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. 1999 Jun;5(2):94–97. doi: 10.1136/ip.5.2.94

Alcohol and other psychoactive drugs in trauma patients aged 10–14 years

G Li 1, A Chanmugam 1, R Rothman 1, C DiScala 1, C Paidas 1, G Kelen 1
PMCID: PMC1730486  PMID: 10385826

Abstract

Objective—To examine the prevalence of alcohol and/or other psychoactive drugs, such as marijuana and cocaine (AODs), involved in preteen trauma patients.

Methods—Toxicological testing results were analyzed for 1356 trauma patients aged 10–14 years recorded in the National Pediatric Trauma Registry for the years 1990–95.

Results—Of the 1356 patients who received toxicological screening at the time of admission, 116 (9%) were positive for AODs. AOD involvement increased with age. Patients with pre-existing mental disorders were nearly three times as likely as other patients to be AOD positive (23% v 8%, p<0.01). AOD involvement was more prevalent in intentional injuries and in injuries that occurred at home.

Conclusions—AODs in preteen trauma are of valid concern, in particular among patients with mental disorders or intentional injuries. The role of AODs in childhood injuries needs to be further examined using standard screening instruments and representative study samples.

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Selected References

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  1. Bien T. H., Miller W. R., Tonigan J. S. Brief interventions for alcohol problems: a review. Addiction. 1993 Mar;88(3):315–335. doi: 10.1111/j.1360-0443.1993.tb00820.x. [DOI] [PubMed] [Google Scholar]
  2. Chick J., Lloyd G., Crombie E. Counselling problem drinkers in medical wards: a controlled study. Br Med J (Clin Res Ed) 1985 Mar 30;290(6473):965–967. doi: 10.1136/bmj.290.6473.965. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Fleming M. F., Barry K. L., Manwell L. B., Johnson K., London R. Brief physician advice for problem alcohol drinkers. A randomized controlled trial in community-based primary care practices. JAMA. 1997 Apr 2;277(13):1039–1045. [PubMed] [Google Scholar]
  4. Gentilello L. M., Donovan D. M., Dunn C. W., Rivara F. P. Alcohol interventions in trauma centers. Current practice and future directions. JAMA. 1995 Oct 4;274(13):1043–1048. [PubMed] [Google Scholar]
  5. Hicks B. A., Morris J. A., Jr, Bass S. M., Holcomb G. W., 3rd, Neblett W. W. Alcohol and the adolescent trauma population. J Pediatr Surg. 1990 Sep;25(9):944–949. doi: 10.1016/0022-3468(90)90235-2. [DOI] [PubMed] [Google Scholar]
  6. Jurkovich G. J., Rivara F. P., Gurney J. G., Fligner C., Ries R., Mueller B. A., Copass M. The effect of acute alcohol intoxication and chronic alcohol abuse on outcome from trauma. JAMA. 1993 Jul 7;270(1):51–56. [PubMed] [Google Scholar]
  7. Laraque D., Barlow B., Durkin M., Howell J., Cladis F., Friedman D., DiScala C., Ivatury R., Stahl W. Children who are shot: a 30-year experience. J Pediatr Surg. 1995 Jul;30(7):1072–1076. doi: 10.1016/0022-3468(95)90344-5. [DOI] [PubMed] [Google Scholar]
  8. Larsson J. O., Aurelius G. Accidents in childhood: relation to psychosocial conditions and mental development. Acta Paediatr. 1996 Mar;85(3):285–291. doi: 10.1111/j.1651-2227.1996.tb14017.x. [DOI] [PubMed] [Google Scholar]
  9. Lescohier I., DiScala C. Blunt trauma in children: causes and outcomes of head versus extracranial injury. Pediatrics. 1993 Apr;91(4):721–725. [PubMed] [Google Scholar]
