创伤中心患者中精神活性物质的依赖性
C A Soderstrom1, P C Dischinger, G S Smith
1Department of Surgery, R Adams Cowley Shock Trauma Center, Maryland Institute for Emergency Medical Services Systems, Baltimore 21201-1595.
JAMA
|May 27, 1992
概括
创伤患者有或没有血中酒精度升高 (BAC) 经常患有精神活性物质使用障碍 (PSUD). 在创伤患者中,建议对酒和其他PSUD进行普遍查.
科学领域:
- 创伤学 创伤学 创伤学
- 成精神病学成精神病学
- 临床心理学 临床心理学
背景情况:
- 目前的做法往往将创伤患者的精神活性物质使用障碍 (PSUD) 查限制在血中酒精度升高 (BAC) 或药物查阳性的人身上.
- 本研究评估了这种选择性查方法的有效性.
研究的目的:
- 为了确定创伤患者中PSUD的患病率,无论BAC水平如何.
- 在创伤人群中评估查酒和其他PSUD的诊断收益率.
主要方法:
- 成年创伤患者被分为两组:BAC阴性 (BAC <0) 和BAC阳性 (BAC ≥22 mmol/L).
- 精神疾病诊断和统计手册第三版 (DSM-III-R) 的结构化临床面试 (SCI) 用于诊断酒和其他PSUD.
- 记录了患者的人口统计和受伤情况 (例如,车祸受害者).
主要成果:
- 显著比例的创伤患者 (68.9%) 被诊断出PSUD,主要是酒精依赖.
- 在BAC阳性患者中,66.7%符合酒精依赖的标准,大量患者也有非酒精相关的PSUD.
- 值得注意的是,45.8%的BAC阴性患者也患有酒精依赖,两组中的许多人同时出现非酒精PSUD,表明广泛的物质使用障碍.
结论:
- 这些发现强调了创伤患者在BAC水平范围内的PSUD的高患病率.
- 仅基于BAC或药物查的选择性查错过了相当数量的物质使用障碍患者.
- 在所有创伤住院中对酒和其他PSUD进行普遍评估对于全面的患者护理至关重要.
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