<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902024000301201</article-id>
<article-id pub-id-type="doi">10.29193/rmu.40.3.1</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Prevalencia de consumo de cocaína y cannabis en pacientes traumatizados ingresados a medicina intensiva]]></article-title>
<article-title xml:lang="en"><![CDATA[Prevalence of cocaine and cannabis use in trauma patients admitted to intensive care]]></article-title>
<article-title xml:lang="pt"><![CDATA[Prevalência do uso de cocaína e canábis em doentes traumatizados internados em cuidados intensivos]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fuellis]]></surname>
<given-names><![CDATA[Vivian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Verga]]></surname>
<given-names><![CDATA[Federico]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pascale]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Grille]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barbato]]></surname>
<given-names><![CDATA[Marcelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Maciel, Administración de los Servicios de Salud del Estado (ASSE) Unidad de Cuidados Intensivos ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Comité de Expertos en Farmacodependencia de la OMS  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>40</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902024000301201&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902024000301201&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902024000301201&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: Las drogas psicoactivas constituyen un factor de riesgo para traumatismos graves ya que alteran el comportamiento y el nivel de conciencia.  Objetivo: Conocer la prevalencia de traumatizados graves expuestos a cocaína y cannabis, perfil epidemiológico y comparar resultados según presencia de consumo.  Metodología: Estudio observacional prospectivo realizado durante 12 meses entre mayo 2021 y abril 2022 en la unidad de cuidados intensivos del Hospital Maciel. Se incluyeron traumatizados graves ingresados a terapia intensiva en los cuales se realizó detección cualitativa de metabolitos de cocaína y cannabis en orina.  Resultados: Se incluyeron 111 pacientes, 89% hombres, edad (media ± desvío) 32 ±11 años, Simplified Acute Physiology Score (SAPS III) 43 ±14, Injury Severity Score (ISS) 26 ±16, mortalidad 10 (9%). Se detectó consumo de cocaína en 62 (55,9%), cannabis en 72 (64,9%) y en 42 (37,8%) para ambas. Pacientes con screening positivo fueron más jóvenes (30,5 ±9,4 vs 40,6 ±16,7; p &lt;0,02) y predominantemente hombres (86% vs 58%; p= 0,02). No se hallaron diferencias significativas con relación a mortalidad, necesidad o duración de ventilación mecánica y estadía. El despertar excitado en consumidores fue (53,3% vs 36,8%), la autoextubación (13,3% vs 7,7%), extubación fallida (4,8% vs 0%) y reintubación (12% vs 0%), diferencias estadísticamente no significativas.  Conclusiones: La prevalencia de consumo de cocaína y cannabis en pacientes traumatizados que ingresaron a nuestra unidad de medicina intensiva es elevada. El perfil epidemiológico corresponde a pacientes jóvenes, de sexo masculino. No se encontró mayor mortalidad, complicaciones o mayor estadía en terapia intensiva.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Psychoactive drugs constitute a risk factor for severe trauma as they alter behavior and consciousness levels.  Objective: To determine the prevalence of severely traumatized patients exposed to cocaine and cannabis, assess the epidemiological profile, and compare outcomes based on substance use.  Methodology: Prospective observational study conducted over 12 months between May 2021 and April 2022 in the intensive care unit of Hospital Maciel. Severely traumatized patients admitted to intensive care underwent qualitative detection of cocaine and cannabis metabolites in urine.  Results: A total of 111 patients were included, 89% were male, mean age (± standard deviation) 32 ± 11 years, Simplified Acute Physiology Score (SAPS III) 43 ± 14, Injury Severity Score (ISS) 26 ± 16, mortality 10 (9%). Cocaine use was detected in 62 (55,9%) patients, cannabis in 72 (64,9%), and both in 42 (37,8%). Patients with positive screening were younger (30,5 ± 9,4 vs. 40,6 ± 16,7; p &lt; 0,02) and predominantly male (86% vs. 58%; p = 0,02). No significant differences were found in terms of mortality, need or duration of mechanical ventilation, and ICU length of stay. Agitated awakening was observed in users (53,3% vs. 36,8%), self-extubation (13,3% vs. 7,7%), failed extubation (4,8% vs. 0%), and reintubation (12% vs. 0%), with statistically non-significant differences.  Conclusions: The prevalence of cocaine and cannabis use among traumatized patients admitted to our intensive care unit is high. The epidemiological profile corresponds to young male patients. There was no increased mortality, complications, or prolonged ICU stay observed.