  10. Li G., Baker S. P., DiScala C., Fowler C., Ling J., Kelen G. D. Factors associated with the intent of firearm-related injuries in pediatric trauma patients. Arch Pediatr Adolesc Med. 1996 Nov;150(11):1160–1165. doi: 10.1001/archpedi.1996.02170360050008. [DOI] [PubMed] [Google Scholar]
  11. Li G., Baker S. P., Fowler C., DiScala C. Factors related to the presence of head injury in bicycle-related pediatric trauma patients. J Trauma. 1995 Jun;38(6):871–875. doi: 10.1097/00005373-199506000-00007. [DOI] [PubMed] [Google Scholar]
  12. Maio R. F., Portnoy J., Blow F. C., Hill E. M. Injury type, injury severity, and repeat occurrence of alcohol-related trauma in adolescents. Alcohol Clin Exp Res. 1994 Apr;18(2):261–264. doi: 10.1111/j.1530-0277.1994.tb00011.x. [DOI] [PubMed] [Google Scholar]
  13. Mannenbach M. S., Hargarten S. W., Phelan M. B. Alcohol use among injured patients aged 12 to 18 years. Acad Emerg Med. 1997 Jan;4(1):40–44. doi: 10.1111/j.1553-2712.1997.tb03641.x. [DOI] [PubMed] [Google Scholar]
  14. Maull K. I. Alcohol abuse: its implications in trauma care. South Med J. 1982 Jul;75(7):794–798. [PubMed] [Google Scholar]
  15. Osberg J. S., Di Scala C. Morbidity among pediatric motor vehicle crash victims: the effectiveness of seat belts. Am J Public Health. 1992 Mar;82(3):422–425. doi: 10.2105/ajph.82.3.422. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Osberg J. S., DiScala C., Gans B. M. Utilization of inpatient rehabilitation services among traumatically injured children discharged from pediatric trauma centers. Am J Phys Med Rehabil. 1990 Apr;69(2):67–72. doi: 10.1097/00002060-199004000-00004. [DOI] [PubMed] [Google Scholar]
  17. Rivara F. P., Jurkovich G. J., Gurney J. G., Seguin D., Fligner C. L., Ries R., Raisys V. A., Copass M. The magnitude of acute and chronic alcohol abuse in trauma patients. Arch Surg. 1993 Aug;128(8):907–913. doi: 10.1001/archsurg.1993.01420200081015. [DOI] [PubMed] [Google Scholar]
  18. Rivara F. P., Koepsell T. D., Jurkovich G. J., Gurney J. G., Soderberg R. The effects of alcohol abuse on readmission for trauma. JAMA. 1993 Oct 27;270(16):1962–1964. [PubMed] [Google Scholar]
  19. Sims D. W., Bivins B. A., Obeid F. N., Horst H. M., Sorensen V. J., Fath J. J. Urban trauma: a chronic recurrent disease. J Trauma. 1989 Jul;29(7):940–947. [PubMed] [Google Scholar]
  20. Soderstrom C. A., Cowley R. A. A national alcohol and trauma center survey. Missed opportunities, failures of responsibility. Arch Surg. 1987 Sep;122(9):1067–1071. doi: 10.1001/archsurg.1987.01400210105016. [DOI] [PubMed] [Google Scholar]
  21. Soderstrom C. A., Dischinger P. C., Smith G. S., McDuff D. R., Hebel J. R., Gorelick D. A. Psychoactive substance dependence among trauma center patients. JAMA. 1992 May 27;267(20):2756–2759. [PubMed] [Google Scholar]
  22. Soderstrom C. A., Smith G. S., Dischinger P. C., McDuff D. R., Hebel J. R., Gorelick D. A., Kerns T. J., Ho S. M., Read K. M. Psychoactive substance use disorders among seriously injured trauma center patients. JAMA. 1997 Jun 11;277(22):1769–1774. [PubMed] [Google Scholar]
  23. Tepas J. J., 3rd, Ramenofsky M. L., Barlow B., Gans B. M., Harris B. H., DiScala C., Butler K. National Pediatric Trauma Registry. J Pediatr Surg. 1989 Feb;24(2):156–158. doi: 10.1016/s0022-3468(89)80237-4. [DOI] [PubMed] [Google Scholar]
  24. Wallace P., Cutler S., Haines A. Randomised controlled trial of general practitioner intervention in patients with excessive alcohol consumption. BMJ. 1988 Sep 10;297(6649):663–668. doi: 10.1136/bmj.297.6649.663. [DOI] [PMC free article] [PubMed] [Google Scholar]

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