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Alcohol, drugs, and road traffic injuries in an emergency department in Mexico City

dc.creatorBorges, Guilhermees_ES
dc.creatorOrozco, Ricardoes_ES
dc.creatorHernández-Becerril, Zaidees_ES
dc.creatorOrtega, Brenda E.es_ES
dc.creatorFlores, Julioes_ES
dc.creatorBenitez-King, Gloriaes_ES
dc.creatorFlores-Alcantar, Guadalupees_ES
dc.creatorEscamilla-Nuñez, Albertoes_ES
dc.creatorScherer, Juliana N.es_ES
dc.date2023
dc.date.accessioned2025-04-09T19:06:14Z
dc.date.available2025-04-09T19:06:14Z
dc.date.issued2023
dc.identifierJC52DIEP23es_ES
dc.identifier.issn0020-1383
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/8300
dc.identifier.urihttps://doi.org/10.1016/j.injury.2022.12.019
dc.descriptionThere have been no studies reporting on the use of biological specimens in Mexico to analyze the prevalence of alcohol and drug use among Emergency Department (ED) patients with a road traffic injury (RTI). We report here on a sample of 304 adult patients, admitted to the ED of a public hospital in Mexico City from January to April 2022, after being involved in an RTI. Patients gave informed consent for a breath test measuring breath alcohol concentration (BAC) and a saliva screening test for six classes of drugs (amphetamines, barbiturates, benzodiazepines, cannabis, cocaine, and methamphetamine). We found that at least one in every four patients (27.6%) had traces of alcohol or drugs in their body upon arrival in the ED. The breath test found a positive BAC in 16.1% of the sample; the most common substances detected in saliva were amphetamines or methamphetamine (8.6%), followed by cocaine (7.0%) and cannabis (6.9%). Only a few variables differentiated those with positive BAC from those with negative BAC (male, arriving on a weekend day or night, and arriving by ambulance), and even fewer variables differentiated those testing positives for drugs than those testing negative (less than 13 years of education and drivers of cars, bicycles, or other vehicles). While alcohol continues to be the single most used substance, our findings indicate that stimulants are of great concern. Since those testing positives for alcohol or drugs are so similar in their demographic pattern to those testing negative, the introduction of biological testing as a routine practice in the ED is highly recommended. Routine testing makes it possible to provide the patient with the best treatment and is also the best way to assess substance use.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherElsevieres_ES
dc.relation54(2):481-489
dc.rightsAcceso Cerradoes_ES
dc.titleAlcohol, drugs, and road traffic injuries in an emergency department in Mexico Cityes_ES
dc.typeArtículoes_ES
dc.contributor.affiliationNational Institute of Psychiatry Ramon de la Fuente Muñiz, Mexico City, Mexico
dc.contributor.emailric_oz@imp.edu.mx (Ricardo Orozco)
dc.relation.jnabreviadoINJURY
dc.relation.jnabreviadoInjury
dc.identifier.placePaíses Bajos
dc.date.published2023
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1879-0267
dc.identifier.doi10.1016/j.injury.2022.12.019
dc.subject.kwAlcohol
dc.subject.kwDrugs
dc.subject.kwEmergency department
dc.subject.kwRoad injury
dc.subject.kwEpidemiology
dc.subject.kwMexico


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