Evidence map›Paper›PMID 36622838›Full record

ArticleJournal of the American Geriatrics Society2023

Trends in emergency department visits associated with cannabis use among older adults in California, 2005-2019.

Benjamin H Han, Jesse J Brennan, Mirella A Orozco, Alison A Moore, Edward M Castillo

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
9.0field-weighted citation impact, top 2% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Past-Month Tobacco and Cannabis Co-Use by Chronic Disease and Sociodemographic Factors Among U.S. Adults 65+ Years (2021-2023).Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Cannabis Use Among Older Adults.JAMA network open · 2025
    Article
  12. Article
  13. Article
  14. Observational
  15. Article
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Benjamin H HanDivision of Geriatrics, Gerontology, and Palliative Care, University of California San Diego School of Medicine, San Diego, California, USA.ORCID 0000-0001-6882-0142
Jesse J BrennanDepartment of Emergency Medicine, University of California San Diego School of Medicine, San Diego, California, USA.
Mirella A OrozcoDivision of Geriatrics, Gerontology, and Palliative Care, University of California San Diego School of Medicine, San Diego, California, USA.
Alison A MooreDivision of Geriatrics, Gerontology, and Palliative Care, University of California San Diego School of Medicine, San Diego, California, USA.
Edward M CastilloDepartment of Emergency Medicine, University of California San Diego School of Medicine, San Diego, California, USA.
University of California San Diego · USUniversity of San Diego · US

Funding

Chronic Disease and Health Outcomes of Older Adults with Opioid Use DisordersK23DA043651 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI HAN, BENJAMIN HYUN · 2018 to 2023
$1.2M
NCATS NIH HHS L30 TR003212NIDA NIH HHS K23 DA043651NIDA NIH HHS L30 DA040581
6 · The paper itself

Abstract

backgroundThe use of cannabis among older adults is increasing in the United States. While cannabis use has been suggested to help alleviate chronic symptoms experienced by older adults, its potential adverse effects may lead to unintended consequences, including increased acute healthcare utilization related to its use. The objective of this study was to examine trends in cannabis-related emergency department (ED) visits in California.

methodsUsing data from the Department of Healthcare Access and Information, we conducted a trend analysis of cannabis-related ED visits from all acute care hospitals in California from 2005 to 2019. For each calendar year, we determined the cannabis-related ED visit rate per 100,000 ED visits for adults aged ≥65 utilizing primary or secondary diagnosis codes. We estimated the absolute and relative changes in overall cannabis-related visit rates during the study period and by subgroup, including age (65-74, 75-84, ≥85), race/ethnicity, sex, payer/insurance, Charlson comorbidity index score, and cannabis-related diagnosis code.

resultsThe cannabis-related ED visit rate increased significantly for adults aged ≥65 and all subgroups (p < 0.001). The overall rate increased from 20.7 per 100,000 visits in 2005 to 395.0 per 100,000 ED visits in 2019, a 1804% relative increase. By race/ethnicity, older Black adults had the highest ED visit rate in 2019 and the largest absolute increase while older males had a higher ED visit rate in 2019 and a greater absolute increase than older women. Older adults with a higher Charlson score had a higher ED visit rate in 2019 and a larger absolute increase during the study period.

conclusionCannabis-related ED visits are increasing among older adults in California and are an adverse effect of cannabis use. Asking about cannabis use and providing education about its use should be a part of routine medical care for older adults.

Indexed as

CannabisAgedCaliforniaEmergency Service, HospitalEthnicityFemaleHospitalizationHumansMaleUnited Statescannabisemergency departmentmarijuanasubstance use

Identifiers

PMID36622838
PMCPMC10089945
OpenAlexW4313837178

What OpenQuestion holds

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Registered trials

None linked

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.