TY - JOUR
T1 - Emergency department utilization by crack-cocaine smokers in Dayton, Ohio
AU - Siegal, Harvey A.
AU - Falck, Russel S.
AU - Wang, Jichuan
AU - Carlson, Robert G.
AU - Massimino, Kristen P.
N1 - Funding Information:
Keywords: Cocaine, crack, substance abuse, emergency department utilization, ASI This research was supported by National Institute on Drug Abuse grant number R01 DA 10099. The findings of this study and their interpretation do not necessarily represent the views of the funding source. The authors acknowledge the contributions of Lee Naragon, B.S., site coordinator and senior interviewer, Linna Li, M.S., data base management, Ricky Foster, Don McCoy, and Sherry Osborne of Project C.U.R.E. for participant recruitment and follow-up, and Julia Williams for manuscript preparation.
PY - 2006/2/1
Y1 - 2006/2/1
N2 - The objective of this study was to determine the frequency, principal diagnoses, and correlates of emergency department (ED) visits made by persons with a history of crack-cocaine use (n = 333) over a 3-year period. Data were collected from participant self-reports and hospital records. During the study a total of 643 ED visits were made by 211 people, ranging from 53.5 to 76.7/100 persons/year. Injury and poisoning accounted for the largest single category of ED visits (29.5%). Men had lower odds of visiting the ED (OR=0.79, 95%CI = 0.62-0.99), as did participants with higher levels of education (OR=0.83, 95%CI=0.73-0.94). Number of times in drug abuse treatment (OR=1.04, 95%CI=1.01-1.09), having a chronic disease (OR=1.46, 95%CI=1.06-1.99), and higher Addiction Severity Index composite medical scores (OR=1.62, 95%CI=1.15-2.29) increased the odds of an ED visit. Factors in addition to drug use are likely to affect ED utilization rates among crack-cocaine smokers.
AB - The objective of this study was to determine the frequency, principal diagnoses, and correlates of emergency department (ED) visits made by persons with a history of crack-cocaine use (n = 333) over a 3-year period. Data were collected from participant self-reports and hospital records. During the study a total of 643 ED visits were made by 211 people, ranging from 53.5 to 76.7/100 persons/year. Injury and poisoning accounted for the largest single category of ED visits (29.5%). Men had lower odds of visiting the ED (OR=0.79, 95%CI = 0.62-0.99), as did participants with higher levels of education (OR=0.83, 95%CI=0.73-0.94). Number of times in drug abuse treatment (OR=1.04, 95%CI=1.01-1.09), having a chronic disease (OR=1.46, 95%CI=1.06-1.99), and higher Addiction Severity Index composite medical scores (OR=1.62, 95%CI=1.15-2.29) increased the odds of an ED visit. Factors in addition to drug use are likely to affect ED utilization rates among crack-cocaine smokers.
KW - ASI
KW - Cocaine
KW - Crack
KW - Emergency department utilization
KW - Substance abuse
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U2 - 10.1080/00952990500328737
DO - 10.1080/00952990500328737
M3 - Article
C2 - 16450643
AN - SCOPUS:33645081249
SN - 0095-2990
VL - 32
SP - 55
EP - 68
JO - American Journal of Drug and Alcohol Abuse
JF - American Journal of Drug and Alcohol Abuse
IS - 1
ER -