Mortality risk in a sample of emergency department patients who use cocaine with alcohol and/or cannabis

Devin Gilmore, Jennifer Zorland, Joanna Akin, J Aaron Johnson, James G. Emshoff, Gabriel P. Kuperminc

Research output: Contribution to journalArticle

Abstract

Background: Illicit drug use is common among emergency department (ED) patients, yet the association between drug use and subsequent mortality is not well understood. This study examines 36-month mortality rates for a sample of ED patients based on reported use of alcohol, cannabis, and cocaine, both individually and in combination. Methods: Patients (N = 1669) from 2 urban EDs were surveyed at the time of the visit. The patient survey included the Alcohol Smoking and Substance Involvement Screening Test (ASSIST) and information on physical and mental health, health care utilization, and risk factors associated with substance use. ASSIST scores were used to categorize patients into drug risk groups. Mortality information from the National Death Index was used to calculate mortality rates from 2009 to 2012. A Cox regression model identified associations between drug risk groups and mortality while controlling for patient demographics. Results: The use of cocaine and cannabis both individually and in combination was associated with significantly higher mortality risk compared with other ED patients. Conclusions: ED patients who use cannabis and cocaine have higher mortality risks than other patients. Further research is necessary to determine whether this result is stable across racial/ethnic groups.

Original languageEnglish (US)
Pages (from-to)266-270
Number of pages5
JournalSubstance Abuse
Volume39
Issue number3
DOIs
StatePublished - Jul 3 2018
Externally publishedYes

Fingerprint

Cannabis
Cocaine
Hospital Emergency Service
Alcohols
Mortality
Smoking
Patient Acceptance of Health Care
Pharmaceutical Preparations
Street Drugs
Proportional Hazards Models
Ethnic Groups
Mental Health
Demography
Research

Keywords

  • Mortality risk
  • polydrug use
  • substance-related mortality

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health

Cite this

Mortality risk in a sample of emergency department patients who use cocaine with alcohol and/or cannabis. / Gilmore, Devin; Zorland, Jennifer; Akin, Joanna; Johnson, J Aaron; Emshoff, James G.; Kuperminc, Gabriel P.

In: Substance Abuse, Vol. 39, No. 3, 03.07.2018, p. 266-270.

Research output: Contribution to journalArticle

Gilmore, Devin ; Zorland, Jennifer ; Akin, Joanna ; Johnson, J Aaron ; Emshoff, James G. ; Kuperminc, Gabriel P. / Mortality risk in a sample of emergency department patients who use cocaine with alcohol and/or cannabis. In: Substance Abuse. 2018 ; Vol. 39, No. 3. pp. 266-270.
@article{c58bd8f2ac684587ab2c195f2457e1a8,
title = "Mortality risk in a sample of emergency department patients who use cocaine with alcohol and/or cannabis",
abstract = "Background: Illicit drug use is common among emergency department (ED) patients, yet the association between drug use and subsequent mortality is not well understood. This study examines 36-month mortality rates for a sample of ED patients based on reported use of alcohol, cannabis, and cocaine, both individually and in combination. Methods: Patients (N = 1669) from 2 urban EDs were surveyed at the time of the visit. The patient survey included the Alcohol Smoking and Substance Involvement Screening Test (ASSIST) and information on physical and mental health, health care utilization, and risk factors associated with substance use. ASSIST scores were used to categorize patients into drug risk groups. Mortality information from the National Death Index was used to calculate mortality rates from 2009 to 2012. A Cox regression model identified associations between drug risk groups and mortality while controlling for patient demographics. Results: The use of cocaine and cannabis both individually and in combination was associated with significantly higher mortality risk compared with other ED patients. Conclusions: ED patients who use cannabis and cocaine have higher mortality risks than other patients. Further research is necessary to determine whether this result is stable across racial/ethnic groups.",
keywords = "Mortality risk, polydrug use, substance-related mortality",
author = "Devin Gilmore and Jennifer Zorland and Joanna Akin and Johnson, {J Aaron} and Emshoff, {James G.} and Kuperminc, {Gabriel P.}",
year = "2018",
month = "7",
day = "3",
doi = "10.1080/08897077.2017.1389799",
language = "English (US)",
volume = "39",
pages = "266--270",
journal = "Substance Abuse",
issn = "0889-7077",
publisher = "Routledge",
number = "3",

}

TY - JOUR

T1 - Mortality risk in a sample of emergency department patients who use cocaine with alcohol and/or cannabis

AU - Gilmore, Devin

AU - Zorland, Jennifer

AU - Akin, Joanna

AU - Johnson, J Aaron

AU - Emshoff, James G.

AU - Kuperminc, Gabriel P.

PY - 2018/7/3

Y1 - 2018/7/3

N2 - Background: Illicit drug use is common among emergency department (ED) patients, yet the association between drug use and subsequent mortality is not well understood. This study examines 36-month mortality rates for a sample of ED patients based on reported use of alcohol, cannabis, and cocaine, both individually and in combination. Methods: Patients (N = 1669) from 2 urban EDs were surveyed at the time of the visit. The patient survey included the Alcohol Smoking and Substance Involvement Screening Test (ASSIST) and information on physical and mental health, health care utilization, and risk factors associated with substance use. ASSIST scores were used to categorize patients into drug risk groups. Mortality information from the National Death Index was used to calculate mortality rates from 2009 to 2012. A Cox regression model identified associations between drug risk groups and mortality while controlling for patient demographics. Results: The use of cocaine and cannabis both individually and in combination was associated with significantly higher mortality risk compared with other ED patients. Conclusions: ED patients who use cannabis and cocaine have higher mortality risks than other patients. Further research is necessary to determine whether this result is stable across racial/ethnic groups.

AB - Background: Illicit drug use is common among emergency department (ED) patients, yet the association between drug use and subsequent mortality is not well understood. This study examines 36-month mortality rates for a sample of ED patients based on reported use of alcohol, cannabis, and cocaine, both individually and in combination. Methods: Patients (N = 1669) from 2 urban EDs were surveyed at the time of the visit. The patient survey included the Alcohol Smoking and Substance Involvement Screening Test (ASSIST) and information on physical and mental health, health care utilization, and risk factors associated with substance use. ASSIST scores were used to categorize patients into drug risk groups. Mortality information from the National Death Index was used to calculate mortality rates from 2009 to 2012. A Cox regression model identified associations between drug risk groups and mortality while controlling for patient demographics. Results: The use of cocaine and cannabis both individually and in combination was associated with significantly higher mortality risk compared with other ED patients. Conclusions: ED patients who use cannabis and cocaine have higher mortality risks than other patients. Further research is necessary to determine whether this result is stable across racial/ethnic groups.

KW - Mortality risk

KW - polydrug use

KW - substance-related mortality

UR - http://www.scopus.com/inward/record.url?scp=85033723883&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85033723883&partnerID=8YFLogxK

U2 - 10.1080/08897077.2017.1389799

DO - 10.1080/08897077.2017.1389799

M3 - Article

VL - 39

SP - 266

EP - 270

JO - Substance Abuse

JF - Substance Abuse

SN - 0889-7077

IS - 3

ER -