Identification of Substance Abuse Among Children in a Pediatric Emergency Department

Aim:Illicit substance use is a worldwide important public health problem with increasing substance abuse rates and decreasing starting age. In this study, our aim was to determine the complaints of the patients in pediatric emergency department (PED) admission in order to increase awareness about su...

Full description

Bibliographic Details
Main Authors: Nükhet Aladağ Çiftdemir, Tuba Eren, Yasemin Karal
Format: Article
Language:English
Published: Galenos Yayinevi 2020-03-01
Series:Journal of Pediatric Research
Subjects:
Online Access: http://jpedres.org/archives/archive-detail/article-preview/dentification-of-substance-abuse-among-children-in/29945
_version_ 1828021209062703104
author Nükhet Aladağ Çiftdemir
Tuba Eren
Yasemin Karal
author_facet Nükhet Aladağ Çiftdemir
Tuba Eren
Yasemin Karal
author_sort Nükhet Aladağ Çiftdemir
collection DOAJ
description Aim:Illicit substance use is a worldwide important public health problem with increasing substance abuse rates and decreasing starting age. In this study, our aim was to determine the complaints of the patients in pediatric emergency department (PED) admission in order to increase awareness about substance abuse.Materials and Methods:The data of this cross-sectional study was gathered from those patients admitted to a PED with complaints of substance abuse and patients without a history of substance abuse, but with a positive urine drug test. A screening urine test was used for the qualitative determination of drug substances. If positive, a quantitative liquid chromatography integrated mass/mass spectrometry test was ordered for confirmation.Results:A total of 17 patients presented to the emergency department. The most frequent symptoms were unstable cognitive conditions and tachycardia. Laboratory analyses showed high creatine kinase-MB. Synthetic cannabinoids were the most frequently detected substance in urine screening and confirmation tests. Twenty-nine percent of patients were hospitalized and no mortality was observed.Conclusion:The use of illegal substances has increased in teenagers. Emergency department doctors must be informed and trained regarding substance abuse since patients frequently presented to the emergency department with cognitive malfunctions. Also, it should be remembered that patients may present with symptoms concerning various organ systems.
first_indexed 2024-04-10T11:49:08Z
format Article
id doaj.art-2a342587954045c3bb56a09825219fa8
institution Directory Open Access Journal
issn 2147-9445
2587-2478
language English
last_indexed 2024-04-10T11:49:08Z
publishDate 2020-03-01
publisher Galenos Yayinevi
record_format Article
series Journal of Pediatric Research
spelling doaj.art-2a342587954045c3bb56a09825219fa82023-02-15T16:17:13ZengGalenos YayineviJournal of Pediatric Research2147-94452587-24782020-03-0171313710.4274/jpr.galenos.2019.4713513049054Identification of Substance Abuse Among Children in a Pediatric Emergency DepartmentNükhet Aladağ Çiftdemir0Tuba Eren1Yasemin Karal2 Trakya University Faculty of Medicine, Department of Pediatrics, Edirne, Turkey Trakya University Faculty of Medicine, Department of Pediatrics, Edirne, Turkey Trakya University Faculty of Medicine, Department of Pediatrics, Edirne, Turkey Aim:Illicit substance use is a worldwide important public health problem with increasing substance abuse rates and decreasing starting age. In this study, our aim was to determine the complaints of the patients in pediatric emergency department (PED) admission in order to increase awareness about substance abuse.Materials and Methods:The data of this cross-sectional study was gathered from those patients admitted to a PED with complaints of substance abuse and patients without a history of substance abuse, but with a positive urine drug test. A screening urine test was used for the qualitative determination of drug substances. If positive, a quantitative liquid chromatography integrated mass/mass spectrometry test was ordered for confirmation.Results:A total of 17 patients presented to the emergency department. The most frequent symptoms were unstable cognitive conditions and tachycardia. Laboratory analyses showed high creatine kinase-MB. Synthetic cannabinoids were the most frequently detected substance in urine screening and confirmation tests. Twenty-nine percent of patients were hospitalized and no mortality was observed.Conclusion:The use of illegal substances has increased in teenagers. Emergency department doctors must be informed and trained regarding substance abuse since patients frequently presented to the emergency department with cognitive malfunctions. Also, it should be remembered that patients may present with symptoms concerning various organ systems. http://jpedres.org/archives/archive-detail/article-preview/dentification-of-substance-abuse-among-children-in/29945 pediatric emergencysubstance usesynthetic cannabinoids
spellingShingle Nükhet Aladağ Çiftdemir
Tuba Eren
Yasemin Karal
Identification of Substance Abuse Among Children in a Pediatric Emergency Department
Journal of Pediatric Research
pediatric emergency
substance use
synthetic cannabinoids
title Identification of Substance Abuse Among Children in a Pediatric Emergency Department
title_full Identification of Substance Abuse Among Children in a Pediatric Emergency Department
title_fullStr Identification of Substance Abuse Among Children in a Pediatric Emergency Department
title_full_unstemmed Identification of Substance Abuse Among Children in a Pediatric Emergency Department
title_short Identification of Substance Abuse Among Children in a Pediatric Emergency Department
title_sort identification of substance abuse among children in a pediatric emergency department
topic pediatric emergency
substance use
synthetic cannabinoids
url http://jpedres.org/archives/archive-detail/article-preview/dentification-of-substance-abuse-among-children-in/29945
work_keys_str_mv AT nukhetaladagciftdemir identificationofsubstanceabuseamongchildreninapediatricemergencydepartment
AT tubaeren identificationofsubstanceabuseamongchildreninapediatricemergencydepartment
AT yaseminkaral identificationofsubstanceabuseamongchildreninapediatricemergencydepartment