The impact and risk factors of recreational drug poisoning in patients admitted to the emergency room of Bab El Oued

Ait Mouheb Tahar, Ait Mokhtar Lynda *, Amine Zakaria and Labaci Fatima

Department of anesthesia and Resuscitation, faculty of medicine Algiers , Algeria.
 
Research Article
International Journal of Science and Research Archive, 2024, 11(01), 1646–1651.
Article DOI: 10.30574/ijsra.2024.11.1.0209
Publication history: 
Received on 27 December 2023; revised on 04 February 2024; accepted on 07 February 2024
 
Abstract: 
Recreational drug refers to the use of drugs that are not intended for medical reasons but for its psychoactive nature and leisure. In the Middle East and worldwide, drug abuse is a growing problem for authorities
Materials and methods: We carried out a descriptive and analytic cohort study. We included all cases aged over 16 years presented to the emergency department (SU) of the Lamine Debaghine-Bab El Oued University hospital, between November 2020 to October 2021 presenting acute toxicity due to self-reported recreational drug use or exhibiting symptoms/signs consistent with acute toxicity.
Furthermore, we carried out a multivariate analysis by logistic regression to eliminate all confounding factors around the risk of morbidity and mortality of poisoned patients.
Results: The mean age was 18-year-old. they are mostly due to prescription medicine.50.7% of the cases are dual consumptions of leisure drugs. 51% stayed more than 13h. Starting from the initial model (Table 01), the explanatory variables which remained significant in the final model illustrated as follows: Signs of cardiac collapse or decompensation significantly increased the risk of hospitalization and intensive care unit admission.
They multiplied the risk by 2.5: ORa= 2.5 (1.1 – 5.81) CI 95%
Discussion: We highlighted that drug abuse started at a really young age in our population. we noticed a preponderance of dual and medicinal drugs, a longer duration of hospitalization and a significantly increased risk of cardiac events
Conclusion: We could relate the pretty young age and duration of stay to the lake of awareness, social level and the accessibility to prescription medicine for a leisure purpose
 
Keywords: 
Recreational Drug; Medicinal Intoxications; Intensive Care; Emergency Medicine
 
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