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Publication
Adolescência e Abuso de Substâncias
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Advisor(s)
Abstract(s)
Introdução: A adolescência é um período de diversas trans-formações, que proporciona novas sensações e experiências, facilitando o uso e abuso de substâncias psicoativas. As intoxi-cações voluntárias neste grupo são uma das causas de recor-rência ao serviço de urgência. Objetivos: Caracterizar os casos de intoxicações voluntá-rias ocorridos em adolescentes, após o alargamento da idade de atendimento no serviço de urgência pediátrica, entre julho de 2011 e junho de 2015.Material e Métodos: Estudo retrospetivo realizado a partir da consulta dos processos informatizados de adolescentes que recorreram ao serviço de urgência pediátrica por intoxicação vo-luntária. Análise de variáveis demográficas, tipos e fatores pre-cipitantes das intoxicações, antecedentes pessoais relevantes, terapêutica e orientação na alta. Resultados: O estudo incluiu 246 adolescentes, 0,64% do total de adolescentes admitidos no serviço de urgência pediá-trica. A maioria (77,2%) apresentava idade compreendida entre os 15 e os 17 anos. As intoxicações alcoólicas (40,2%) e as medicamentosas (39,8%) apresentaram uma frequência seme-lhante. As intoxicações medicamentosas foram significativa-mente mais frequentes no género feminino (p = 0,000). Do total de adolescentes observados, 28,5% eram seguidos em uma ou mais consultas, nomeadamente de Adolescentes, Psicologia e/ou Pedopsiquiatria/ Psiquiatria. Dos restantes, 27,2% foram re-ferenciados para uma primeira consulta no momento da alta e 44,3% não foram referenciados a qualquer consulta.Conclusões: O alargamento da idade de atendimento no serviço de urgência pediátrica permitiu um maior contacto com os comportamentos de risco. A prevenção é fundamental, pelo que urge implementar estratégias de intervenção que incluam responsabilizar a família e a sociedade em geral.
Background: Adolescence is a time of great changes for young people when new sensations and experiences are sought and thus opening the door for psychoactive substance use and abuse. Self-induced intoxication is a recurrent cause of admission in emergency department units amongst adolescents.Objective: This study aims to characterize the sample of adolescents who presented to a pediatric emergency department with self-induced poisoning from July 2011 to June 2015, after the widening of attendance age in the pediatric care units.Methods: A descriptive retrospective study was conducted and data was collected from medical computerized records of adolescents admitted to the pediatric emergency department with self-induced intoxication. Analysis were performed to describe demographic variables, substance profile, precipitant/motivation, relevant medical history, treatment received in the emergency department and follow-up.Results: Participants comprised 246 adolescents representing 0,64% of the overall adolescent admissions in the pediatric emergency department during that period. The majority of patients aged 15 to 17 years (77,2%). Alcohol and drug intoxication had similar frequencies (40,2% and 39,8% respectively). Drug intoxication was significantly more frequent in females (p = 0,000). Of the total number of adolescents, 28,5% were already attending a specialist outpatient clinic (Adolescent Medicine, Psychology and/or Child Psychiatry or Psychiatry), 27,2% were referred to ambulatory care and 44,3% were not referred to any other physician. Conclusions: The enlargement of pediatric age care generated a greater contact with risky behaviors. Prevention is very important and it is urgent to design intervention strategies committing the family and society in general.
Background: Adolescence is a time of great changes for young people when new sensations and experiences are sought and thus opening the door for psychoactive substance use and abuse. Self-induced intoxication is a recurrent cause of admission in emergency department units amongst adolescents.Objective: This study aims to characterize the sample of adolescents who presented to a pediatric emergency department with self-induced poisoning from July 2011 to June 2015, after the widening of attendance age in the pediatric care units.Methods: A descriptive retrospective study was conducted and data was collected from medical computerized records of adolescents admitted to the pediatric emergency department with self-induced intoxication. Analysis were performed to describe demographic variables, substance profile, precipitant/motivation, relevant medical history, treatment received in the emergency department and follow-up.Results: Participants comprised 246 adolescents representing 0,64% of the overall adolescent admissions in the pediatric emergency department during that period. The majority of patients aged 15 to 17 years (77,2%). Alcohol and drug intoxication had similar frequencies (40,2% and 39,8% respectively). Drug intoxication was significantly more frequent in females (p = 0,000). Of the total number of adolescents, 28,5% were already attending a specialist outpatient clinic (Adolescent Medicine, Psychology and/or Child Psychiatry or Psychiatry), 27,2% were referred to ambulatory care and 44,3% were not referred to any other physician. Conclusions: The enlargement of pediatric age care generated a greater contact with risky behaviors. Prevention is very important and it is urgent to design intervention strategies committing the family and society in general.
Description
Keywords
Adolescente intoxicação alcoólica medicina de urgência
Citation
Nascer e Crescer – Birth and Growth Medical Journal 2017; 26(2): 103-8
Publisher
Centro Hospitalar do Porto