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Related Experiment Videos

Methamphetamine use in trauma patients: a population-based study.

C R Schermer1, D H Wisner

  • 1Department of Surgery, University of California, Davis, Medical Center, Sacramento 95817-2214, USA.

Journal of the American College of Surgeons
|November 5, 1999
PubMed
Summary
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Methamphetamine use in trauma patients nearly doubled from 1989 to 1994, while alcohol use declined. Injury prevention for methamphetamine should mirror alcohol strategies.

Area of Science:

  • Trauma research
  • Epidemiology
  • Substance abuse

Background:

  • Increasing methamphetamine production and illicit use indicated.
  • Study focused on methamphetamine use epidemiology in trauma patients.
  • Area selected had high methamphetamine prevalence.

Purpose of the Study:

  • Investigate trends in methamphetamine use among trauma patients.
  • Compare methamphetamine use patterns with cocaine and alcohol use.
  • Identify demographic and injury-related factors associated with methamphetamine use.

Main Methods:

  • Retrospective, population-based review.
  • Analysis of toxicology and alcohol test results from trauma patients.
  • Data collected from a single trauma center serving 1.1 million people between 1989 and 1994.

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Main Results:

  • Methamphetamine positivity rates nearly doubled (7.4% to 13.4%) from 1989 to 1994.
  • Cocaine rates showed a minimal increase (5.8% to 6.2%), and blood alcohol rates decreased (43% to 35%).
  • Methamphetamine-positive patients were often Caucasian or Hispanic, injured in vehicle collisions; cocaine-positive patients were often African American, injured by assaults.

Conclusions:

  • Significant increase in methamphetamine use among trauma patients observed between 1989 and 1994.
  • Alcohol rates decreased, while cocaine rates remained stable.
  • Injury prevention strategies for methamphetamine should be modeled after those for alcohol due to similar injury mechanisms.