20: Addressing Substance Use in Kids (ASK): A Study of Drug-Related Emergencies
Notice bibliographique
Résumé
Substance use is a prevalent behaviour in adolescents and is associated with acute and long-term health risks. The 2011 Ontario Student Drug Use and Health Survey found that 54.9% of high school students reported using alcohol in the 12 months prior to the survey while 37.4% reported using a drug other than alcohol or tobacco. The current study is part of a multi-centre project examining emergency department (ED) visits relating to alcohol or other drug use To determine the prevalence of adolescents presenting to a tertiary care pediatric ED with substance-use associated conditions, and to identify associated patient variables, including chronic health conditions. A retrospective chart review was performed of visits to the ED between September 1, 2010 and August 31, 2011. Inclusion criteria were: patients 12 to 18 years, visits coded with ‘alcohol/substance use/abuse’, ‘overdose/accidental’, ‘overdose/intentional’, and ‘overdose/undetermined’. Data was collected and reviewed by two independent researchers. Simple descriptive statistics were used to summarize the findings. A total of 149 patient encounters were identified that met inclusion criteria. Of these, 41 involved no evidence of substance use on history or toxicology screen, and were excluded. Of the 108 remaining, substance use was identified by history and toxicology screen in 88 and on history alone in the remaining 20 visits. The mean patient age was 15 years (range 12 to 17) with 66% identified as female. A pre-existing mental health condition was identified in 27 cases (25%). Twenty-three patients (21%) were followed in the past 12 months for a chronic health condition other than substance use (eg, T1DM, asthma). The most commonly used substance was alcohol (n=68 [63%]). The second most common substance was cannabis (n=26 [24%]), followed by MDMA (n=16 [15%]) and OTC cough/cold medication components (n=6 [5%]). Other substances identified included ketamine, methamphetamine, cocaine, and opioids. Polysubstance use was identified in 30 encounters (28%). Consistent with provincial data, alcohol was the most commonly used substance among adolescents presenting to a pediatric ED with substance-use related conditions. One quarter of patients had a pre-existing mental health condition, while 21% of patients were already connected with the institution for treatment of a chronic disease. These findings have implications for both the assessment and management of adolescents across a variety of health care settings. Future research should explore additional ways of identifying those adolescents at increased risk for morbidity relating to the use of alcohol and other substances.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,002 | 0,002 |
| Études des sciences et des technologies | 0,002 | 0,001 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,001 | 0,002 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».