PMID- 30906915 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200929 IS - 2473-4306 (Electronic) IS - 2473-4306 (Linking) VI - 2 IP - 1 DP - 2018 TI - Urine Drug Screen Trends from 1998 through 2011 Among Emergency Department Patients Treated in a University Teaching Hospital. PG - 24-34 LID - 10.1080/24734306.2018.1468539 [doi] AB - The emergency department (ED) at Louisiana State University-Health Science Center in Shreveport (LSUHSC-S) serves an urban population with a large rural catchment area. This study focuses on demographic variables in substance abuse trends in this region based on urine drug screen (UDS) results. A database of de-identified UDSs ordered in the ED at LSUHSC-S between 1998 and 2011 was analyzed. Samples were tested for the presence of amphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, 3,4-methylenedioxymethamphetamine (MDMA), methadone, methamphetamine, opiates, phencyclidine, and propoxyphene. The patient population was categorized by age group, gender, and race. The majority of tests were performed on African-American and Caucasian patients ages 18 to 54 followed by the 0 to 11-year-old group. Of the drugs tested, cannabinoids represented the highest percentage of positive results in both the African-American and Caucasian populations. Opiates returned the highest percent of positive results among all prescription drugs. The Caucasian population predominated in positive tests for prescription drugs (opiates and benzodiazepines), while the African-American population predominated in results positive for illicit drugs (cannabinoids and cocaine). The increasing presence of opiates and cannabinoids, particularly in very young patients, should prompt policy makers and healthcare providers to develop intervention strategies to protect the most vulnerable populations. FAU - Korneeva, Nadejda AU - Korneeva N AD - Department of Emergency Medicine and Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA, USA. AD - Department of Pharmacology, Toxicology, and Neuroscience, Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA, USA. FAU - Cvek, Urska AU - Cvek U AD - Department of Computer Science, Louisiana State University Shreveport, One University Place, Shreveport, LA. FAU - Leskova, Anna AU - Leskova A AD - Department of Computer Science, Louisiana State University Shreveport, One University Place, Shreveport, LA. FAU - Hutchinson, Kimberley AU - Hutchinson K AD - Department of Emergency Medicine and Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA, USA. FAU - Callahan, Avery AU - Callahan A AD - Department of Emergency Medicine and Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA, USA. FAU - Patek, Gregory AU - Patek G AD - Department of Emergency Medicine and Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA, USA. FAU - Trutschl, Marjan AU - Trutschl M AD - Department of Computer Science, Louisiana State University Shreveport, One University Place, Shreveport, LA. FAU - Kilgore, Phillip C S R AU - Kilgore PCSR AD - Department of Computer Science, Louisiana State University Shreveport, One University Place, Shreveport, LA. FAU - McGauly, Patrick AU - McGauly P AD - Department of Emergency Medicine and Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA, USA. FAU - Goeders, Nicolas AU - Goeders N AD - Department of Pharmacology, Toxicology, and Neuroscience, Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA, USA. FAU - Arnold, Thomas AU - Arnold T AD - Department of Emergency Medicine and Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA, USA. LA - eng GR - P20 GM103424/GM/NIGMS NIH HHS/United States GR - P30 GM110703/GM/NIGMS NIH HHS/United States PT - Journal Article DEP - 20180516 PL - England TA - Toxicol Commun JT - Toxicology communications JID - 101725597 PMC - PMC6424508 MID - NIHMS1501820 OTO - NOTNLM OT - administrative database OT - emergency department OT - urine drug screening EDAT- 2018/01/01 00:00 MHDA- 2018/01/01 00:01 PMCR- 2019/05/16 CRDT- 2019/03/26 06:00 PHST- 2019/03/26 06:00 [entrez] PHST- 2018/01/01 00:00 [pubmed] PHST- 2018/01/01 00:01 [medline] PHST- 2019/05/16 00:00 [pmc-release] AID - 10.1080/24734306.2018.1468539 [doi] PST - ppublish SO - Toxicol Commun. 2018;2(1):24-34. doi: 10.1080/24734306.2018.1468539. Epub 2018 May 16.