Trial reportAnnals of emergency medicine2014
Identifying patients with problematic drug use in the emergency department: results of a multisite study.
Trial report in Annals of emergency medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.
- Frequency of health-care utilization by adults who use illicit drugs: a systematic review and meta-analysis.Addiction (Abingdon, England) · 2020Pooled it
- Substance Use Disorder Detection Rates Among Providers of General Medical Inpatients.Journal of general internal medicine · 2021Trial
- Impact of a brief intervention on reducing alcohol use and increasing alcohol treatment services utilization among alcohol- and drug-using adult emergency department patients.Alcohol (Fayetteville, N.Y.) · 2017Trial
- Evaluation of a brief intervention to reduce the negative consequences of drug misuse among adult emergency department patients.Drug and alcohol dependence · 2015Trial
- Short-term Efficacy of a Brief Intervention to Reduce Drug Misuse and Increase Drug Treatment Utilization Among Adult Emergency Department Patients.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2015Trial
- Predictive factors for severe outcomes in substance abuse-related emergency visits: A 5-year retrospective analysis at a medical center in Taiwan.Journal of the Chinese Medical Association : JCMA · 2024Article
- Housing Insecurity and Other Syndemic Factors Experienced by Black and Latina Cisgender Women in Austin, Texas: A Qualitative Study.International journal of environmental research and public health · 2023Article
- Superwoman schema: uncovering repercussions of coping strategies used among Black women at high risk for HIV.Ethnicity & health · 2023Article
- National Prevalence of Alcohol and Other Substance Use Disorders Among Emergency Department Visits and Hospitalizations: NHAMCS 2014-2018.Journal of general internal medicine · 2022Observational
- Universal screening for substance use by Peer Support Specialists in the Emergency Department is a pathway to buprenorphine treatment.Addictive behaviors reports · 2021Article
- Structural and syndemic barriers to PrEP adoption among Black women at high risk for HIV: a qualitative exploration.Culture, health & sexuality · 2021Article
- Predictors of Frequent Emergency Department Utilization for Mental Health Reasons.The journal of behavioral health services & research · 2021Article
- A Longitudinal, Qualitative Exploration of Perceived HIV Risk, Healthcare Experiences, and Social Support as Facilitators and Barriers to PrEP Adoption Among Black Women.AIDS and behavior · 2021Article
- Facilitators and Barriers to Health Seeking among People Who Use Drugs in the Sunyani Municipality of Ghana: An Exploratory Study.BioMed research international · 2021Article
- Article
- Homelessness and self-rated health: evidence from a national survey of homeless people in Spain.BMC public health · 2019Article
- Emergency Medicine Research Priorities for Early Intervention for Substance Use Disorders.The western journal of emergency medicine · 2019Review
- Resource consumption of multi-substance users in the emergency room: A neglected patient group.PloS one · 2019Article
- Identification, Management, and Transition of Care for Patients With Opioid Use Disorder in the Emergency Department.Annals of emergency medicine · 2018Review
- Emergency department screening and interventions for substance use disorders.Addiction science & clinical practice · 2018Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 5 institutions in 1 country.
Funding
Abstract
STUDY
objectiveDrug-related emergency department (ED) visits have steadily increased, with substance users relying heavily on the ED for medical care. The present study aims to identify clinical correlates of problematic drug use that would facilitate identification of ED patients in need of substance use treatment.
methodsUsing previously validated tests, 15,224 adult ED patients across 6 academic institutions were prescreened for drug use as part of a large randomized prospective trial. Data for 3,240 participants who reported drug use in the past 30 days were included. Self-reported variables related to demographics, substance use, and ED visit were examined to determine their correlative value for problematic drug use.
resultsOf the 3,240 patients, 2,084 (64.3%) met criteria for problematic drug use (Drug Abuse Screening Test score ≥ 3). Age greater than or equal to 30 years, tobacco smoking, daily or binge alcohol drinking, daily drug use, primary noncannabis drug use, resource-intense ED triage level, and perceived drug-relatedness of ED visit were highly correlated with problematic drug use. Among primary cannabis users, correlates of problematic drug use were age younger than 30 years, tobacco smoking, binge drinking, daily drug use, and perceived relatedness of the ED visit to drug use.
conclusionClinical correlates of drug use problems may assist the identification of ED patients who would benefit from comprehensive screening, intervention, and referral to treatment. A clinical decision rule is proposed. The correlation between problematic drug use and resource-intense ED triage levels suggests that ED-based efforts to reduce the unmet need for substance use treatment may help decrease overall health care costs.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.