Screening for alcohol and substance use in pediatric trauma patients: A retrospective review

Robinson, Tessa; Tarzi, Christopher; Zhou, Grace; Bailey, Karen

doi:10.1016/j.jpedsurg.2020.01.042

Cited by 12 publications

(13 citation statements)

References 33 publications

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“…Consistent with other epidemiological data (Bromberg et al, 2019;Ehrlich et al, 2010;Johnson et al, 2014;Nicolson, Lank, & Crandall, 2014;Noffsinger et al, 2019;Robinson et al, 2020), we found rates of AOD use varying from 13.8% to 32.5% among admitted adolescents. The low rate of screening across centers highlights a missed opportunity to intervene with these at-risk youth and prevent further escalation of AOD use.…”

Section: Discussionsupporting

confidence: 91%

“…In this sample of 12-to 17-year-old adolescent patients, we found that only 53% had any type of AOD screening completed during their trauma admission. This finding of low screening rates is consistent with older studies conducted at pediatric trauma centers (Johnson et al, 2014;Robinson, Tarzi, Zhou, & Bailey, 2020). Furthermore, the best practice of administering both biologic screening via BAC and UDS for acute use, and a validated questionnaire to assess more distal use, was done in only a minority of patients (12.7%) with the majority of this comprehensive screening occurring at one of the study's 10 centers.…”

Section: Discussionsupporting

confidence: 84%

“…Although our use of data from 10 pediatric trauma centers improves the generalizability of findings, we invited centers to participate in the parent trial, so they may not be representative of all pediatric trauma centers. However, the centers are diverse in their location, and pediatric trauma volume, and our findings are consistent with what has previously been reported in U.S. and Canadian pediatric trauma centers (Mello et al, 2013;Robinson et al, 2020).…”

Section: Limitationssupporting

confidence: 91%

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Screening Adolescent Trauma Patients for Substance Use at 10 Pediatric Trauma Centers

Mello

Becker

Spirito

et al. 2020

Journal of Trauma Nursing

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Background:The American College of Surgeons Committee on Trauma recommends universal alcohol screening be part of the evaluation of admitted trauma patients. Yet, suboptimal screening rates have been reported for admitted adult and adolescent trauma patients. This lack of screening, in turn, has limited the ability of trauma services to provide patients with brief interventions during their hospital admission and subsequent referrals to treatment after discharge. The primary aim of this study was to examine current rates of alcohol and other drug screening with admitted injured adolescents across a national cohort of 10 pediatric trauma centers.Methods: This retrospective observational study was nested within a larger adolescent screening, brief intervention, and referral to treatment implementation study (Clinicaltrials.gov

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 84%

Section: Limitationssupporting

confidence: 91%

See 1 more Smart Citation

Screening Adolescent Trauma Patients for Substance Use at 10 Pediatric Trauma Centers

Mello

Becker

Spirito

et al. 2020

Journal of Trauma Nursing

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“…A total of 18–30% of pediatric patients screen positive for substance use or risky substance use behaviors [ 72 , 73 ]. Studies demonstrate relatively low adherence to screening recommendations in pediatric trauma centers, significant variation in who is screened based on age, injury severity, and mechanism of injury, and disparities in referrals for support services [ 72 – 74 ]. There are strategies demonstrated to improve screening and intervention.…”

Section: Evidence-based Practices For Trauma Centersmentioning

confidence: 99%

Adolescent Suicide—Understanding Unique Risks and Opportunities for Trauma Centers to Recognize, Intervene, and Prevent a Leading Cause of Death

