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Author Le Querrec, Fanny ♦ Bounes, Vincent ♦ Mestre, Maryse Lapeyre ♦ Azema, Olivier ♦ Longeaux, Nicolas ♦ Gallart, Jean-Christophe
Source World Health Organization (WHO)-Global Index Medicus
Content type Text
Publisher Elsevier
File Format HTM / HTML
Language English
Difficulty Level Medium
Subject Domain (in DDC) Philosophy & psychology ♦ Psychology ♦ Social sciences ♦ Social problems & services; associations ♦ Social welfare problems & services ♦ Natural sciences & mathematics ♦ Chemistry & allied sciences ♦ Life sciences; biology ♦ Biochemistry ♦ Natural history of organisms ♦ Technology ♦ Medicine & health ♦ Incidence & prevention of disease ♦ Pharmacology and therapeutics ♦ Diseases ♦ Manufacture for specific uses ♦ Precision instruments & other devices
Subject Domain (in MeSH) Eukaryota ♦ Organisms ♦ Chemically-Induced Disorders ♦ Diseases ♦ Chemical Actions and Uses ♦ Chemicals and Drugs ♦ Investigative Techniques ♦ Analytical, Diagnostic and Therapeutic Techniques and Equipment ♦ Mental Disorders ♦ Psychiatry and Psychology ♦ Persons ♦ Persons ♦ Health Care Facilities, Manpower, and Services ♦ Health Care Quality, Access, and Evaluation ♦ Health Care ♦ Geographic Locations ♦ Geographic Locations
Subject Keyword Discipline Emergency ♦ Discipline Medicine ♦ Emergency Service, Hospital ♦ Statistics & Numerical Data ♦ Mental Disorders ♦ Etiology ♦ Psychotropic Drugs ♦ Adverse Effects ♦ Substance-related Disorders ♦ Psychology ♦ Adolescent ♦ Adult ♦ Age Factors ♦ Aged ♦ Aged, 80 And Over ♦ Female ♦ France ♦ Epidemiology ♦ Humans ♦ Male ♦ Middle Aged ♦ Prevalence ♦ Retrospective Studies ♦ Sex Factors ♦ Diagnosis ♦ Young Adult ♦ Journal Article ♦ Research Support, Non-u.s. Gov't
Abstract OBJECTIVES: The objectives of this study are to describe an emergency department (ED) adult population with the chief complaint of mental and behavioral disorders due to psychoactive substance use and to investigate sex- and age-related differences. METHODS: We analyzed data (2009-2011) from the Regional Observatory of Emergency Medicine ORU-MiP (700000 patients per year) for all patients with a primary diagnosis of mental and behavioral disorders due to psychoactive substance use. Day data were weighted by the number of days in the year and expressed for 100000 inhabitants of the area. Pearson χ(2) test and Fisher tests were used. The Brown-Mood test was used to compare medians. RESULTS: Of the 1411597 ED visits analyzed, 20838 consults (1.3%) were for primary diagnosis of mental and behavioral disorders due to psychoactive substance use. The median age (interquartile range) was 41 (28-51) years; 69.5% were men. More women consulted the ED for sedative or hypnotic use (4.9% vs 1.5%, P < 10(-4)) than men, and more men consulted for alcohol consumption (93.5% vs 90%, P < 10(-4)) and cannabinoids (1.4% vs 1.0%, P < 10(-3)) than women. Young consumer visits dramatically increased during weekends (average of 88 visits a day per 100000 inhabitants vs 34 on Mondays to Thursdays). Another difference was found between young adults and middle-aged adults, with a peak in visits at 2 am and 9 pm respectively. CONCLUSIONS: Mental and behavioral disorders due to psychoactive substance use account for 1.3% of ED visits. Older people should be screened for chronic alcohol consumption. Our findings underscore the opportunity provided by the ED for screening and brief intervention in drug- and alcohol-related problems.
Spatial Coverage France
Description Author Affiliation: Le Querrec F ( Regional Observatory of Emergency Medicine in Midi-Pyrénées (ORU-MiP), Purpan University Hospital, Toulouse, France. Electronic address: lequerrec.f@orumip.fr.); Bounes V ( Pharmacoépidémiologie, UMR1027, INSERM, Université de Toulouse III, Toulouse, France); Mestre ML ( Pharmacoépidémiologie, UMR1027, INSERM, Université de Toulouse III, Toulouse, France); Azema O ( Regional Observatory of Emergency Medicine in Midi-Pyrénées (ORU-MiP), Purpan University Hospital, Toulouse, France.); Longeaux N ( Regional Observatory of Emergency Medicine in Midi-Pyrénées (ORU-MiP), Purpan University Hospital, Toulouse, France.); Gallart JC ( Regional Observatory of Emergency Medicine in Midi-Pyrénées (ORU-MiP), Purpan University Hospital, Toulouse, France.)
ISSN 07356757
Educational Role Student ♦ Teacher
Age Range above 22 year
Educational Use Reading ♦ Research ♦ Self Learning
Interactivity Type Expositive
Education Level UG and PG
Learning Resource Type Article
Publisher Date 2015-11-01
Publisher Place United States
e-ISSN 15328171
Journal The American Journal of Emergency Medicine
Volume Number 33
Issue Number 11


Source: WHO-Global Index Medicus