Jeremy Miller1, Robby Atala2, Dusadee Sarangarm3, Mauricio Tohen4, Shiva Sharma5, Snehal Bhatt4, Mohamad Khafaja4, Phillip J Kroth2, Mario Cruz4. 1. Department of Psychiatry, University of New Mexico School of Medicine, Albuquerque, NM, 87131, USA. jermiller@salud.unm.edu. 2. Health Sciences Library and Informatics Center and the Department of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, NM, USA. 3. Department of Emergency Medicine, University of New Mexico School of Medicine, Albuquerque, NM, USA. 4. Department of Psychiatry, University of New Mexico School of Medicine, Albuquerque, NM, 87131, USA. 5. Department of Preventative Medicine, University of New Mexico School of Medicine, Albuquerque, NM, USA.
Abstract
OBJECTIVE: This exploratory retrospective study assessed demographic and hospital utilization characteristics of patients presenting with methamphetamine use to an urban psychiatric emergency service in New Mexico. METHODS: De-identified data from patients presenting to PES from 2011 to 2015 were extracted from our health system. Descriptive statistics were used to characterize the study population. We employed bivariate analyses to assess the relationship between methamphetamine use and patient demographics. RESULTS: Methamphetamine use increased faster than any other drug tested during the study's time period. Compared to non-methamphetamine patients, methamphetamine use was associated with a shorter PES stay when the patient was in the PES more than 12 h. CONCLUSIONS: Patients with methamphetamine use are increasingly seeking emergency psychiatric evaluations. Methamphetamine use may impact certain racial, ethnic, and socioeconomic classes disproportionately. Further health service delivery studies are needed to develop clear, evidence-based interventions and policy recommendations to address the methamphetamine crisis in the United States.
OBJECTIVE: This exploratory retrospective study assessed demographic and hospital utilization characteristics of patients presenting with methamphetamine use to an urban psychiatric emergency service in New Mexico. METHODS: De-identified data from patients presenting to PES from 2011 to 2015 were extracted from our health system. Descriptive statistics were used to characterize the study population. We employed bivariate analyses to assess the relationship between methamphetamine use and patient demographics. RESULTS:Methamphetamine use increased faster than any other drug tested during the study's time period. Compared to non-methamphetaminepatients, methamphetamine use was associated with a shorter PES stay when the patient was in the PES more than 12 h. CONCLUSIONS:Patients with methamphetamine use are increasingly seeking emergency psychiatric evaluations. Methamphetamine use may impact certain racial, ethnic, and socioeconomic classes disproportionately. Further health service delivery studies are needed to develop clear, evidence-based interventions and policy recommendations to address the methamphetamine crisis in the United States.
Authors: Lisa J W Liu; James A G Crispo; Paxton Bach; Dominique R Ansell; Dylan Thibault; Allison W Willis; Jacquelyn J Cragg Journal: BMJ Open Date: 2022-09-20 Impact factor: 3.006