{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T17:42:16Z","timestamp":1790703736940,"version":"4.1.0"},"reference-count":23,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Subst\ufffdAbuse"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Recreational drug use is common at large-scale dance events such as the Amsterdam Dance Event (ADE) and severe drug-related complications and deaths occur. Increasing concentrations of cocaine, amphetamine and MDMA have been observed in samples from dance events. Therefore, large dance events are expected to cause an increasing amount of recreational drug related complaints (RDRC) and an increased demand on emergency medical services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To evaluate the impact of recreational drug related complaints (RDRC) during ADE 2016, compared to regular weeks, and to evaluate the requirement for additional medical personnel.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>For this prospective, observational cohort study, patients &gt;12\u2009years old presenting with RDRC at first aid stations (FAS), ambulance service (AA) and ED during ADE, between October 19th and October 24th 2016 were included. From 2 EDs and AA, the RDRC 2\u2009weeks before and after ADE were also collected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>An estimated 375.000 people attended ADE. The number of patients with RDRC was 459 at the FAS, 113 at AA and 81 at the ED, and increased significantly during ADE with 225% at AA and with 236% at OLVG ED. Eight patients were admitted. A higher percentage of poly-drug use among ED patients (58%) was found, compared to FAS patients (25%). Also, the proportion of tourists in ED\u2019s (51%) was higher compared to FAS (30%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>During ADE 2016, the number of intoxicated patients increased significantly. Eight patients were admitted to the hospital, without any deaths. The absolute number of patients stayed within normal range of emergency medical services capacity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11782218221114965","type":"journal-article","created":{"date-parts":[[2022,10,19]],"date-time":"2022-10-19T09:49:38Z","timestamp":1666172978000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Recreational Drug Use During the Amsterdam Dance Event: Impact on Emergency Services"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6428-8600","authenticated-orcid":false,"given":"Femke MJ","family":"Gresnigt","sequence":"first","affiliation":[{"name":"Emergency Department, OLVG Amsterdam, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedram","family":"Ghaem Maghami","sequence":"additional","affiliation":[{"name":"Section General and Acute Internal Medicine, Department of Internal Medicine, VU University Medical Center, Amsterdam, and The Institute for Cardiovascular Research (ICAR-VU), Vrije Universiteit, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pieternel","family":"van Exter","sequence":"additional","affiliation":[{"name":"Ambulance Service Amsterdam, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annelieke","family":"Noordhoff","sequence":"additional","affiliation":[{"name":"Emergency Department, VU University Medical Center, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"van Dijk","sequence":"additional","affiliation":[{"name":"Department of Epidemiology & Health Promotion, Public Health Service Amsterdam, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald","family":"van Litsenburg","sequence":"additional","affiliation":[{"name":"Event Medical Service, Uden, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frits","family":"Holleman","sequence":"additional","affiliation":[{"name":"Section Acute Medicine, Department of Internal Medicine, Academic Medical Center, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark HH","family":"Kramer","sequence":"additional","affiliation":[{"name":"Section General and Acute Internal Medicine, Department of Internal Medicine, VU University Medical Center, Amsterdam, and The Institute for Cardiovascular Research (ICAR-VU), Vrije Universiteit, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prabath WB","family":"Nanayakkara","sequence":"additional","affiliation":[{"name":"Section General and Acute Internal Medicine, Department of Internal Medicine, VU University Medical Center, Amsterdam, and The Institute for Cardiovascular Research (ICAR-VU), Vrije Universiteit, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,10,19]]},"reference":[{"key":"bibr1-11782218221114965","unstructured":"European Monitoring Centre for Drugs and Drug Addiction. European drug report. Addiction EMCfDaD. Publications Office of the European Union. 