Titre : | Cocaine-related fatalities in New South Wales, Australia 1993-2002 |
Titre traduit : | (Décès liés à l'usage de cocaïne dans le New South Wales, Autralie, entre 1993 et 2002) |
Auteurs : | S. DARKE ; S. KAYE ; J. DUFLOU |
Type de document : | Périodique |
Année de publication : | 2005 |
Format : | 107-114 / graph. ; tabl. |
Note générale : |
Drug and Alcohol Dependence, 2005, 77, (2), 107-114 |
Langues: | Anglais |
Discipline : | EPI (Epidémiologie / Epidemiology) |
Mots-clés : |
Thésaurus mots-clés COCAINE ; MORTALITE ; TOXICOLOGIE ; PREVALENCE ; EVOLUTION ; ETUDE LONGITUDINALEThésaurus géographique AUSTRALIE |
Résumé : |
ENGLISH : Aim: To ascertain the demographic characteristics, circumstances of death, toxicological results, and major autopsy findings of cocaine-related fatalities. Design: Inspection of the coronial records of all cocaine-related deaths that occurred in New South Wales, Australia between 1 January 1993 and 31 December 2002. Setting: New South Wales, Australia. Findings: 146 cases were identified. Cocaine was implicated in the direct cause of death in 86% of cases, an antecedent cause in 8% and a significant condition contributing to death in 7%. The mean age of decedents was 34.1years, and 84% were male. Half were employed, and 26% were in professional employment. The predominant route of administration was injection (86%), however nasal (8%), oral (3%), smoking (1%), and anal (1%) administration were all recorded. The most common location of death was a private home (53%). No intervention occurred prior to death in 82% of cases. The median blood benzoylecgonine concentration was 0.40 mg/L (range 0.0020.00 mg/L). Cases had a mean of 3.5 drugs, with morphine (79%) the most common co-occurring drug. In 5% of cases cocaine was the sole drug detected. Cardiac pathology was noted in 57% of cases, most commonly coronary artery atherosclerosis (39%) and cardiac hypertrophy (14%). In 15% of cases moderate to severe arterial occlusion was noted. Cerebrovascular pathology was noted in 22% of cases, most commonly cerebrovascular atherosclerosis (10%). Conclusions: Cocaine-related deaths are a significant clinical problem in New South Wales. (Review's abstract.) |
Note de contenu : | graph. ; tabl. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 34 |
Affiliation : |
Nat. Drug Alc. Res. Ctr., Univ. New South Wales, NSW 2052 Australie. Australia. |
Numéro Toxibase : | 804776 |
Centre Emetteur : | 08 CAS Strasbourg |
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