Consumo de Cannabis y Alcohol por parte de pacientes diagnosticados de trauma en una Unidad de Emergencia

Autores/as

DOI:

https://doi.org/10.33448/rsd-v11i14.36243

Palabras clave:

Cannabis; Lesiones; Accidentes; Violencia.

Resumen

Hay pocos datos sobre la asociación de trauma físico y consumo de sustancias psicoactivas. Objetivo: Investigar el uso de marihuana y alcohol por víctimas de trauma se vuelve importante para subsidiar acciones de prevención. Metodología: se analizaron 299 muestras entregadas voluntariamente de personas hospitalizadas en los años 2015-2017 por trauma asociado al uso de drogas de abuso; los individuos fueron considerados usuarios de drogas de abuso ya sea por diagnóstico médico o por autoinforme. Primero se probaron muestras biológicas de los pacientes para detectar Cannabis; la confirmación del consumo de Cannabis se realizó mediante cromatografía de gases-espectrometría de masas. También se investigó la alcoholemia. Resultados: Los varones constituyeron la mayoría de los sujetos evaluados (91,4%), siendo su edad promedio de 40 años. Las principales causas de trauma incluyeron los accidentes de tráfico (46,82%) seguidos de la violencia/agresión (26,77%). Las pruebas toxicológicas para el cannabis dieron como resultado un 14,72 % de muestras positivas y la alcoholemia varió entre el 9,38 y el 17,85 %. Conclusión: El uso abusivo de Cannabis es un factor de riesgo de accidentes y violencia que conduce a lesiones traumáticas. El rango de edad entre la segunda y cuarta década de la vida y el manejo del automóvil fueron predictores relevantes para el consumo de cannabis. Los estudios epidemiológicos proporcionan información importante para apoyar las medidas preventivas, considerando la escasez de estudios sobre este tema.

Citas

Abreu, A. M. M., Parreira, P. M. S. D., Souza, M. H. do N., Barroso, T. M. M. D. de A., Abreu, A. M. M., Parreira, P. M. S. D., Souza, M. H. do N., & Barroso, T. M. M. D. de A. (2016). Profile of Consumption of Psychoactive Substances and Its Relationship To Sociodemographic Characteristics: a Contribution To a Brief Intervention in Primary Health Care, Rio De Janeiro, Brazil. Texto & Contexto - Enfermagem, 25(4), 1–9. https://doi.org/10.1590/0104-07072016001450015

Andreuccetti, G., Cherpitel, C. J., Carvalho, H. B., Leyton, V., Miziara, I. D., Munoz, D. R., Reingold, A. L., & 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

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), 20. https://doi.org/10.1186/s12873-016-0085-2

Banta-Green, C. (2016). Cannabis Use among Drivers Suspected of Driving Under the Influence or Involved in Collisions: Analysis of Washington State Patrol Data. Foundation for Traffic Safety. https://aaafoundation.org/cannabis-use-among-drivers-suspected-driving-influence-involved-collisions-analysis-washington-state-patrol-data/

Bondallaz, P., Chtioui, H., Favrat, B., Fornari, E., Giroud, C., & Maeder, P. (2017). On-Road Studies. In Handbook of Cannabis and Related Pathologies. Elsevier Inc. https://doi.org/10.1016/B978-0-12-800756-3/00045-4

Chitas, V., Negreiros, J., & Barreira, T. (2014). Uso de drogas, comportamentos sexuais de risco e comportamentos antissociais na adolescência: Padrões de associação. Psychologica, 57(2), 73–93. https://doi.org/10.14195/1647-8606_57

Daniel, M., Ekenbäck, C., Agewall, S., Brolin, E. B., Caidahl, K., Cederlund, K., Collste, O., Eurenius, L., Frick, M., Younis-Hassan, S., Henareh, L., Jernberg, T., Malmqvist, K., Spaak, J., Sörensson, P., Hofman-Bang, C., & Tornvall, P. (2015). Risk Factors and Markers for Acute Myocardial Infarction With Angiographically Normal Coronary Arteries. American Journal of Cardiology, 116(6), 838–844. https://doi.org/10.1016/j.amjcard.2015.06.011

Drug Enforcement Agency. (2017). Drugs of Abuse: A DEA Resource Guide. US Department of Justice. https://www.dea.gov/sites/default/files/drug_of_abuse.pdf Accessed set. 2022.

