메스암페타민 검사 양성 환자에 대한 임상적 고찰: 단일기관 연구
A Clinical Review of Patients Who Visited Emergency Medical Center with Positive Methamphetamine Tests: A Single Institute Study
1
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Purpose: Methamphetamine is an ongoing illegal drug problem worldwide, and its use in South Korea has spread over the last few years. In this study, a clinical review of patients who visited emergency medical centers with positive methamphetamine tests was conducted. Methods: Patients underwent methamphetamine screening based on physician suspicion over a period of 13 years. Their patient characteristics, clinical features, and drug administration properties were described. Results: A total of 297 patients were included, with 19 positive methamphetamine results. Patient age ranged from 21 to 84, with a mean of 37.52. Additionally, 13 were male and 6 were female. The mean BP, PR, RR were 131/82 mmHg, 94/min, 20/min. Saturation levels were all over 95%. Five patients had a psychiatric history. Patient showed varied symptoms ranging from mental changes to chest discomfort. In addition, seven showed abnormal electrocardiography findings and one showed elevated cardiac enzyme levels. Other laboratory results revealed no significantly abnormal results. Six patients also suffered from related trauma. The majority of patients consumed the methamphetamine orally, with unknown motivation at unknown locations. Most were transported by 119 and six patients co-ingested other drugs. Conclusion: Patients who showed positive results to a methamphetamine screening test in Korea visited the emergency medical center mostly by 119 and were unaware of or reluctant to reveal the fact that they had ingested methamphetamine. Emergency physicians should be more aware of the possibility that a patient may have consumed methamphetamine.
Abstract
Purpose: Methamphetamine is an ongoing illegal drug problem worldwide, and its use in South Korea has spread over the last few years. In this study, a clinical review of patients who visited emergency medical centers with positive methamphetamine tests was conducted. Methods: Patients underwent methamphetamine screening based on physician suspicion over a period of 13 years. Their patient characteristics, clinical features, and drug administration properties were described. Results: A total of 297 patients were included, with 19 positive methamphetamine results. Patient age ranged from 21 to 84, with a mean of 37.52. Additionally, 13 were male and 6 were female. The mean BP, PR, RR were 131/82 mmHg, 94/min, 20/min. Saturation levels were all over 95%. Five patients had a psychiatric history. Patient showed varied symptoms ranging from mental changes to chest discomfort. In addition, seven showed abnormal electrocardiography findings and one showed elevated cardiac enzyme levels. Other laboratory results revealed no significantly abnormal results. Six patients also suffered from related trauma. The majority of patients consumed the methamphetamine orally, with unknown motivation at unknown locations. Most were transported by 119 and six patients co-ingested other drugs. Conclusion: Patients who showed positive results to a methamphetamine screening test in Korea visited the emergency medical center mostly by 119 and were unaware of or reluctant to reveal the fact that they had ingested methamphetamine. Emergency physicians should be more aware of the possibility that a patient may have consumed methamphetamine.
참고문헌 (10)
- Courtney KE, "Methamphetamine: an update on epidemiology, pharmacology, clinical phenomenology, and treatment literature", Drug Alcohol Dependence, 143, pp.11~21 (2014)[DOI]
- Cruickshank CC, "A review of the clinical pharmacology of methamphetamine", Addiction, 104, pp.1085~1099 (2009)[DOI]
- White SR, "Amphetamine toxicity", Seminars in respiratory and critical care medicine, 23, pp.27~36 (2002)[DOI]
- Mullen JM, "Amphetamine Related Psychiatric Disorders;StatPearls", pp.1~5 (2018), StatPearls
- Vearrier D, "Methamphetamine: history, pathophysiology, adverse health effects, current trends, and hazards associated with the clandestine manufacture of methamphetamine", Disease-a-month, 58, pp.38~89 (2012)[DOI]
- Shukla RK, "An evolving problem: methamphetamine production and trafficking in the United States", The International journal on drug policy, 23, pp.426~435 (2012)[DOI]
- Brouwer KC, "Trends in production, trafficking, and consumption of methamphetamine and cocaine in Mexico", Substance use & misuse, 41, pp.707~727 (2006)[DOI]
- Richards JR, "Methamphetamine Use and Emergency Department Utilization: 20 Years Later", Journal of addiction, 1, pp.26~33 (2017)
- Herbeck DM, "Mortality, causes of death, and health status among methamphetamine users", Journal of addictive diseases, 34, pp.88~100 (2015)[DOI]