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Related Experiment Videos

Methamphetamine, Amphetamine, and MDMA Use and Emergency Department Recidivism.

John R Richards1, Taylaur W Placone1, Colin G Wang1

  • 1Department of Emergency Medicine, University of California Davis Medical Center, Sacramento, California.

The Journal of Emergency Medicine
|June 18, 2020
PubMed
Summary

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Emergency department recidivism among users of methamphetamine and associated derivatives (MAE) is a significant public health issue. Frequent users exhibit distinct demographic and clinical profiles compared to infrequent users.

Area of Science:

  • Public Health
  • Emergency Medicine
  • Addiction Medicine

Background:

  • Emergency department (ED) recidivism is a growing public health concern.
  • The use of amphetamine and associated derivatives, including methamphetamine and MDMA (MAE), intersects with ED recidivism.

Purpose of the Study:

  • To determine the frequency of ED recidivism in patients who use MAE.
  • To identify factors associated with ED recidivism among MAE users.

Main Methods:

  • Retrospective review of electronic medical records over a 6-year period.
  • Analysis of patients with MAE-positive toxicology screens and varying ED visit frequencies (single, multiple, heavy, super users) within 12 months.

Main Results:

  • 7844 ED visits by 5568 MAE-positive patients were analyzed.
Keywords:
MDMAamphetamineemergencymethamphetaminerecidivismrevisit

Related Experiment Videos

  • Heavy and super users (≥6 visits/year) constituted 2% of patients but 10% of visits, showing significant demographic and diagnostic differences.
  • Frequent users were less likely to be admitted but more likely to be discharged to psychiatric facilities; tobacco smoking and female gender were associated with heavy/super use.

    • Conclusions:

    • The prevalence of ED recidivism among MAE users is comparable to general ED populations.
    • Significant disparities in demographics, discharge diagnoses, insurance, smoking habits, and patient disposition exist between frequent and infrequent MAE users in the ED.