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Research ArticleOriginal Article
Open Access

Presentations of active substance use in the emergency department

A single center’s perspective study in Riyadh, Saudi Arabia

Mohammed K. Alageel, Alshamoos A. Alwassel and Hamad A. Almohsen
Saudi Medical Journal February 2023, 44 (2) 187-193; DOI: https://doi.org/10.15537/smj.2023.44.2.20220753
Mohammed K. Alageel
From the Department of Emergency Medicinem (Alageel, Alwassel, Almohsen), College of Medicine, King Saud University Medical City, Riyadh, Kingdom of Saudi Arabia; and from the Department of Emergency Medicine (Alageel), University of British Columbia,Vancouver, Canada.
FRCPC, ABEM
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  • For correspondence: [email protected]
Alshamoos A. Alwassel
From the Department of Emergency Medicinem (Alageel, Alwassel, Almohsen), College of Medicine, King Saud University Medical City, Riyadh, Kingdom of Saudi Arabia; and from the Department of Emergency Medicine (Alageel), University of British Columbia,Vancouver, Canada.
MBBS
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Hamad A. Almohsen
From the Department of Emergency Medicinem (Alageel, Alwassel, Almohsen), College of Medicine, King Saud University Medical City, Riyadh, Kingdom of Saudi Arabia; and from the Department of Emergency Medicine (Alageel), University of British Columbia,Vancouver, Canada.
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Article Figures & Data

Figures

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  • Figure 1
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    Figure 1

    - Distribution of presentations in the sample.

  • Figure 2
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    Figure 2

    - Names and frequencies of the illicit substances used by the 582 patients.

Tables

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    Table 1

    - Characteristics of the 582 patients brought to the Emergency Department (ED).

    Variablen%
    Gender
    Female508.6
    Male53291.4
    Age in Years
    <1550.9
    15-20498.4
    21-3030953.1
    31-4013923.9
    41-50488.3
    51-60284.8
    61-7030.5
    71-8010.2
    Mode of Arrival
    Ambulance11119.0
    Police vehicle81.4
    Private car46379.6
    Level of consciousness upon arrival
    Glass Glow Score <8345.8%
    Glass Glow Score (8-14)14324.6
    Glass Glow Score=1540569.6
    Time of arrival/presentation (shift time)
    7:01 to 15:00 hours15927.3
    15:01 to 23:00 hours18531.8
    23:01 to 7:00 hours23840.9
    Day of arrival to the ED
    Weekdays (Sunday to Thursday)40870.1
    Weekends (Friday and Saturday)17429.9
    • View popup
    Table 2

    - Multinomial logistic regression analysis of factors for type of presentation among 582 patients who had substance use.

    Type of presentationUnadjustedAdjusted
    VariableP-valueOR95% CIP-valueOR95% CI
    MedicalGender
    Male<0.0015.5*2.8 - 10.60.0015.852*2.95 - 11.58
    Female------
    TraumaGender
    Male<0.00110.8*2.5 - 46.10.00111.488*2.61 - 50.4
    Female------
    MedicalAge
    <200.5531.360.49 - 3.750.5591.370.47 - 3.94
    21-300.770.8860.39 - 1.980.8811.0670.45 - 2.49
    31-400.8151.1080.47 - 2.610.8841.0690.43 - 2.62
    41-500.7691.1580.43 - 3.080.7451.1860.42 - 3.32
    >50------
    TraumaAge
    <200.1523.0560.66 - 14.070.1443.2060.67 - 15.32
    21-300.3471.8950.50 -7.180.2492.230.57 - 8.71
    31-400.3911.8420.45 - 7.440.3991.8460.44 - 7.67
    41-50------
    >50------
    MedicalPresentation time
    7:00 - 15:000.6510.8960.55 - 1.430.7960.9360.56 -1.54
    15:00 - 23:000.1620.7340.47 - 1.130.4250.8290.52 - 1.31
    23:00 - 7:00------
    TraumaPresentation time
    7:00 - 15:000.7710.9140.49 - 1.670.7031.1330.59 - 2.15
    15:00 - 23:000.0022.93*1.52 - 5.890.0112.44*1.22 – 5.0
    23:00 - 7:00------
    MedicalDay of presentation
    Weekdays0.7340.9310.61 - 1.410.8480.9580.61 - 1.48
    Weekends------
    TraumaDay of presentation
    Weekdays0.120.6480.37 - 1.120.1510.6560.37 - 1.16
    Weekends------
    MedicalGCS
    <80.1511.9560.78 - 4.890.1262.1390.81 - 5.66
    8-150.0012.105*1.39 - 3.22<0.0012.24*1.43 - 3.49
    >15------
    TraumaGCS
    <80.5190.5850.11 - 2.980.4780.5450.10 - 2.92
    8-150.4350.80.45 - 1.400.2630.7140.39 - 1.29
    >15------
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Saudi Medical Journal: 44 (2)
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Presentations of active substance use in the emergency department
Mohammed K. Alageel, Alshamoos A. Alwassel, Hamad A. Almohsen
Saudi Medical Journal Feb 2023, 44 (2) 187-193; DOI: 10.15537/smj.2023.44.2.20220753

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Presentations of active substance use in the emergency department
Mohammed K. Alageel, Alshamoos A. Alwassel, Hamad A. Almohsen
Saudi Medical Journal Feb 2023, 44 (2) 187-193; DOI: 10.15537/smj.2023.44.2.20220753
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Keywords

  • illicit substances
  • drugs of abuse
  • clinical presentation
  • Emergency department
  • Saudi Arabia

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