The impact of methamphetamines in patients with traumatic brain injury, a retrospective review

Clinical Neurology and Neurosurgery
Jason DuongDan Miulli

Abstract

Both neurotoxic and neuroprotective effects of methamphetamines (METH) are being studied. There are few studies evaluating the effects of METH on patients with traumatic brain injury (TBI). The objective of this study is to compare clinical outcomes after TBI in METH users versus non-METH users. A retrospective review of 304 patients with severe traumatic head injury were performed. Patients were evaluated and stratified based on toxicology screening for methamphetamines (METH) or none. Of the patients reviewed with a full toxicology, 24 of those patients were positive for METH, and 60 patients were negative. Patients were evaluated based on demographics, type of injury, Glasgow Coma Scale (GCS), and Glasgow Outcome Scale (GOS). METH patients were younger upon presentation (43.5 versus 55.8, p = 0.003), with a larger improvement in GCS and GOS upon discharge (P = 0.012, 0.0001 respectively). There was no significant difference in length of hospital stay, initial presenting GCS and GOS, or discharge GCS and GOS. Our findings demonstrate an improved change in GCS and GOS for those positive with METH than those without. Surprisingly, substance positive patients did not have a worse outcome score. Further investigation is necessary...Continue Reading

Citations

Feb 9, 2020·Journal of the Neurological Sciences·Samer El HayekFiras Kobeissy
May 25, 2021·Frontiers in Molecular Neuroscience·Yujing WangDongliang Jiao
Apr 27, 2021·Journal of Emergencies, Trauma, and Shock·John T Culhane, Carl A Freeman

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