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Prevalence of cocaine and derivatives in blood and urine samples of trauma patients and correlation with injury severity: a prospective observational study

Oliveira, K. D. ; Fraga, G. P. ; Baracat, E. C. E. ; Morcillo, A. M. ; Lanaro, R. ; Costa, J. L. ; Capitani, E. M. ; Bucaretchi, F. ; Ferreira Filho, A. I. ; Gimenes, V. C. ; de Azevedo, R. C. S.

European journal of trauma and emergency surgery (Munich : 2007), 2019-02, Vol.45 (1), p.159-165 [Periódico revisado por pares]

Berlin/Heidelberg: Springer Berlin Heidelberg

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Título:
Prevalence of cocaine and derivatives in blood and urine samples of trauma patients and correlation with injury severity: a prospective observational study
Autor: Oliveira, K. D. ; Fraga, G. P. ; Baracat, E. C. E. ; Morcillo, A. M. ; Lanaro, R. ; Costa, J. L. ; Capitani, E. M. ; Bucaretchi, F. ; Ferreira Filho, A. I. ; Gimenes, V. C. ; de Azevedo, R. C. S.
Assuntos: Adolescent ; Adult ; Aged ; Aged, 80 and over ; Blood tests ; Brazil ; Clinical outcomes ; Cocaine ; Cocaine - blood ; Cocaine - urine ; Critical Care Medicine ; Cross-Sectional Studies ; Drug abuse ; Emergency Medicine ; Female ; Humans ; Injuries ; Intensive ; Longitudinal Studies ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Prospective Studies ; Risk Factors ; Sports Medicine ; Substance Abuse Detection - methods ; Surgery ; Surgical Orthopedics ; Trauma ; Trauma Severity Indices ; Traumatic Surgery ; Urinalysis ; Urine ; Wounds and Injuries - blood ; Wounds and Injuries - urine
É parte de: European journal of trauma and emergency surgery (Munich : 2007), 2019-02, Vol.45 (1), p.159-165
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Undefined-1
ObjectType-Feature-3
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Descrição: Purpose The abuse of cocaine and its derivatives presents a likely risk factor for injury. Trauma incurred by cocaine and derivative abusers may be more severe than that incurred by non-users. Objectives To ascertain the presence of cocaine and its derivatives in trauma patients and to correlate RTS (Revised Trauma Score) and ISS (Injury Severity Score) with the presence of cocaine and its derivatives in blood and urine samples. Methods All trauma victims treated in an emergency unit between November 11, 2012 and September 15, 2013 were included in the study. Blood and urine samples were collected on admission to hospital. RTS and ISS scores were then compared with the presence or absence of cocaine and its derivatives in the samples. The associations between RTS < 7.84 and ISS > 16 and the independent variables were evaluated by the gross odds ratio values, determined by univariate logistic regression. Multivariate analysis was performed using multivariate logistic regression. Results Of 453 patients (83.7% male) included in the study, 28.6% presented ISS > 16 and 33.6% presented RTS < 7.84. A total of 435 samples were collected, and 86 (19.8%) provided positive samples for cocaine, 48 (11%) for crack and 69 (15.9%) for cocaethylene. Compared to other patients, drug users showed a greater probability of RTS < 7.84 (2.18 times greater) and a greater probability of ISS > 16 (1.76 times greater). Conclusion For the trauma patients included in our study, the use of cocaine and its derivatives was shown to be associated with more severe traumas, as demonstrated by their RTS and ISS scores.
Editor: Berlin/Heidelberg: Springer Berlin Heidelberg
Idioma: Inglês

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Prevalence of cocaine and derivatives in blood and urine samples of trauma patients and correlation with injury severity: a prospective observational study

Oliveira, K. D. ; Fraga, G. P. ; Baracat, E. C. E. ; Morcillo, A. M. ; Lanaro, R. ; Costa, J. L. ; Capitani, E. M. ; Bucaretchi, F. ; Ferreira Filho, A. I. ; Gimenes, V. C. ; de Azevedo, R. C. S.

Berlin/Heidelberg: Springer Berlin Heidelberg

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