Falconi. (2017). Retrato da Segurança Viária 2017 (4th ed.). https://www.ambev.com.br/conteudo/uploads/2017/09/Retrato-da-Segurança-Viária_Ambev_2017.pdf

Favretto, D., Visentin, S., Stocchero, G., Vogliardi, S., Snenghi, R., & Montisci, M. (2018). Driving under the influence of drugs: Prevalence in road traffic accidents in Italy and considerations on per se limits legislation. Traffic Injury Prevention, 0(0), 000. https://doi.org/10.1080/15389588.2018.1500018

Fornari, E., Bondallaz P., Favrat B., & Chtioui H. (2016). Cannabis and its effects on driving skills. Forensic Science International. Forensic Sci Int. 268, 92-102. https://doi.org/10.1016/j.forsciint.2016.09.007

Gibson-Smith, D., Bot, M., Milaneschi, Y., Twisk, J. W., Visser, M., Brouwer, I. A., & Penninx, B. W. J. H. (2015). Marijuana Use is Associated With Worse Outcomes in Symptom Severity and Violent Behavior. Journal of Clinical Psychiatry, 4(September), 4–5. https://doi.org/dx.doi.org/10.4088/JCP.14m09658

Hammersvik, E. (2015). Four barriers and a set of values that prevent violence among cannabis growers. International Journal of Drug Policy, 26(3), 290–295. https://doi.org/10.1016/j.drugpo.2014.08.011

Hartman, H. (2014). Cannabis Effects on Driving Skills. Clinical Chemistry. 59(3), 1–25. https://doi.org/10.1373/clinchem.2012.194381.Cannabis

Hartman, R. L., Brown, T. L., Milavetz, G., Spurgin, A., Gorelick, D. A., Gaffney, G., & Huestis, M. A. (2015). Controlled cannabis vaporizer administration: Blood and plasma cannabinoids with and without alcohol. Clinical Chemistry, 61(6), 850–869. https://doi.org/10.1373/clinchem.2015.238287

Håvard, F., G, J. R. E., Galina, N., Vigdis, V., & Hallvard, G. (2018). Roadside survey of alcohol and drug use among Norwegian drivers in 2016-17: a follow up of the 2008-9 survey. Traffic Injury Prevention, 0(0), 000. https://doi.org/10.1080/15389588.2018.1478087

Ibiapino, M. K., Sampaio, B. P., Souza, R. A. R. de, Padoin, F. A., & Couto, V. B. M. (2017). Serviço de atendimento móvel de urgência : epidemiologia do trauma no atendimento pré-hospitalar. 6–9. https://doi.org/10.23925/1984-4840.2017v19i2a5

Laranjeira, R., Pinsky, I., Caetano, R., Mitsuhiro, S. S., & Madruga, C. (2012). II Brazilian National Alcohol and Drugs Survey. UNIAD: Unidade de Pesquisas em Álcool e Drogas. https://inpad.org.br/wp-content/uploads/2014/03/Lenad-II-Relat%C3%B3rio.pdf Accessed sep. 2022.

Liakoni, E., Gartwyl, F., Ricklin, M., Exadaktylos, A. K., & Krähenbühl, S. (2018). Psychoactive substances and violent offences: A retrospective analysis of presentations to an urban emergency department in Switzerland. PLoS ONE, 13(3), 1–14. https://doi.org/10.1371/journal.pone.0195234

Logan, B. K., D’Orazio, A. L., Mohr, A. L. A., Limoges, J. F., Miles, A. K., Scarneo, C. E., Kerrigan, S., Liddicoat, L. J., Scott, K. S., & Huestis, M. A. (2018). Recommendations for toxicological investigation of drug-impaired driving and motor vehicle fatalities-2017 update. Journal of Analytical Toxicology, 42(2), 63–68. https://doi.org/10.1093/jat/bkx082

Marinho, P., & F Passagli, M. (2013). Toxicologia Forense - Teoria e Prática. Revista Brasileira de Criminalística, 2(1), 52. https://doi.org/10.15260/rbc.v2i1.35

Mascarenhas, M. D. M., & Barros, M. B. de A. (2015). Caracterização das internações hospitalares por causas externas no sistema público de saúde, Brasil, 2011. Revista Brasileira de Epidemiologia, 18(4), 771–784. https://doi.org/10.1590/1980-5497201500040008

Moreau, R. L. de M., & Siqueira, M. E. P. bastos. (2016). Toxicologia Analítica (2nd ed.). Guanabara Koogan.

