Drug use detection in medical occurrences involving physical trauma
DOI:
https://doi.org/10.33448/rsd-v10i4.14273Keywords:
Injuries; Violence; Trauma; Accidents; Illicit Drugs.Abstract
Objetive: to evaluate the use drugs by individuals hospitalized due to non-lethal physical trauma. Methods: prospective study carried out on a transversal cohort by assessing secondary data and toxicological analyses in a hospital of a municipality of Southern Brazil. Individuals were selected after being hospitalized due to trauma likely to be caused by drug abuse. There were assessing cases reported by public and private basic health care systems registered by the Center for Control of Intoxications, which were identified by clinical criteria or due to reports from the subjects. Biological samples were obteined for toxicological trialing. Results: nine cases (17.7%) were consideraded moderate or severe by the Glasgow trauma scale,and results obtained using the Revisited Trauma Score system indicated three cases (6.7%) as oderate or severe. The most severe cases involved individuals aged 20 to 39. Quantitative analysis f ethanol determined its presence in all samples, and at toxic levels in 15.8% of the biological amples assessed. Nine subjects had used cannabis (15.8%) and five had used cocaine (8.8%) in association with ethanol. Conclusion: the high incidence of drug use in the assessed subjects confirms the relation between drug abuse and increased risk for physical traumas.
References
Andrade, S. S. C. A., Sá, N. N. B., Carvalho, M. G. O., Lima, C. M., Silva, M. M. A., Moraes Neto, O. L., Malta, D. C. (2012). Perfil das vítimas de violências e acidentes atendidas em serviços de urgência e emergência selecionados em capitais brasileiras: Vigilância de Violências e Acidentes, 2009. Epidemiologia e Serviços de Saúde, 21(1), 21-30.
Andreuccetti, G., Cherpitel, C. J., Carvalho, H. B., Leyton, V., Miziara, I. D., Munoz, D. R., … Lemos, N. P. (2018). Alcohol in combination with illicit drugs among fatal injuries in Sao Paulo, Brazil: an epidemiological study on the association between acute substance use and injury. Injury. https://doi.org/10.1016/j.injury.2018.09.035
Andreuccetti, G., Leyton, V., Lemos, N. P., Miziara, I. D., Ye, Y., Takitane, J., … de Carvalho, H. B. (2017). Alcohol use among fatally injured victims in São Paulo, Brazil: bridging the gap between research and health services in developing countries. Addiction, 112(4), 596–603. https://doi.org/10.1111/add.13688
Bakke, E., Bogstrand, S. T., Normann, P. T., Ekeberg, Ø., & Bachs, L. (2016). Influence of alcohol and other substances of abuse at the time of injury among patients in a Norwegian emergency department. BMC Emergency Medicine, 16(1). https://doi.org/10.1186/s12873-016-0085-2
Bastos, F. I. P. M., Vasconcellos, M. T. L., De Boni, R. B., Dos Reis, N. B., Coutinho, C. F. S. (Org.). (2017) III LNUD. Levantamento nacional sobre o uso de drogas pela população brasileira. Rio de Janeiro: ICICT/FIOCRUZ.
Brandão, G. C. G., Barrêto; A. J. R., Gaspar, J. C.; Trindade, R. F. C., Vaz, N. L. F., Oliveira, M. A. C. (2014). Accidents and violence: a portrait of the occurrences in emergency care services. Cadernos de Saúde Coletiva, 22(1), 2-7.
Brunton, L. L., Lazo, J.S., Parker, K. L. (2018). Goodman & Gilman’s: as bases farmacológicas da terapêutica. 13ª ed. Rio de Janeiro: McGraw Hill.
Champion, H. R., Sacco, W. J., Carnazzo, A. J., Copes, W. S., Fouty, W. J. (1981). Trauma score. American journal of respiratory and critical care medicine 9, 672–676.
