PMID: 7464073Jul 1, 1980

Survey of drug-abuse patterns and toxicology analysis in an emergency-room population

Journal of Analytical Toxicology
D N Bailey, A S Manoguerra

Abstract

A retrospective survey of 150 patients who presented to a university hospital emergency room with suspected drug abuse was performed. In 74 instances, biological fluids were submitted to the laboratory for toxicology analysis. Drugs implicated in the clinical history were compared with those actually found by the laboratory in order to evaluate the diagnostic utility of toxicology testing. The laboratory found either some or all of the drugs suspected from the history in 68% of the laboratory-analyzed cases. In an additional 16% the laboratory found none of the implicated drugs but did find other drugs not suggested by the history, and in one of every four cases at least one drug not implicated by history was found. The most frequently involved drugs in this study are identified, and epidemiologic parameters including age, sex, frequency of multiple-drug ingestions, patient disposition, and patient and laboratory-sample arrival times are analyzed.

Citations

Jan 1, 1981·Psychopharmacology·M DivollR I Shader
Nov 1, 1987·Annals of Emergency Medicine·A L KellermannM K Copass
Jun 1, 1982·Journal of Toxicology. Clinical Toxicology·B R HeplerI Sunshine
Jan 1, 1984·Journal of Toxicology. Clinical Toxicology·D N Bailey
Jan 1, 1987·Journal of Toxicology. Clinical Toxicology·D N Bailey
Jan 1, 1996·Journal of Toxicology. Clinical Toxicology·C TomaszewskiK Kulig
Jul 13, 2004·Basic & Clinical Pharmacology & Toxicology·Marcelle-Diane MatsikaNicholas Moore
Sep 11, 2008·Emergency Medicine Australasia : EMA·Emma WestAdam Bystrzycki
Nov 1, 1985·The American Journal of Emergency Medicine·K Kulig
Jan 1, 1988·The American Journal of Emergency Medicine·A L KellermannM K Copass
Feb 1, 1991·Annals of Emergency Medicine·R F Clark, F Harchelroad
May 27, 2003·Therapeutic Drug Monitoring·David N Bailey, John R Briggs
Jan 1, 1984·Journal of Toxicology. Clinical Toxicology·B R HeplerI Sunshine
Jan 1, 1986·Medical Toxicology·B R HeplerI Sunshine

Related Concepts

Blood Chemical Analysis
Pharmaceutical Preparations
Accident and Emergency Department
Toxinology
Urine
Substance-Related Disorders

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