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução: Drogas psicoativas constituem um fator de risco para trauma grave, pois alteram o comportamento e o nível de consciência.  Objetivo: Determinar a prevalência de pacientes gravemente traumatizados expostos a cocaína e cannabis, avaliar o perfil epidemiológico e comparar os resultados com base no uso dessas substâncias.  Metodologia: Estudo observacional prospectivo realizado ao longo de 12 meses entre maio de 2021 e abril de 2022 na unidade de terapia intensiva do Hospital Maciel. Pacientes gravemente traumatizados admitidos na UTI foram submetidos à detecção qualitativa de metabólitos de cocaína e cannabis na urina.  Resultados: Um total de 111 pacientes foram incluídos, 89% eram homens, idade média (± desvio padrão) de 32 ± 11 anos, Simplified Acute Physiology Score (SAPS III) de 43 ± 14, Injury Severity Score (ISS) de 26 ± 16, mortalidade de 10 (9%). O consumo de cocaína foi detectado em 62 (55,9%) pacientes, cannabis em 72 (64,9%), e ambos em 42 (37,8%). Pacientes com resultado positivo no rastreamento eram mais jovens (30,5 ± 9,4 vs. 40,6 ± 16,7; p &lt; 0,02) e predominantemente do sexo masculino (86% vs. 58%; p = 0,02). Não foram encontradas diferenças significativas em relação à mortalidade, necessidade ou duração da ventilação mecânica e tempo de internação na UTI. Um despertar agitado foi observado entre os usuários (53,3% vs. 36,8%), autoextubação (13,3% vs. 7,7%), falha na extubação (4,8% vs. 0%) e reintubação (12% vs. 0%), com diferenças estatisticamente não significativas.  Conclusões: A prevalência de consumo de cocaína e cannabis entre pacientes traumatizados admitidos em nossa unidade de terapia intensiva é elevada. O perfil epidemiológico corresponde a pacientes jovens do sexo masculino. Não houve aumento da mortalidade, complicações ou prolongamento da estadia na UTI observados.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Trauma]]></kwd>
<kwd lng="es"><![CDATA[Cocaína]]></kwd>
<kwd lng="es"><![CDATA[cannabis]]></kwd>
<kwd lng="es"><![CDATA[Cuidados intensivos]]></kwd>
<kwd lng="es"><![CDATA[Complicaciones]]></kwd>
<kwd lng="en"><![CDATA[Trauma]]></kwd>
<kwd lng="en"><![CDATA[Cocaine]]></kwd>
<kwd lng="en"><![CDATA[Cannabis]]></kwd>
<kwd lng="en"><![CDATA[Intensive care]]></kwd>
<kwd lng="en"><![CDATA[Complications]]></kwd>
<kwd lng="pt"><![CDATA[Trauma]]></kwd>
<kwd lng="pt"><![CDATA[Cocaína]]></kwd>
<kwd lng="pt"><![CDATA[Cannabis]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados intensivos]]></kwd>
<kwd lng="pt"><![CDATA[Complicações]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1.</label><nlm-citation citation-type="">
<collab>Estadísticas Vitales</collab>
<source><![CDATA[Ministerio de Salud Pública, Uruguay.]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B2">
<label>2.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernández Mondéjar]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Alcohol y drogas de abuso en patología traumática. Necesidad de screening rutinario para implantación de programas de prevención secundaria [Alcohol and abuse drugs in trauma pathology]]]></article-title>
<source><![CDATA[Med Intensiva.]]></source>
<year>2008</year>
<volume>32</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>45-7</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Huish]]></surname>
<given-names><![CDATA[EG]]></given-names>
</name>
<name>
<surname><![CDATA[Coury]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
<name>
<surname><![CDATA[Duncan]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Trzeciak]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Implications of positive urine toxicology screening in trauma patients]]></article-title>
<source><![CDATA[Injury.]]></source>
<year>2021</year>
<volume>52</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>478-80</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Soderstrom]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Cole]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Porter]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<collab>Injury Control and Violence Prevention Committee</collab>
<article-title xml:lang=""><![CDATA[Injury in America: the role of alcohol and other drugs--an EAST position paper prepared by the Injury Control and Violence Prevention Committee]]></article-title>
<source><![CDATA[J Trauma.]]></source>
<year>2001</year>
<volume>50</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-12</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Díaz Contreras]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
<name>
