PMID- 21204913 OWN - NLM STAT- MEDLINE DCOM- 20110628 LR - 20220419 IS - 1365-2125 (Electronic) IS - 0306-5251 (Print) IS - 0306-5251 (Linking) VI - 71 IP - 5 DP - 2011 May TI - Cannabis-related hospitalizations: unexpected serious events identified through hospital databases. PG - 758-65 LID - 10.1111/j.1365-2125.2010.03897.x [doi] AB - AIMS: Cannabis is the most prevalent illicit drug used worldwide and can be responsible for serious health defects in users. However, the risk related to cannabis consumption is not well established. The present study aimed to assess cannabis-related adverse events leading to hospitalization, and to estimate the corresponding annual risk for consumers. METHODS: Participants were patients admitted to the public hospitals in the Toulouse area (France) between January 2004 and December 2007 in relation to the use of cannabis. Reasons for admission and other occurring events were identified through hospital discharge summaries. We described all observed adverse events (AEs) and estimated their regional incidence on the basis of cannabis consumption data. RESULTS: We included 200 patients, and identified a total of 619 adverse events (AEs), one of which was lethal. Psychiatric disorders involved 57.7% of patients and accounted for 18.2% of AEs. Most frequent outcomes were central and peripheral nervous system disorders (15.8% of AEs), acute intoxication (12.1%), respiratory system disorders (11.1%) and cardiovascular disorders (9.5%). We estimated that in 2007 the incidence of cannabis-related AEs in the Midi-Pyrenees region ranged from 1.2 per 1000 regular cannabis users (95% confidence interval (CI) 0.7, 1.6) to 3.2 (95% CI 2.5, 3.9). CONCLUSIONS: Cannabis use is associated with complications, considered to be serious since they lead to hospitalization. Beyond the well-known and widely investigated psychiatric events, serious cerebro and cardiovascular complications have been identified. These findings contribute to improve the knowledge of cannabis-related adverse events. CI - British Journal of Clinical Pharmacology (c) 2011 The British Pharmacological Society. No claim to original US government works. FAU - Jouanjus, Emilie AU - Jouanjus E AD - Universite de Toulouse, UPS, Equipe de Pharmacoepidemiologie INSERM U 1027, Faculte de Medecine, 37 allees Jules Guesde, F-31000 Toulouse, France. jouanjus@cict.fr FAU - Leymarie, Florence AU - Leymarie F FAU - Tubery, Marie AU - Tubery M FAU - Lapeyre-Mestre, Maryse AU - Lapeyre-Mestre M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Br J Clin Pharmacol JT - British journal of clinical pharmacology JID - 7503323 SB - IM MH - Adult MH - Cardiovascular Diseases/epidemiology/etiology MH - Female MH - France/epidemiology MH - Hospitalization/*statistics & numerical data MH - Humans MH - Incidence MH - Male MH - Marijuana Abuse/complications/*epidemiology MH - Mental Disorders/epidemiology/etiology MH - Nervous System Diseases/epidemiology/etiology MH - Respiration Disorders/epidemiology/etiology PMC - PMC3093081 EDAT- 2011/01/06 06:00 MHDA- 2011/06/29 06:00 PMCR- 2012/05/01 CRDT- 2011/01/06 06:00 PHST- 2011/01/06 06:00 [entrez] PHST- 2011/01/06 06:00 [pubmed] PHST- 2011/06/29 06:00 [medline] PHST- 2012/05/01 00:00 [pmc-release] AID - 10.1111/j.1365-2125.2010.03897.x [doi] PST - ppublish SO - Br J Clin Pharmacol. 2011 May;71(5):758-65. doi: 10.1111/j.1365-2125.2010.03897.x.