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Substance Abuse Related Emergency Room Visits in Ramathibodi Hospital |
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| รหัสดีโอไอ | |
| Creator | Wipada Pispan |
| Title | Substance Abuse Related Emergency Room Visits in Ramathibodi Hospital |
| Contributor | Achara Tongpoo, Metta Kheiawsawang, Kasamon Aramvanitch, Jetjamnong Sueajai, Satariya Trakulsrichai |
| Publisher | P.A. LIVING CO., LTD. |
| Publication Year | 2563 |
| Journal Title | Thai Journal of Emergency Medicine |
| Journal Vol. | 2 |
| Journal No. | 2 |
| Page no. | ?.?.-16 |
| Keyword | Substance abuse, amphetamines, opioids, emergency room, laboratory results. |
| URL Website | https://he02.tci-thaijo.org/index.php/TJEM/index |
| Website title | Thai jounal of Emergency Meddicine |
| ISSN | 2697 - 4924 |
| Abstract | Abstract Introduction Currently, substance abuse is still an important health problem in Thailand. The data of the substances and toxicology laboratory results are limited. Objective To describe clinical characteristics, toxicological laboratory findings, and outcomes of substance abuse patients who visited the Emergency Room (ER) in Ramathibodi Hospital, Bangkok, Thailand. Method We performed a retrospective study from hospital medical records of patients with history and clinical symptoms of substance abuse who visited the ER during a 9-year period (2009-2017). Results There were a total of 57 patients. The common groups of single substances reported were amphetamines (26.3%), opioids including tramadol (24.6%), sedatives (12.3%), and kratom (8.8%). Some patients reported use of multiple substance abuse. The common presenting symptoms included confusion (33.3%), depressed level of consciousness (19.3%) and seizure (14.0%) The common substances reported by the mass spectrometry confirmation blood or urine toxicology tests were opioids (40.5%) and amphetamines (24.3%). The medians of ER and hospital stay were 9 hours and 4 days, respectively. One patient died from an opioid overdose. Conclusion Amphetamines and opioids including tramadol were common substances of abuse-related ER visits. The history of substances uses together with toxidromes findings are helpful for patients' management in the ER. |
