Brookoff D, Campbell E A, Shaw L M
Division of Emergency Medicine, University of Tennessee Health Science Center, Memphis 38103.
Am J Public Health. 1993 Mar;83(3):369-71. doi: 10.2105/ajph.83.3.369.
The purpose of this study was to assess whether cocaine-related trauma is underreported to the US Federal Drug Abuse Warning Network (DAWN).
We compared DAWN reports filed by an urban emergency department with the department's toxicology results for patients treated for major trauma. DAWN regulations in effect during the study period required the reporting of all patients treated for injury who used drugs or who tested positive for drugs of abuse.
Of 520 patients treated for major trauma, 217 (42%) were tested for a variety of drugs. Of these, 82 (38%) tested positive for cocaine. Of the 102 patients injured in motor vehicle accidents, 20 (20%) tested positive for cocaine. Of the 59 patients injured in motor vehicle accidents who were under age 40, 18 (30%) tested positive for cocaine. Of 100 victims of violent assault, 57 tested positive for cocaine. During the time period studied, DAWN recorded 48 hospital visits associated with cocaine, none involving trauma or injury.
Cocaine-related trauma was unreported to DAWN despite the hospital's compliance with the system's guidelines. The pattern of DAWN reports from other institutions suggests that underreporting of cocaine-related injury is widespread.
本研究旨在评估与可卡因相关的创伤事件向美国联邦药物滥用预警网络（DAWN）报告的情况是否存在漏报。
我们将一家城市急诊科提交给DAWN的报告与该科室对因重大创伤接受治疗患者的毒理学检测结果进行了比较。研究期间有效的DAWN规定要求报告所有因使用药物或药物滥用检测呈阳性而接受损伤治疗的患者。
在520例因重大创伤接受治疗的患者中，217例（42%）接受了多种药物检测。其中，82例（38%）可卡因检测呈阳性。在102例机动车事故受伤患者中，20例（20%）可卡因检测呈阳性。在59例40岁以下机动车事故受伤患者中，18例（30%）可卡因检测呈阳性。在100例暴力袭击受害者中，57例可卡因检测呈阳性。在研究期间，DAWN记录了48次与可卡因相关的医院就诊，均未涉及创伤或损伤。
尽管医院遵守了该系统的指南，但与可卡因相关的创伤事件仍未向DAWN报告。其他机构的DAWN报告模式表明，与可卡因相关损伤的漏报情况很普遍。
