[Incidence of the consumption of toxic substances in severe trauma patients].
OBJECTIVE
To determine the incidence of the detection of abuse drugs in severe trauma patients


METHODS
Prospective observational study conducted from July 2004 to January 2006.


METHODS
Neurotrauma intensive care unit of a reference tertiary university hospital.


METHODS
Trauma patients who require admission to ICU during the study period.


METHODS
Determination of alcohol in blood and of toxics (cocaine, cannabis, amphetamines and other substances) in urine.


RESULTS
Toxicological analysis was performed in 196 of the 288 severe trauma patients admitted during the study period. The most frequently detected cause of the trauma was traffic accident (69%). The most frequently detected substance was cannabis (22.4%), followed by alcohol (17.3%) and cocaine (12.8%). Cannabis was detected in 26.1% of under-45-yr-old patients versus 9.3% of older patients (p < 0.05), and cocaine in 16.3% vs. 0% in over-45-yr-olds (p < 0.001). Some substance of abuse was detected in 45% of under-45-yr-olds versus 23% of older patients (p < 0.05).


CONCLUSIONS
The high proportion of positive results to toxic substances in severely traumatized patients suggests that the epidemiological environment for these patients is of great concern. These data may be of interest for the design of future prevention campaign.
Unidad de Cuidados Intensivos, Hospital de Traumatología, Hospital Universitario Virgen de las Nieves, Granada, España. remedios.diaz@hotmail.com
M R
MR
Díaz-Contreras
F
F
Guerrero-López
L
L
Herrera-Para
F
F
Pino-Sánchez
R
R
Lara-Rosales
O
O
López-Guarnido
A
A
Pla
E
E
Fernández-Mondejar
D000328:Adult; D005260:Female; D006801:Humans; D015994:Incidence; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D019966:Substance-Related Disorders / Q000150:complications* / Q000453:epidemiology*; D014947:Wounds and Injuries / Q000453:epidemiology*