Emergency department alcohol and drug screening for Illinois pediatric trauma patients, 1999 to 2009

Norman G. Nicolson; Patrick M. Lank; Marie L. Crandall

doi:10.1016/j.amjsurg.2014.06.003

Emergency department alcohol and drug screening for Illinois pediatric trauma patients, 1999 to 2009

Norman G. Nicolson^*, Patrick M. Lank, Marie L. Crandall

^*Corresponding author for this work

Emergency Medicine

Research output: Contribution to journal › Article › peer-review

19 Scopus citations

Abstract

Background Recent guidelines recommend universal substance abuse screening for all trauma patients aged 12 years and older because brief interventions can help prevent future trauma. However, little is known about actual rates of screening in this setting

Methods: The Illinois State Trauma Registry was queried for severely injured patients from 1999 to 2009. Multivariate logistic regression was used to characterize, according to demographic and physiologic parameters, which patients were screened with blood alcohol and urine toxicology and which screened positive

Results: Of the 12,264 pediatric patients, 40% were tested for alcohol and 37% for drugs. Nine percent of patients screened positive for alcohol and 8% for drugs. Age strongly predicted positive tests, as did male sex. Black and Hispanic patients were screened for alcohol most frequently, but only Hispanics were more likely to test positive. Conclusion Although current guidelines recommend screening all trauma patients 12 years and older, current practice falls far short of this goal.

Original language	English (US)
Pages (from-to)	531-535
Number of pages	5
Journal	American journal of surgery
Volume	208
Issue number	4
DOIs	https://doi.org/10.1016/j.amjsurg.2014.06.003
State	Published - Oct 1 2014

Keywords

Alcohol
Pediatrics
Screening
Trauma

ASJC Scopus subject areas

Surgery

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.amjsurg.2014.06.003

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title = "Emergency department alcohol and drug screening for Illinois pediatric trauma patients, 1999 to 2009",

abstract = "Background Recent guidelines recommend universal substance abuse screening for all trauma patients aged 12 years and older because brief interventions can help prevent future trauma. However, little is known about actual rates of screening in this settingMethods: The Illinois State Trauma Registry was queried for severely injured patients from 1999 to 2009. Multivariate logistic regression was used to characterize, according to demographic and physiologic parameters, which patients were screened with blood alcohol and urine toxicology and which screened positiveResults: Of the 12,264 pediatric patients, 40% were tested for alcohol and 37% for drugs. Nine percent of patients screened positive for alcohol and 8% for drugs. Age strongly predicted positive tests, as did male sex. Black and Hispanic patients were screened for alcohol most frequently, but only Hispanics were more likely to test positive. Conclusion Although current guidelines recommend screening all trauma patients 12 years and older, current practice falls far short of this goal.",

keywords = "Alcohol, Pediatrics, Screening, Trauma",

author = "Nicolson, {Norman G.} and Lank, {Patrick M.} and Crandall, {Marie L.}",

note = "Funding Information: This work was supported by a grant from the Northwestern University Feinberg School of Medicine Medical Student Summer Research Program. The content was presented in poster form at the American Public Health Association Annual Meeting, November 2–6, 2013, Boston, MA. The authors have no industry relationships to disclose. Publisher Copyright: {\textcopyright} 2014 Elsevier Inc.",

year = "2014",

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doi = "10.1016/j.amjsurg.2014.06.003",

language = "English (US)",

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T1 - Emergency department alcohol and drug screening for Illinois pediatric trauma patients, 1999 to 2009

AU - Nicolson, Norman G.

AU - Lank, Patrick M.

AU - Crandall, Marie L.

N1 - Funding Information: This work was supported by a grant from the Northwestern University Feinberg School of Medicine Medical Student Summer Research Program. The content was presented in poster form at the American Public Health Association Annual Meeting, November 2–6, 2013, Boston, MA. The authors have no industry relationships to disclose. Publisher Copyright: © 2014 Elsevier Inc.

PY - 2014/10/1

Y1 - 2014/10/1

N2 - Background Recent guidelines recommend universal substance abuse screening for all trauma patients aged 12 years and older because brief interventions can help prevent future trauma. However, little is known about actual rates of screening in this settingMethods: The Illinois State Trauma Registry was queried for severely injured patients from 1999 to 2009. Multivariate logistic regression was used to characterize, according to demographic and physiologic parameters, which patients were screened with blood alcohol and urine toxicology and which screened positiveResults: Of the 12,264 pediatric patients, 40% were tested for alcohol and 37% for drugs. Nine percent of patients screened positive for alcohol and 8% for drugs. Age strongly predicted positive tests, as did male sex. Black and Hispanic patients were screened for alcohol most frequently, but only Hispanics were more likely to test positive. Conclusion Although current guidelines recommend screening all trauma patients 12 years and older, current practice falls far short of this goal.

AB - Background Recent guidelines recommend universal substance abuse screening for all trauma patients aged 12 years and older because brief interventions can help prevent future trauma. However, little is known about actual rates of screening in this settingMethods: The Illinois State Trauma Registry was queried for severely injured patients from 1999 to 2009. Multivariate logistic regression was used to characterize, according to demographic and physiologic parameters, which patients were screened with blood alcohol and urine toxicology and which screened positiveResults: Of the 12,264 pediatric patients, 40% were tested for alcohol and 37% for drugs. Nine percent of patients screened positive for alcohol and 8% for drugs. Age strongly predicted positive tests, as did male sex. Black and Hispanic patients were screened for alcohol most frequently, but only Hispanics were more likely to test positive. Conclusion Although current guidelines recommend screening all trauma patients 12 years and older, current practice falls far short of this goal.

KW - Alcohol

KW - Pediatrics

KW - Screening

KW - Trauma

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Emergency department alcohol and drug screening for Illinois pediatric trauma patients, 1999 to 2009

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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