加拿大的一家单一中心就诊的儿科创伤患者中进行物质使用筛查的比率。
对儿科创伤患者（年龄为 12-17 岁）进行了回顾性图表审查。确定了损伤细节、筛查酒精和/或物质使用的患者比率以及筛查结果。对接受筛查的患者与未接受筛查的患者进行了比较。连续变量使用独立样本 t 检验进行分析，分类变量使用卡方检验进行分析。显著性水平设置为 p<0.05。
共纳入 327 名患者，其中 217 名（66%）为男性。平均年龄为 14.6 岁（±1.5）。交通碰撞占损伤的 50%。进行血液酒精测试的患者明显多于进行尿液药物筛查的患者（199 名，61%比 55 名，17%；p<0.001）。在接受筛查的患者中，27/199（14%）的酒精检测呈阳性，29/55（53%）的药物检测呈阳性。年龄较大和损伤严重程度增加与药物筛查有关（p=0.000，p=0.050）。只有 39%的阳性筛查测试患者被转介到二级服务，如住院精神病学或社会工作。
筛查率仍然较低。应制定创伤患者中酒精和药物筛查的机构指南，以避免随机筛查和对物质使用的低估。
回顾性图表审查。
III。