Damacena, G. N., Malta, D. C., Boccolini, C. S., Souza Júnior, P. R. B. de, Almeida, W. da S. de, Ribeiro, L. S., & Szwarcwald, C. L. (2016). Consumo abusivo de álcool e envolvimento em acidentes de trânsito na população brasileira, 2013. Ciência & Saúde Coletiva, 21(12), 3777–3786. https://doi.org/10.1590/1413-812320152112.25692015
Degenhardt, L., Mathers, B., Hall, W. D. Response to Hser et al. (2014): The necessity for more and better data on the global epidemiology of opioid dependence. Addiction Journal 109(8),1335-1337.
Di Marzo, V., Bifulco, M., Petrocellis, L. (2014). The Endocannabinoid System and its Therapeutic Exploitation. Nature Reviews Drug Discovery, 13, 771-784.
Elvik, R. (2013). Risk of road accident associated with the use of drugs: a systematic review and meta-analysis of evidence from epidemiological studies. Accident Analysis & Prevention, 60, 254-267. https://doi.org/10.1016/j.aap.2012.06.017
Gomes, A. T. L., Silva, M. F., Dantas, B. A. S., Dantas, R. A. N., Mendonça, A. E. O., Torres, G. V. (2016). Characterization of traffic accidents attended by a mobile urgency care service. Fundamental Care Online, 8(2), 4269-4279.
Hartman, R. L., Brown, T. L., Milavetz, G., Spurgin, A., Pierce, R. S., Gorelick, D. A., Gaffney, G., Huestis, M. A. (2015). Cannabis effects on driving lateral control with and without alcohol. Drug and Alcohol Dependence, 154, 25- 37. https://doi.org/10.1016/j.drugalcdep.2015.06.015
Klaassen, C. D. (2018). Casarett & Doull’s Toxicology: The basic science of poisons. 9th ed. New York: Mc-Graw-Hill Co.
Legrand, S. A., Silverans, P., De Paepe, P., Buylaert, W., Verstraete, A. G. (2013). Presence of psychoactive substances in injured Belgian drivers. Traffic Injury Prevention, 14(5), 461 –8.
Lasebikan, V. O., Adebayo, S. (2013). Need for screening for alcohol and drugs in emergency trauma units. East African Medical Journal, 90(5), 164 –70.
Levine, B. (1999). Ethanol. In: ______. Principles of Forensic Toxicology. American Association for Clinical Chemistry, 170-184.
National Institute on Drug Abuse. (2019). Drugged Driving Drug Facts. Retrieved from https://www.drugabuse.gov/publications/drugfacts/drugged-driving on 2021, March 7
Macinko, J. (2015). Avanços na vigilância da saúde pública brasileira. Ciência Saúde Coletiva, 20(3), 6286-9. https://doi.org/10.1590/1413- 81232015203.20092014
Macinko, J., Mullachery, P., Silver, D., Jimenez, G., & Libanio Morais Neto, O. (2015). Patterns of Alcohol Consumption and Related Behaviors in Brazil: Evidence from the 2013 National Health Survey (PNS 2013). PLOS ONE, 10(7), e0134153. https://doi.org/10.1371/journal.pone.0134153
Malta, D. C., Bernal, R. T. I., Mascarenhas, M. D. M., Silva, M. M. A., Szwarcwald, C. L., & Morais Neto, O. L. de. (2015). Consumo de bebidas alcoólicas e direção de veículos nas capitais brasileiras e no Distrito Federal, segundo dois inquéritos nacionais de saúde. Revista Brasileira de Epidemiologia, 18(suppl 2), 214–223. https://doi.org/10.1590/1980-5497201500060019
Martins, C. B. G. (2013). Accidents and violence in childhood and adolescence: risk and protective factors. Revista Brasileira de Enfermagem, 66(4), 578-584.
Ministério da Saúde, Brasil. (2019). Guia de vigilância em saúde. 3a ed. Brasília, DF.
Moreau, R. L. M., Siqueira, M. E. P. B. (2016). Ciências farmacêuticas: toxicologia analítica. 2. ed. Rio de Janeiro: Guanabara Koogan.
