TY - JOUR
T1 - Prevalence and correlates of cannabis poisoning diagnosis in a national emergency department sample
AU - Salas-Wright, Christopher P.
AU - Carbone, Jason T.
AU - Holzer, Katherine J.
AU - Vaughn, Michael G.
N1 - Funding Information:
Research reported in this publication was supported by the National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health under Award Number K01AA026645. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Publisher Copyright:
© 2019 Elsevier B.V.
PY - 2019/11/1
Y1 - 2019/11/1
N2 - Background: One of the primary cannabis-related reasons individuals seek emergency medical care is accidental cannabis poisoning. However, our understanding of the incidence and characteristics of those who receive emergency medical care due to cannabis poisoning remains limited. We address this gap by examining up-to-date information from a national study of emergency department (ED) data. Methods: The data source used for this study is the Nationwide Emergency Department Sample (NEDS). An International Classification of Diseases (ICD-10-CM) diagnostic code was used to identify accidental poisoning by cannabis (T40.7 × 1A) as specified by healthcare providers. Logistic regression was employed to examine the relationship between ED admission for cannabis poisoning, sociodemographic factors, and mental health disorders. Results: In 2016, an estimated 16,884 individuals were admitted into EDs in the United States due to cannabis poisoning, representing 0.014% of the total ED visits for individuals ages 12 and older. Individuals who sought care for cannabis poisoning were more likely to be young, male, uninsured, experience economic hardship, reside in urban central cities, and experience mental health disorders as compared to individuals admitted for other causes. Among cases that included the cannabis-poisoning code, many also had codes for accidental poisoning due to other substances such as heroin (4.7%), amphetamine (10.8%), cocaine (12.9%), and benzodiazepine (21.3%). Conclusions: Despite the limitations of ICD-10 data, findings provide new evidence suggesting that practitioners be attuned to the prevention and treatment needs of high-risk subgroups, and that screening for mental health problems should be standard practice for individuals diagnosed with cannabis poisoning.
AB - Background: One of the primary cannabis-related reasons individuals seek emergency medical care is accidental cannabis poisoning. However, our understanding of the incidence and characteristics of those who receive emergency medical care due to cannabis poisoning remains limited. We address this gap by examining up-to-date information from a national study of emergency department (ED) data. Methods: The data source used for this study is the Nationwide Emergency Department Sample (NEDS). An International Classification of Diseases (ICD-10-CM) diagnostic code was used to identify accidental poisoning by cannabis (T40.7 × 1A) as specified by healthcare providers. Logistic regression was employed to examine the relationship between ED admission for cannabis poisoning, sociodemographic factors, and mental health disorders. Results: In 2016, an estimated 16,884 individuals were admitted into EDs in the United States due to cannabis poisoning, representing 0.014% of the total ED visits for individuals ages 12 and older. Individuals who sought care for cannabis poisoning were more likely to be young, male, uninsured, experience economic hardship, reside in urban central cities, and experience mental health disorders as compared to individuals admitted for other causes. Among cases that included the cannabis-poisoning code, many also had codes for accidental poisoning due to other substances such as heroin (4.7%), amphetamine (10.8%), cocaine (12.9%), and benzodiazepine (21.3%). Conclusions: Despite the limitations of ICD-10 data, findings provide new evidence suggesting that practitioners be attuned to the prevention and treatment needs of high-risk subgroups, and that screening for mental health problems should be standard practice for individuals diagnosed with cannabis poisoning.
KW - Cannabis
KW - Drug use
KW - Emergency care
KW - Marijuana
KW - Mental health
KW - Poisoning
UR - http://www.scopus.com/inward/record.url?scp=85072643508&partnerID=8YFLogxK
U2 - 10.1016/j.drugalcdep.2019.107564
DO - 10.1016/j.drugalcdep.2019.107564
M3 - Article
C2 - 31568933
AN - SCOPUS:85072643508
SN - 0376-8716
VL - 204
JO - Drug and Alcohol Dependence
JF - Drug and Alcohol Dependence
M1 - 107564
ER -