Amphetamine-Related Emergency Department Visits in Ontario, Canada, 2003-2020.

IF 3.3 3区 医学 Q2 PSYCHIATRY
James A G Crispo, Lisa Liu, Paxton Bach, Dominique R Ansell, Branavan Sivapathasundaram, Francis Nguyen, Paul Kurdyak, Dallas P Seitz, Michael Conlon, Jacquelyn J Cragg
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引用次数: 2

Abstract

Objectives: Despite unregulated amphetamine use increasing, there are limited data on related emergency department (ED) visits in Canada. Our primary objective was to examine trends in amphetamine-related ED visits over time in Ontario, including by age and sex. Secondary objectives were to examine whether patient characteristics were associated with ED revisit within 6 months.

Methods: Using administrative claims and census data, we calculated annual patient- and encounter-based rates of amphetamine-related ED visits from 2003 to 2020 among individuals 18+ years of age. We also performed a retrospective cohort study of individuals with amphetamine-related ED visits between 2019 and 2020 to determine whether select factors were associated with ED revisit within 6 months. Multivariable logistic regression modelling was used to measure associations.

Results: The population-based rate of amphetamine-related ED visits increased nearly 15-fold between 2003 (1.9/100,000 Ontarians) and 2020 (27.9/100,000 Ontarians). Seventy-five percent of individuals returned to the ED for any reason within 6 months. Psychosis and use of other substances were both independently associated with ED revisit for any reason within 6 months (psychosis: AOR = 1.54, 95% CI = 1.30-1.83; other substances: AOR = 1.84, 95% CI = 1.57-2.15), whereas having a primary care physician was negatively associated with ED revisit (AOR = 0.77, 95% CI = 0.60-0.98).

Conclusions: Increasing rates of amphetamine-related ED visits in Ontario are cause for concern. Diagnoses of psychosis and the use of other substances may serve to identify individuals who are most likely to benefit from both primary and substance-specific care.

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2003-2020年,加拿大安大略省与苯丙胺相关的急诊科就诊。
目标:尽管不受管制的苯丙胺使用有所增加,但加拿大相关急诊科就诊的数据有限。我们的主要目标是研究安大略省一段时间内苯丙胺相关ED就诊的趋势,包括年龄和性别。次要目的是检查患者特征是否与6个月内再次就诊ED有关。方法:使用行政索赔和人口普查数据,我们计算了2003年至2020年18岁以上人群中每年基于患者和遭遇的苯丙胺相关ED就诊率。我们还对2019年至2020年间苯丙胺相关ED就诊的个体进行了回顾性队列研究,以确定选择因素是否与6个月内的ED再次就诊有关。多变量逻辑回归模型用于测量相关性。结果:2003年(1.9/10万安大略省人)至2020年(27.9/10万安大略人)期间,苯丙胺相关ED就诊的人群比率增加了近15倍。75%的人在6个月内因任何原因返回急诊室。精神病和使用其他物质均与6个月内因任何原因再次就诊ED独立相关(精神病:AOR = 1.54,95%CI = 1.30-1.83;其他物质:AOR = 1.84,95%CI = 1.57-2.15),而有一名初级保健医生与ED再访呈负相关(AOR = 0.77,95%CI = 0.60-0.98)。结论:安大略省苯丙胺相关ED就诊率的上升令人担忧。精神病的诊断和其他物质的使用可能有助于确定最有可能从初级和特定物质护理中受益的个人。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.00
自引率
2.50%
发文量
69
审稿时长
6-12 weeks
期刊介绍: Established in 1956, The Canadian Journal of Psychiatry (The CJP) has been keeping psychiatrists up-to-date on the latest research for nearly 60 years. The CJP provides a forum for psychiatry and mental health professionals to share their findings with researchers and clinicians. The CJP includes peer-reviewed scientific articles analyzing ongoing developments in Canadian and international psychiatry.
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