The rising tide of methamphetamine use in elderly trauma patients

Methamphetamine (METH) is associated with an elevated risk of injury and the outcomes in the elderly remain unclear. We analyzed METH’s impact in elderly trauma patients. Retrospective analysis (2009–2018) of trauma patients at a Level I trauma center. Elderly patients were defined as age ≥55. Subst...

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Veröffentlicht in:	The American journal of surgery 2021-06, Vol.221 (6), p.1246-1251
Hauptverfasser:	Benham, Derek A., Rooney, Alexandra S., Calvo, Richard Y., Carr, Matthew J., Diaz, Joseph A., Sise, C. Beth, Bansal, Vishal, Sise, Michael J., Martin, Matthew J.
Format:	Artikel
Sprache:	eng
Schlagworte:	Alcohol Assaults Blood alcohol level Chromatography Drug screening Drug use Geriatric trauma Geriatrics Health risks Hospitals Impact analysis Injuries Injury analysis Intoxication Length of stay Marijuana Mass spectrometry Mechanical ventilation Methamphetamine Mortality Multivariate analysis Older people Patients Resource utilization Risk analysis Risk factors Scientific imaging Statistical models Substance use Tetrahydrocannabinol THC Toxicology Trauma Trends Urine
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Zusammenfassung:	Methamphetamine (METH) is associated with an elevated risk of injury and the outcomes in the elderly remain unclear. We analyzed METH’s impact in elderly trauma patients. Retrospective analysis (2009–2018) of trauma patients at a Level I trauma center. Elderly patients were defined as age ≥55. Substance use was identified by blood alcohol test and urine drug screen. Cox proportional hazard model was used to assess patient and injury characteristics with mortality. Of 15,770 patient encounters with substance use testing, 5278 (34%) were elderly. Elderly METH use quadrupled over time (2%–8%; p
ISSN:	0002-9610 1879-1883
DOI:	10.1016/j.amjsurg.2021.02.030