Papalimperi, A. H., Athanaselis, S. A., Mina, A. D., Papoutsis, I. I., Spiliopoulou, C. A., & Papadodima, S. A. (2019). Incidence of fatalities of road traffic accidents associated with alcohol consumption and the use of psychoactive drugs : A 7-year survey ( 2011-2017 ). Experimental and Therapeutic Medicine. 2299–2306. https://doi.org/10.3892/etm.2019.7787

Pharm, S., A, S. F. B., Gon, C., Botany, M. S., D, S. C. P., & James, C. (2016). Changes in Cannabis Potency over the Last Two Decades (1995-2014 ) - Analysis of Current Data in the United States Short Title Cannabis Potency over the Last Two Decades in USA Department of Computer Science , University of West Georgia ,. Biological Psychiatry. https://doi.org/10.1016/j.biopsych.2016.01.004

Ribeiro, M., Perrenoud, L. O., Duailibi, S., Duailibi, L. B., Madruga, C., Marques, A. C. P. R., & Laranjeira, R. (2014). The Brazilian drug policy situation: The public health approach based on research undertaken in a developing country. Public Health Reviews, 35(2), 1–32. https://doi.org/10.1007/BF03391706

Rutstein, D. D., Berenberg, W., Chalmers, T. C., Child, C. G., Fishman, A. P., Perrin, E. B., Feldman, J. J., Leaverton, P. E., Lane, J. M., Sencer, D. J., & Evans, C. C. (1976). Measuring the quality of medical care. A Clinical Method. New England Journal of Medicine, 294(11), 582–588. https://doi.org/10.1056/NEJM197603112941104

Severino, A. J. (2018). Metodologia do trabalho científico. Ed. Cortez.

Schoeler, T., Theobald, D., Pingault, J., Farrington, D. P., Jennings, W. G., & Piquero, A. R. (2016). Continuity of cannabis use and violent offending over the life course. Psychol Med. 46(8):1663–1677. https://doi.org/10.1017/S0033291715003001

Tice, P. (2017). 2016 National Survey on Drug Use and Health: Detailed Tables. Center for Behavioral Statistics and Quality. https://www.samhsa.gov/data/sites/default/files/NSDUH-DetTabs-2016/NSDUH-DetTabs-2016.pdf Accessed sep. 2022.

UNODC. (2018). Women and Drugs: Drug use, drug supply and their consequences.

Valen, A., Bogstrand, S. T., Vindenes, V., & Gjerde, H. (2017). Increasing Use of Cannabis among Arrested Drivers in Norway. Traffic Inj Prev. 17;18(8):801-806. https://doi.org/10.1080/15389588.2017.1321114

World Health Organization. (2016). Global Status Report on Road Safety (1st ed.). Department of Violence and Injury Prevention and Disability.

Zhao, X., Zhang, X., & Rong, J. (2015). Study of the Effects of Alcohol on Drivers and Driving Performance on Straight Road. Mathematical Problems in Engineering. https://doi.org/10.1155/2014/607652

Descargas

Publicado

27/10/2022

Cómo citar

OLIVEIRA, K. O. de .; SAKURADA, J. Y.; SCANFERLA, D. T. P. .; MADIA, M. A. O. .; LINI, R. S. .; GUEDES, M. R. J. .; BANDO, Érika; OLIVEIRA, M. L. F. de .; TEIXEIRA, J. J. V. .; MOSSINI, S. A. G. . Consumo de Cannabis y Alcohol por parte de pacientes diagnosticados de trauma en una Unidad de Emergencia. Research, Society and Development, [S. l.], v. 11, n. 14, p. e299111436243, 2022. DOI: 10.33448/rsd-v11i14.36243. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/36243. Acesso em: 29 nov. 2024.

Número

Sección

Ciencias de la salud