Comparación de las urgencias atendidas por drogas de abuso en dos servicios de urgencias Españoles con las atendidas en tres áreas Europeas distintas

Translated title of the contribution: Emergencies related to recreational drug abuse in Spain compared to emergencies attended in 3 European areas

Òscar Miró, Christopher Yates, Alison M. Dines, David M. Wood, Paul I. Dargan, Itxaso Galán, Alba Jerez, Jordi Puiguriguer, W. Stephen Waring, Adrian Moughty, Niall O’connor, Fridtjof Heyerdahl, Knut E. Hovda, Odd M. Vallersnes, Raido Paasma, Kristiina Põld, Gesche Jürgens, Bruno Megarbane, Jacek S. Anand, Evangelia LiakoniMatthias Liechti, Florian Eyer, Sergej Zacharov, Blazena Caganova, Isabelle Giraudon, Miguel Galicia

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

Objectives. To analyze epidemiologic, clinical, and care characteristics in cases in which patients came to 2 Spanish emergency departments (EDs) with symptoms caused by recreational drug abuse. To compare the characteristics with those reported for other areas of Europe. Methods. Secondary analysis of the registry of the European Drug Emergencies Network (Euro-DEN Plus), which collects cases in 14 European countries and 20 EDs. The registry included all patients attending EDs with symptoms of recreational drug abuse (excepting cases involving alcohol alone) over a period of 39 consecutive months (October 2013 to December 2016). We compared the cases from the 2 Spanish EDs (in Barcelona and Palma de Mallorca) to those from the 5 EDs in Ireland and the UK, 6 in northern Europe, and 7 in central Europe. Results. A total of 17 104 patients’ cases were included: Spain, 1186; UK and Ireland, 6653; northern Europe, 6097; and central Europe, 3168. Spain saw more emergencies related to cocaine (48.4%) and fewer related to opioids (12.4%) than the other areas. The Spanish patients were younger (32.2 years) on average than those in northern Europe and older than those in the UK and Ireland and central Europe. Fewer patients were women in Spain (21.9%) than in northern or central Europe. Fewer arrived in ambulances in Spain (70.0%) than in the UK and Ireland or northern Europe. The Spanish EDs recorded the temperature and respiratory frequency of fewer patients (29.8% and 30.3%, respectively). Clinical signs differed between geographical areas attributable to differences in drug-use patterns. In Spain, naloxone was used by fewer patients (9.6%) than in the UK and Ireland and northern Europe, and flumazenil was used by more patients (5.6%) than in other areas. Spain saw lower percentages of admissions (4.6%) and patients who left without an ED discharge (6.2%) in comparison with other areas. Mortality rates in the Spanish EDs (0.4%) and after discharge from them (0.7%) were higher than in northern Europe. Conclusions. The characteristics of emergencies related to recreational drug abuse registered by the Spanish EDs were differed from those registered in other parts of Europe due to different patterns of drug use. We also detected differences between the Spanish and other European EDs with respect to examinations or tests performed, treatment given, and discharge disposition.

Translated title of the contributionEmergencies related to recreational drug abuse in Spain compared to emergencies attended in 3 European areas
Original languageSpanish
Pages (from-to)385-394
Number of pages10
JournalEmergencias
Volume30
Issue number6
StatePublished - Dec 2018
Externally publishedYes

Keywords

  • Clinical course
  • Emergency department
  • Epidemiology
  • Street drugs
  • Symptoms

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