Evidence map›Paper›PMID 38985694›Full record

Observational studyPloS one2024

Drugs in blood and urine samples from victims of suspected exposure to drink spiking: A prospective observational study from Oslo, Norway.

Vivian M Dalaker, Håvard Furuhaugen, Mette Brekke, Mari Asphjell Bjørnaas, Maja Krpo, Elisabeth Leere Øiestad, Odd Martin Vallersnes

Abstract readObservational Study
In one paragraph

Observational study in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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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5 · Who and what money

Authors and funding

7 authors.

Vivian M DalakerDepartment of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.
Håvard FuruhaugenSection of Drug Abuse Research, Department of Forensic Sciences, Oslo University Hospital, Oslo, Norway.
Mette BrekkeGeneral Practice Research Unit, Institute of Health and Society, University of Oslo, Oslo, Norway.
Mari Asphjell BjørnaasDepartment of Acute Medicine, Oslo University Hospital Ullevaal, Oslo, Norway.
Maja KrpoDepartment of Pharmacology, Oslo University Hospital Ullevaal, Oslo, Norway.
Elisabeth Leere ØiestadSection of Drug Abuse Research, Department of Forensic Sciences, Oslo University Hospital, Oslo, Norway.ORCID 0000-0003-0781-6865
Odd Martin VallersnesDepartment of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.ORCID 0000-0003-1213-392X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePeople regularly contact emergency medicine services concerned that they have been exposed to drink spiking, i.e., exposure to drugs without their knowledge or permission. We identified drugs in blood and urine samples from patients suspecting exposure to drink spiking, with special consideration for drugs not reported taken by the patient (unreported drugs).

methodsFrom September 2018 to May 2019, we collected blood and urine samples from patients 16 years or older presenting at an emergency clinic in Oslo, Norway, within 48 hours of suspected exposure to drink spiking. We also collected information on ethanol ingestion and drugs taken. Blood samples were analyzed for 20 classical recreational drugs using ultra-high performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS) and an automated enzymatic method for ethanol. Urine samples were analyzed using immunoassay methods and a specific gas chromatography mass spectrometry (GCMS) method for gammahydroxybutyrate (GHB).

resultsFrom 100 included patients (median age 24 years, 62 females), we collected 100 blood samples and 72 urine samples. Median time since exposure was 5 hours. Unreported drugs were found in 15 patients. Unreported drugs in the blood samples were clonazepam in 3, methylenedioxymethamphetamine (MDMA) in 3, amphetamine in 2, tetrahydrocannabinol (THC) in 2, tramadol in 1, cocaine in 1, and methamphetamine in 1. Unreported drugs in the urine samples were cocaine in 5, amphetamine in 4, ecstasy in 3, and cannabis in 2. Ethanol was found in 69 patients, all reporting ethanol ingestion. Median blood ethanol concentration was higher in patients with no unreported drugs detected, 1.00‰ (interquartile range (IQR) 0-1.52) vs. 0‰ (IQR 0-0.46) (p<0.001). GHB was not detected.

conclusionUnreported drugs, possibly used for drink spiking, were found in 15% of patients. Blood ethanol concentration was higher when no unreported drugs were found. GHB was not detected in any patient.

Indexed as

Illicit DrugsSubstance Abuse DetectionTandem Mass SpectrometryAdolescentAdultChromatography, High Pressure LiquidEthanolFemaleGas Chromatography-Mass SpectrometryHumansMaleMiddle AgedNorwayProspective StudiesYoung AdultEthanolIllicit Drugs

Identifiers

PMID38985694
PMCPMC11236145

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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.