西班牙某省在大流行病期间因药物滥用而开展的紧急护理。

IF 2.2 4区 医学 Q3 SUBSTANCE ABUSE
María Irigoyen-Otiñano, Lucía Ibarra-Pertusa, Eugènia Nicolau-Subires, Carla Albert-Porcar, Marina Adrados-Pérez, Esther Buil-Reiné, Laura Arenas-Pijoan, Giovanni Torterolo, Marta Sánchez-Cazalilla, Margarita Puigdevall-Ruestes, Vicent Llorca-Bofí
{"title":"西班牙某省在大流行病期间因药物滥用而开展的紧急护理。","authors":"María Irigoyen-Otiñano, Lucía Ibarra-Pertusa, Eugènia Nicolau-Subires, Carla Albert-Porcar, Marina Adrados-Pérez, Esther Buil-Reiné, Laura Arenas-Pijoan, Giovanni Torterolo, Marta Sánchez-Cazalilla, Margarita Puigdevall-Ruestes, Vicent Llorca-Bofí","doi":"10.20882/adicciones.1819","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>During periods of isolation, people with substance use disorders may reduce tension, stress, uncertainty and possible distress by increasing the use of substances or practices that they have abused. The objective of this study was to evaluate the impact of the pandemic on emergency care and continuity of care for patients with substance use disorders.</p><p><strong>Method: </strong>Study carried out in the only psychiatric emergency service in the province at the Hospital Universitario Santa María de Lérida, which cares for 431,183 people. Sociodemographic, clinical and evolutionary variables were collected from all the patients treated during a period prior to lockdown (January 13, 2020, until March 14, 2020) and during the first (March 15, 2020 until June 20, 2020) and second states of emergency (from October 25, 2020 to May 9, 2021).</p><p><strong>Results: </strong>908 patients attended with substance use disorder, representing 23.8% of all visits. During the first state of emergency, visits increased (p < 0,001) with a decrease in the average age (p = 0.0023). During the second state of emergency, there was an increase in the use of alcohol with respect to the rest of toxic substances (p < 0,001) and an increase in the visits of patients without prior follow-up (p = 0.005).</p><p><strong>Conclusions: </strong>Substance use disorder consultations increased in the first state of emergency, with patients being younger and attending for reasons related to outpatient discontinuity, while in the second state of emergency, alcohol use increased in people without prior follow-up and with small social networks. Admissions in the first state of emergency were shorter, with no subsequent link to other detoxification treatment centers and with an earlier return to the emergency room, especially in female users.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"0 0","pages":"267-276"},"PeriodicalIF":2.2000,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Emergency care carried out during the pandemic due to substance abuse in a Spanish province.\",\"authors\":\"María Irigoyen-Otiñano, Lucía Ibarra-Pertusa, Eugènia Nicolau-Subires, Carla Albert-Porcar, Marina Adrados-Pérez, Esther Buil-Reiné, Laura Arenas-Pijoan, Giovanni Torterolo, Marta Sánchez-Cazalilla, Margarita Puigdevall-Ruestes, Vicent Llorca-Bofí\",\"doi\":\"10.20882/adicciones.1819\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>During periods of isolation, people with substance use disorders may reduce tension, stress, uncertainty and possible distress by increasing the use of substances or practices that they have abused. The objective of this study was to evaluate the impact of the pandemic on emergency care and continuity of care for patients with substance use disorders.</p><p><strong>Method: </strong>Study carried out in the only psychiatric emergency service in the province at the Hospital Universitario Santa María de Lérida, which cares for 431,183 people. Sociodemographic, clinical and evolutionary variables were collected from all the patients treated during a period prior to lockdown (January 13, 2020, until March 14, 2020) and during the first (March 15, 2020 until June 20, 2020) and second states of emergency (from October 25, 2020 to May 9, 2021).</p><p><strong>Results: </strong>908 patients attended with substance use disorder, representing 23.8% of all visits. During the first state of emergency, visits increased (p < 0,001) with a decrease in the average age (p = 0.0023). During the second state of emergency, there was an increase in the use of alcohol with respect to the rest of toxic substances (p < 0,001) and an increase in the visits of patients without prior follow-up (p = 0.005).</p><p><strong>Conclusions: </strong>Substance use disorder consultations increased in the first state of emergency, with patients being younger and attending for reasons related to outpatient discontinuity, while in the second state of emergency, alcohol use increased in people without prior follow-up and with small social networks. Admissions in the first state of emergency were shorter, with no subsequent link to other detoxification treatment centers and with an earlier return to the emergency room, especially in female users.</p>\",\"PeriodicalId\":55560,\"journal\":{\"name\":\"Adicciones\",\"volume\":\"0 0\",\"pages\":\"267-276\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2024-09-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Adicciones\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.20882/adicciones.1819\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"SUBSTANCE ABUSE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Adicciones","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.20882/adicciones.1819","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SUBSTANCE ABUSE","Score":null,"Total":0}
引用次数: 0

