{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:33:03Z","timestamp":1773189183939,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2019,8,27]],"date-time":"2019-08-27T00:00:00Z","timestamp":1566864000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alcoholism Clin &amp;amp; Exp Res"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Alcohol or other drug (<jats:styled-content style=\"fixed-case\">AOD<\/jats:styled-content>) intoxication in minors is a public health challenge. We characterized underage patients admitted to an emergency department (<jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>) with acute, recreational <jats:styled-content style=\"fixed-case\">AOD<\/jats:styled-content> intoxication.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a 5\u2010year (2012 to 2016) analysis of minors admitted to the only hospital\u2010based pediatric <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> in an urban area. Episodes of <jats:styled-content style=\"fixed-case\">AOD<\/jats:styled-content> intoxication were selected using <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\u20109\u2010<jats:styled-content style=\"fixed-case\">CM<\/jats:styled-content> diagnostic codes. Sociodemographics, substance use and clinical characteristics, laboratory parameters, and discharge dispositions were collected through the revision of clinical charts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 266 admissions related to recreational <jats:styled-content style=\"fixed-case\">AOD<\/jats:styled-content> intoxication in 258 patients occurred during the study period. Among the 258 patients, 127 (49.2%) were men, median age 16\u00a0years [<jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>: 15 to 17\u00a0years], and 234 (90.7%) of episodes were alcohol\u2010related. At admission, 202\/256 (78.9%) patients had a Glasgow Coma Scale\u00a0\u2265\u00a013 points, the median systolic and diastolic blood pressure was 109\u00a0mmHg (<jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>: 101 to 118\u00a0mmHg) and 67\u00a0mmHg (<jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>: 60 to 73\u00a0mmHg), respectively, and the median blood glucose level was 112\u00a0mg\/dl (<jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>: 99 to 127\u00a0mg\/dl). Only 72\/258 (27.9%) patients underwent urine screening (22\/72 (30.5%) were positive for cannabis), and only 30\/258 (11.6%) were tested for blood ethanol (median: 185\u00a0mg\/dl, <jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>: 163 to 240\u00a0mg\/dl). There was a trend in admissions occurring early in the morning of weekend days, and 249 (96.5%) patients were discharged home the day of admission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Though the severity of <jats:styled-content style=\"fixed-case\">AOD<\/jats:styled-content> intoxication seems to be mild to moderate, assessment of substance exposure is low and may underestimate polydrug use in underage populations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acer.14166","type":"journal-article","created":{"date-parts":[[2019,8,27]],"date-time":"2019-08-27T15:32:52Z","timestamp":1566919972000},"page":"2179-2186","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Five\u2010Year Incidence of Hospital\u2010Based Emergencies Related to Acute Recreational Intoxication in Minors"],"prefix":"10.1111","volume":"43","author":[{"given":"Arantza","family":"Sanvisens","sequence":"first","affiliation":[{"name":"From the Department of Internal Medicine Hospital Universitari Germans Trias i Pujol Institut Germans Trias i Pujol\u2010IGTP Universitat Aut\u00f2noma de Barcelona Badalona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irina","family":"Sanjeevan","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Thomas Jefferson University Hospital Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paola","family":"Zuluaga","sequence":"additional","affiliation":[{"name":"From the Department of Internal Medicine Hospital Universitari Germans Trias i Pujol Institut Germans Trias i Pujol\u2010IGTP Universitat Aut\u00f2noma de Barcelona Badalona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adri\u00e0","family":"T\u00fanez","sequence":"additional","affiliation":[{"name":"From the Department of Internal Medicine Hospital Universitari Germans Trias i Pujol Institut Germans Trias i Pujol\u2010IGTP Universitat Aut\u00f2noma de Barcelona Badalona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"de Francisco","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Hospital Universitari Germans Trias i Pujol Badalona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esther","family":"Papaseit","sequence":"additional","affiliation":[{"name":"Department of Pharmacology Hospital Universitari Germans Trias i Pujol Institut Germans Trias i Pujol\u2010IGTP Universitat Aut\u00f2noma de Barcelona Badalona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Garc\u00eda\u2010Eroles","sequence":"additional","affiliation":[{"name":"Department of Health Information Systems Generalitat de Catalunya Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6301-431X","authenticated-orcid":false,"given":"Robert","family":"Muga","sequence":"additional","affiliation":[{"name":"From the Department of Internal Medicine Hospital Universitari Germans Trias i Pujol Institut Germans Trias i Pujol\u2010IGTP Universitat Aut\u00f2noma de Barcelona Badalona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,8,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.medcli.2010.01.019"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-7753(14)70071-5"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anpedi.2012.09.016"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agv084"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnbeh.2017.00223"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-1260"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-227X-14-13"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2015.06.009"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2012.02.006"},{"key":"e_1_2_8_11_1","unstructured":"European School Survey Project on Alcohol and Other Drugs; European Monitoring Centre for Drugs and Drug Addiction(2015)The 2015 ESPAD report.Lisbon. 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