Mundenga, M. M., Sawe, H. R., Runyon, M. S., Mwafongo, V. G., Mfinanga, J. A., & Murray, B. L. (2019). The prevalence of alcohol and illicit drug use among injured patients presenting to the emergency department of a national hospital in Tanzania: a prospective cohort study. BMC Emergency Medicine, 19(1). https://doi.org/10.1186/s12873-019-0222-9
Okumura, Y., Shimizu, S., Ishikawa, K.B, Matsuda S, Fushimi K, Ito H. (2012). Comparison of emergency hospital admissions for drug poisoning and major diseases: a retrospective observational study using a nationwide administrative discharge database. BMJ Open, 2(6),1-6.
Oliveira, C. M., Cruz, M. M. (2015). Sistema de Vigilância em Saúde no Brasil: avanços e desafios. Saúde em Debate, 39(104), 255 267. https://doi.org/10.1590/0103-110420151040385
Organização Pan-Americana de Saúde. Trânsito: um olhar da saúde para o tema [Internet]. Brasília: OPAS; 2018 [acessado em 06 mar. 2021]. Disponível em: http:// iris.paho.org/xmlui/handle/123456789/49709
Parreira, J. G., Matar, M. R., Tôrres, A. L. B., Perlingeiro, J. A. G., Solda, S. C., & Assef, J. C. (2014). Comparative analysis between identified injuries of victims of fall from height and other mechanisms of closed trauma. Revista Do Colégio Brasileiro de Cirurgiões, 41(4), 272–277. https://doi.org/10.1590/0100-69912014004009
Passagli, M. (2018). Toxicologia forense: teoria e prática. 5. ed. Campinas, SP: Milenium.
Pereira, A. S., Shitsuka, D. M., Parreira, F. J. & Shitsuka, R. (2018). Metodologia da Pesquisa Científica. Santa Maria, RS : UFSM, NTE.
Rutstein, D. D., Berenberg, W., Chalmers, T. C., Child, C. G., Fishman, A. P., Perrin, E. B. (1976). Measuring the quality of medical care: a clinical method. New England Journal of Medicine, 294(11), 582-588.
Santana, C. J., Silvino, M. C. S., Rosa, N. M., Almeida, E. G., Reis, L. M., Oliveira, M. L. F. (2014). Potencialidade de um evento sentinela para vigilância epidemiológica do abuso de drogas. Journal of Nursing UFPE Online, 8(12), 321-327.
Santana, C. J., Cristophoro, R., Ortiz, M. M., Santos, D. R., Reis, L. M., Oliveira, M. L. F. (2020) Análise de Causa Raiz em Internações por Drogas de Abuso como Eventos Sentinela. Revista de Enfermagem do Centro Oeste Mineiro, 10(e3542). http//doi.org/10.19175/recom.v10i0.3542
Silva, E. R., Ferreira, A. C. Z., Boraba, L. O., Kalinke, L. P., Nimtz, M. A., Maftum, M. A. (2016). Drug use impact in drug addicts’ physical and mental health. Ciência Saúde Coletiva, 15(1), 101-108.
Souto, R. M. C. V., Corassa, R. B., Lima, C. M., Malta, D. C. (2017). Helmet use and injury severity among crashed motorcyclists in Brazilian state capitals: an analysis of the violence an accidents survey. Revista Brasileira de Epidemiologia, 23 (1),1-12. https://doi.org/10.1590/1980-549720200011.supl.1
Teasdale, G., Jennett, B. (1974). Assessment of coma and impaired consciousness: a practical scale. Lancet, 2, 81-84.
United Nations Office on Drugs and Crime (2019). World Drug Report Vienna.
Waksman, R. D., Imamura, J. H. (2013). Aspectos Epidemiológicos e Prevenção Primária do Trauma. In: Adalberto Stape; Eduarod Juan Troster; Jaques Pinus; Renata Dejtiar Waksman; Renato Melli Carrera, Sulim Abramovici. (Org.). 1ª ed. Roca, v.1, 07-13.
World Health Organization (2018a). Global status report on road safety 2018: supporting a decade of action. Geneva: WHO, 2018a [cited 2018 Dec 7]. Available from:https://www.who.int/violence_injury_prevention/road_safety_status/2018/en/. Acesso em fev. 2021.
World Health Organization. Global status report on alcohol and health, (2018b). Available at https://apps.who.int/iris/bitstream/handle/10665/274603/9789241565639-eng.pdf?ua=1. Acesso em fev. 2021.
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