摘要

导言:在与世隔绝期间,药物滥用障碍患者可能会通过增加使用他们曾经滥用的药物或做法来缓解紧张、压力、不确定性和可能的痛苦。本研究旨在评估大流行病对急诊护理和药物使用障碍患者持续护理的影响:研究在该省唯一的精神病急诊服务机构圣玛丽亚-德-莱里达大学医院(Hospital Santa María de Lérida)进行,该医院为 431 183 人提供医疗服务。在封锁前(2020年1月13日至2020年3月14日)、第一次紧急状态(2020年3月15日至2020年6月20日)和第二次紧急状态(2020年10月25日至2021年5月9日)期间,对所有接受治疗的患者进行了社会人口学、临床和演变变量的收集:908名患者因药物使用障碍就诊,占就诊总人数的23.8%。在第一次紧急状态期间,就诊人数有所增加(p < 0.001),平均年龄有所下降(p = 0.0023)。在第二次紧急状态期间,与其他有毒物质相比,酒精的使用有所增加(p < 0,001),未进行过随访的患者就诊人数也有所增加(p = 0.005):在第一种紧急状态下,药物使用障碍的就诊人数增加,患者年龄较轻,就诊原因与门诊中断有关,而在第二种紧急状态下,无随访记录和社会网络较小的人群中饮酒人数增加。第一种紧急状态下的入院时间较短,随后没有与其他戒毒治疗中心建立联系,返回急诊室的时间较早,尤其是女性使用者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Emergency care carried out during the pandemic due to substance abuse in a Spanish province.

Introduction: During periods of isolation, people with substance use disorders may reduce tension, stress, uncertainty and possible distress by increasing the use of substances or practices that they have abused. The objective of this study was to evaluate the impact of the pandemic on emergency care and continuity of care for patients with substance use disorders.

Method: Study carried out in the only psychiatric emergency service in the province at the Hospital Universitario Santa María de Lérida, which cares for 431,183 people. Sociodemographic, clinical and evolutionary variables were collected from all the patients treated during a period prior to lockdown (January 13, 2020, until March 14, 2020) and during the first (March 15, 2020 until June 20, 2020) and second states of emergency (from October 25, 2020 to May 9, 2021).

Results: 908 patients attended with substance use disorder, representing 23.8% of all visits. During the first state of emergency, visits increased (p < 0,001) with a decrease in the average age (p = 0.0023). During the second state of emergency, there was an increase in the use of alcohol with respect to the rest of toxic substances (p < 0,001) and an increase in the visits of patients without prior follow-up (p = 0.005).

Conclusions: Substance use disorder consultations increased in the first state of emergency, with patients being younger and attending for reasons related to outpatient discontinuity, while in the second state of emergency, alcohol use increased in people without prior follow-up and with small social networks. Admissions in the first state of emergency were shorter, with no subsequent link to other detoxification treatment centers and with an earlier return to the emergency room, especially in female users.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Adicciones
Adicciones SUBSTANCE ABUSE-
CiteScore
4.00
自引率
10.00%
发文量
36
审稿时长
>12 weeks
期刊介绍: Adicciones publica artículos originales sobre el tratamiento, la prevención, estudios básicos y descriptivos en el campo de las adicciones, como son las drogas ilegales, el alcohol, el tabaco o cualquier otra adicción, procedentes de distintas disciplinas (medicina, psicología, investigación básica, investigación social, etc.). Todos los artículos son seleccionados después de pasar un proceso de revisión anónimo hecho por expertos en ese tema.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信