Evidence map›Paper›PMID 36915029›Full record

ArticleThe Journal of surgical research2023

Drug and Alcohol Use in Trauma Patients Before and During the COVID-19 Pandemic.

Merry Zhai, Kristy Bono, Wei Wei Zhang, Stephanie Bonne, Emily Gordon, Erin Zerbo, Harrisson Quijote, Nina Glass

Abstract read
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Article in The Journal of surgical research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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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

8 authors.

Merry ZhaiNew Jersey Medical School, Newark, New Jersey.
Kristy BonoNew Jersey Medical School, Newark, New Jersey.
Wei Wei ZhangNew Jersey Medical School, General Surgery, Newark, New Jersey.
Stephanie BonneNew Jersey Medical School, General Surgery, Newark, New Jersey.
Emily GordonNew Jersey Medical School, Medicine, Newark, New Jersey.
Erin ZerboNew Jersey Medical School, Psychiatry, Newark, New Jersey.
Harrisson QuijoteNew Jersey Medical School, General Surgery, Newark, New Jersey.
Nina GlassNew Jersey Medical School, General Surgery, Newark, New Jersey. Electronic address: ng470@njms.rtugers.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSince the implementation of national stay-at-home orders during the COVID-19 pandemic, there has been rising concerns regarding prolonged social isolation that many individuals face. Given the link between increased stress and alcohol and drug use, our study investigated admission trends and patterns of alcohol and drug use in trauma patients.

methodsThis was a single center, retrospective cohort study comparing trauma patients admitted before the pandemic and during the first wave. We compared patient demographics, injury characteristics, and outcomes of substance screen negative, positive, and unscreened patients admitted. Patients screened positive if they had a positive urine drug screen (UDS) and/or a blood alcohol concentration (BAC) ≥10 mg/dL.

resultsThere were 3906 trauma admissions in the year prior to and 3469 patients in the first year of the pandemic. No significant demographic differences were presented across time periods. Rates of UDS and BAC screening remained consistent. Equivalent rates of alcohol and drug positivity occurred (34% versus 33%, 17% versus 18%, P = 0.49). The total prevalence of alcohol use disorders (4% versus 5%, P < 0.001) and psychiatric disorders (6% versus 7%, P = 0.02) increased during the pandemic.

conclusionsThe prevalence of diagnosed alcohol use and psychiatric disorders in trauma patients increased during the COVID-19 pandemic while rates of acute alcohol and drug screen positivity remained the same. These observations suggest a possible link between pandemic stressors and exacerbation of alcohol use and psychiatric conditions in trauma patients. During a changing pandemic landscape, it remains pertinent to increased screening for these conditions regardless of substance screen positivity upon admission.

Indexed as

AlcoholismCOVID-19Wounds and InjuriesBlood Alcohol ContentEthanolHumansPandemicsRetrospective StudiesTrauma CentersBlood Alcohol ContentEthanolAlcohol abuseCOVID-19Psychiatric disorderSubstance use disorderTraumatic injuries

Identifiers

PMID36915029
PMCPMC9691443

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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.