Titre : | Cocaine-related symptoms in patients presenting to an urban emergency department (1991) |
Titre traduit : | (Symptômes liés à la consommation de cocaïne chez les patients d'un service d'urgence urbain) |
Auteurs : | J. A. RICH ; D. E. SINGER |
Type de document : | Article : Périodique |
Dans : | Annals of Emergency Medicine (Vol.20, n°6, 1991) |
Article en page(s) : | 616-621 |
Langues: | Anglais |
Discipline : | PAT (Pathologie organique / Organic pathology) |
Mots-clés : |
Thésaurus mots-clés COCAINE ; SYMPTOME ; PATHOLOGIE ORGANIQUE ; NEUROPSYCHOLOGIE ; PATHOLOGIE ; VOIE D'ADMINISTRATION |
Résumé : |
FRANÇAIS :
L'usage de la cocaïne entraîne des symptômes variés. Les plus significatifs sont les troubles psychiatriques (30% des cas dont 16% de T.S.), neurologiques (17%), cardiopulmonaires (16%), traumatiques (12%) ou liés à l'addiction (11%). Les auteurs mettent en relation des symptômes privilégiés en fonction du mode d'absorption. ENGLISH : Study objectives: Cocaine abuse is a serious social problem that precipitates a significant number of emergency hospital encounters. To determine the nature of cocaine-related symptoms, we studied patients with cocaine use presenting to all adult services of an urban emergency department. Design: Review of consecutive cases, with analysis of clinical features. Setting: All adult EDs of an urban teaching hospital. Type of participants: Patients acknowledging recent use of cocaine (within 72 hours) and/or with cocaine detected on a toxicologic screen. Measurements and main results: Psychiatric complaints accounted for 44 (30.6%) presentations, followed by neurologic (17.4%), cardiopulmonary (16%), trauma (11.8%), and addiction-related (11.1%) symptoms. Cardiopulmonary symptoms were more frequently associated with intranasal than with IV or smoked cocaine (P = .003). Suicidal intent was the most common psychiatric reason for presentation, occurring in 24 patients (16.6%). Seventeen presented with trauma, including three involved in motor vehicle accidents. Conclusion: Cardiopulmonary symptoms such as chest pain and palpitations may be significantly more frequent in patients who use intranasal cocaine; suicidal intent is common among patients presenting with psychiatric symptoms related to cocaine; and the range of cocaine-related symptoms is varied, including not only psychiatric and cardiopulmonary symptoms but also trauma. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 39 |
Affiliation : |
Section Gen. Internal Med., Boston City Hosp., 818 Harrison ave, Boston, MA 02118 Etats-Unis. United States. |
Numéro Toxibase : | 201367 |
Centre Emetteur : | 02 Coordonnateur |
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