et al. 2022

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Purpose of Review This provides up-to-date epidemiology of adolescent suicide and risk factors for suicide and highlights the overlap of risks for suicide and injury. It reviews signs and symptoms, and the up-to-date evidence on screening for depression, post-traumatic stress disorder (PTSD), suicide, substance abuse, and lethal means, and offers strategies of implementation in trauma centers. Recent Findings The incidence of adolescent suicide has continued to rise in the USA to 6.5 per 100,000, with notable racial disparities. The risk factors are complex, but many pre-existing risk factors and sequela after injury such as exposures to violence, suicidal behaviors, substance abuse, depression and post-traumatic stress disorder, and specific injuries including traumatic brain injury and spinal cord injury have further emerged as risks. Studies show rates of suicidality as high as 30% in the acute care setting. There are short screening instruments that can be used to universally screen for depression and suicidality in adolescent trauma patients. Step-up models of care for PTSD are promising to increase screening and services after injury. Lethal means counseling, secure firearm storage practices, and firearm safety policies can reduce the risk of suicide. Summary Suicide is the second leading cause of death in US adolescents, and trauma patients have significant risk factors for mental illness and suicidality before and after injury. Trauma centers should strongly consider screening adolescents, establish strategies for mental health support and referrals, and provide lethal means counseling to help prevent suicide.

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“…Diversos fatores de risco interagem para a ocorrência dos mesmos, como: velocidade (se tornando inapropriada ou excessiva), o uso de álcool e outras drogas que atuam como coadjuvantes, a presença de um personagem vulnerável (como crianças e idosos), más condições da estrada, além de alterações psicológicas que podem interferir diretamente na atuação (como pensamentos suicidas, sintomatologia depressiva, atos impulsivos relacionados a comportamentos violentos e destrutivos). Tem-se observado também que uma grande quantidade de acidentes de trânsito é constituída de adolescente que atuam de forma irregular provocando tais fatalidades (Davoren, Demant, Shiely, & Perry, 2016;Ponce et al, 2019;Robison, Tarzi, Zhou, & Bailey, 2020).…”

Section: Introductionunclassified

A relação entre o uso de álcool e acidentes de trânsito em Caxias - MA

Andrade

Silva²,

Coêlho³

et al. 2021

RSD

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O Brasil apresenta altas taxas de mortalidade decorrente de acidentes de trânsito, e em sua grande maioria, proveniente de colisões motociclistas. Buscando assim entender qual o impacto do uso de álcool nos acidentes de trânsito, o presente estudo objetivou caracterizar a prevalência de acidentes de trânsito causados pelo consumo de álcool, bem como a realização de um levantamento dos índices de acidentes de trânsito entre pessoas com níveis de idades variados. Trata-se de um estudo descritivo, documental, com abordagem quantitativa realizado em um Hospital do município de Caxias-MA, com as fichas de pacientes com de diferentes idades, que tenham sofrido acidentes de trânsito entre as datas de 1º de Agosto de 2019 e 31 de Dezembro de 2019. Como resultados se ratificam que foram analisados 457 prontuários de acidentes de trânsito, dentre eles, 165 pertencem a pacientes com idades entre 12 e 20 anos, representando assim 36% no total dos dados presentes, nas quais 93 pessoas fizeram o uso de álcool, uma amostra percentual de 53,3% da totalidade, 4,2% no mês de agosto, 9,7% no mês de setembro, 13,9% no mês de outubro, 7,8% no mês de novembro e 20,6% no mês de dezembro. Pode-se concluir que o uso de álcool aumenta consideravelmente o índice de acidentes de trânsito, tendo como principal vítimas os adolescentes, em vista de alguns fatores como: inexperiência, a falta de habilitação e a imprudência.

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Screening for alcohol and substance use in pediatric trauma patients: A retrospective review

Cited by 12 publications

References 33 publications

Screening Adolescent Trauma Patients for Substance Use at 10 Pediatric Trauma Centers

Screening Adolescent Trauma Patients for Substance Use at 10 Pediatric Trauma Centers

Adolescent Suicide—Understanding Unique Risks and Opportunities for Trauma Centers to Recognize, Intervene, and Prevent a Leading Cause of Death

A relação entre o uso de álcool e acidentes de trânsito em Caxias - MA

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