2016. Assessed December 11, 2020. https:\/\/www.emcdda.europa.eu\/publications\/edr\/trends-developments\/2016_en"},{"key":"bibr2-11782218221114965","unstructured":"van Laar MW. Ooyen-Houben MMJ v. Nationale drug Monitor 2016. Trimbos instituut; 2016. Assessed December 11, 2020. https:\/\/www.trimbos.nl\/actueel\/nieuws\/bericht\/jaarbericht-2016-van-de-nationale-drug-monitor-verschenen"},{"key":"bibr3-11782218221114965","doi-asserted-by":"publisher","DOI":"10.17265\/2159-5313\/2016.09.003"},{"key":"bibr4-11782218221114965","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X12000271"},{"key":"bibr5-11782218221114965","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2017.10.007"},{"key":"bibr6-11782218221114965","unstructured":"Nabben TBA, Luijk SJ, Korf JD. Trends in alcohol, tabak en drugs bij jonge amsterdammers. Rozenberg Publishers; 2015. Assessed December 11, 2020. https:\/\/research.vu.nl\/en\/publications\/antenne-2017-trends-in-alcohol-tabak-en-drugs-bij-jonge-amsterdam"},{"key":"bibr7-11782218221114965","doi-asserted-by":"publisher","DOI":"10.17265\/2159-5313\/2016.09.003"},{"key":"bibr8-11782218221114965","unstructured":"Directie openbare orde en veiligheid. Amsterdams beleidskader dance events. Gemeente Amsterdam; 2015. Assessed December 11, 2020. https:\/\/docplayer.nl\/111369974-Amsterdams-beleidskader-dance-events.html"},{"key":"bibr9-11782218221114965","unstructured":"Bijl H. Explosieve groei xtc-gevallen op Eerste Hulp. het Parool, November 8, 2014. Assessed December 11, 2020. https:\/\/www.parool.nl\/nieuws\/explosieve-groei-xtc-gevallen-op-eerste-hulp~bbc53d5b\/?utm_source=link&utm_medium=app&utm_campaign=shared%20content&utm_content=free"},{"key":"bibr10-11782218221114965","unstructured":"Klompenhouwer L. Derde dode tijdens ADE, vrouw overleed door xtc-gebruik. NRC 20-10-2014. Assessed December 11, 2020. https:\/\/www.nrc.nl\/nieuws\/2014\/10\/20\/derde-dode-na-amsterdam-dance-event-a1421620"},{"key":"bibr11-11782218221114965","unstructured":"ANP. 2015).Vrouw (33) uit Zwolle overlijdt na drugsgebruik op ADE (2015). Algemeen dagblad, October 17, 2015. Assessed December 11, 2020. https:\/\/www.ad.nl\/muziek\/vrouw-33-uit-zwolle-overlijdt-na-drugsgebruik-op-ade~ab42aa44\/"},{"key":"bibr12-11782218221114965","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X16001187"},{"key":"bibr13-11782218221114965","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0029620"},{"key":"bibr14-11782218221114965","doi-asserted-by":"publisher","DOI":"10.1186\/1865-1380-6-41"},{"key":"bibr15-11782218221114965","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X1700663X"},{"key":"bibr16-11782218221114965","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2019.07.005"},{"key":"bibr17-11782218221114965","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X17007099"},{"key":"bibr18-11782218221114965","unstructured":"Bruijn K d, Vermeulen T, Korteweg MD, et al. Trendrapport toerisme recreatie en vrije tijd. NRIT Media CBvdS, NBTC Holland Marketing, Centre of Expertise Leusure, Tourism & Hospitality. 2015. Assessed December 11, 2020. https:\/\/download.cbs.nl\/pdf\/trendrapport-toerisme-recreatie-en-vrije-tijd-2015.pdf"},{"key":"bibr19-11782218221114965","doi-asserted-by":"publisher","DOI":"10.17265\/2159-5313\/2016.09.003"},{"key":"bibr20-11782218221114965","first-page":"w14166","volume":"145","author":"Liakoni E","year":"2015","journal-title":"Swiss Med Wkly"},{"key":"bibr21-11782218221114965","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-017-0369-x"},{"key":"bibr22-11782218221114965","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X15004598"},{"key":"bibr23-11782218221114965","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X16000054"}],"container-title":["Substance Abuse: Research and Treatment"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11782218221114965","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11782218221114965","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11782218221114965","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:30:31Z","timestamp":1777692631000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11782218221114965"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":23,"alternative-id":["10.1177\/11782218221114965"],"URL":"https:\/\/doi.org\/10.1177\/11782218221114965","relation":{},"ISSN":["1178-2218","1178-2218"],"issn-type":[{"value":"1178-2218","type":"print"},{"value":"1178-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]},"article-number":"11782218221114965"}}