<surname><![CDATA[Guerrero-López]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Herrera-Para]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Pino-Sánchez]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Lara-Rosales]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[López-Guarnido]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidencia del consumo de tóxicos en pacientes con traumatismos graves]]></article-title>
<source><![CDATA[Med Intensiva.]]></source>
<year>2008</year>
<volume>32</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>222-6</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cordovilla-Guardia]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández-Mondéjar]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Vilar-López]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Navas]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
<name>
<surname><![CDATA[Portillo-Santamaría]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Rico-Martín]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Lardelli-Claret]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients]]></article-title>
<source><![CDATA[PLoS One.]]></source>
<year>2017</year>
<volume>12</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>e0182441</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gentilello]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Alcohol and injury: American College of Surgeons Committee on trauma requirements for trauma center intervention]]></article-title>
<source><![CDATA[J Trauma.]]></source>
<year>2007</year>
<volume>62</volume>
<numero>^s6 Suppl</numero>
<issue>^s6 Suppl</issue>
<supplement>6 Suppl</supplement>
<page-range>S44-5</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8.</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Garibotto]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<source><![CDATA[Paco under scrutiny. The cocaine base paste market in Argentina, Uruguay and Brazil. Debate Paper nº 14 Drugs &amp; Conflict No.14- October 2006.]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B9">
<label>9.</label><nlm-citation citation-type="journal">
<collab>Servicio Nacional para la Prevención y Rehabilitación del Consumo de Drogas y Alcohol (SENDA)</collab>
<article-title xml:lang=""><![CDATA[Evaluación Técnica Convenio CONACE-FONASA-MINSAL]]></article-title>
<source><![CDATA[Informe]]></source>
<year>2010</year>
</nlm-citation>
</ref>
<ref id="B10">
<label>10.</label><nlm-citation citation-type="book">
<collab>Comisión Interamericana para el Control del Abuso de Drogas (CICAD)</collab>
<source><![CDATA[Informe del Uso de Drogas en las Américas, 2011.]]></source>
<year>2012</year>
<publisher-loc><![CDATA[Washington DC, Año ]]></publisher-loc>
<publisher-name><![CDATA[Organización de Estados Americanos (OEA)]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<label>11.</label><nlm-citation citation-type="journal">
<collab>Oficina de las Naciones Unidas contra la Droga y el Delito</collab>
<article-title xml:lang=""><![CDATA[Secretaría Nacional de Drogas. Pasta base de cocaína. Prácticas y gestión de riesgos en adolescentes uruguayos]]></article-title>
<source><![CDATA[Junta Nacional de Drogas, Montevideo, Uruguay. Año]]></source>
<year>2006</year>
</nlm-citation>
</ref>
<ref id="B12">
<label>12.</label><nlm-citation citation-type="book">
<collab>Secretaria Nacional de Políticas sobre Drogas (SENAD)</collab>
<source><![CDATA[Fundação Oswaldo Cruz. FIOCRUZ. Estimativa do número de usuários de crack e/ou similares nas Capitais do País.]]></source>
<year>2013</year>
<publisher-loc><![CDATA[Año ]]></publisher-loc>
<publisher-name><![CDATA[Ministerio Da Saude]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<label>13.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ryb]]></surname>
<given-names><![CDATA[GE]]></given-names>
</name>
<name>
<surname><![CDATA[Cooper]]></surname>
<given-names><![CDATA[CC]]></given-names>
</name>
<name>
<surname><![CDATA[Dischinger]]></surname>
<given-names><![CDATA[PC]]></given-names>
</name>
<name>
<surname><![CDATA[Kufera]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Auman]]></surname>
<given-names><![CDATA[KM]]></given-names>
</name>
<name>
<surname><![CDATA[Soderstrom]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Suicides, homicides, and unintentional injury deaths after trauma center discharge: cocaine use as a risk factor]]></article-title>
<source><![CDATA[J Trauma.]]></source>
<year>2009</year>
<volume>67</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>490-6</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14.</label><nlm-citation citation-type="book">
<collab>SOCA Mariana, FERRAGUT APARICIO, Danna FIRPO FONT, Eliana y otros</collab>
<source><![CDATA[Drogas de abuso, relación con el trauma y su severidad Hospital de Clínicas]]></source>
<year>2021</year>
<publisher-name><![CDATA[Departamento de Emergencia]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<label>15.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bombana]]></surname>
<given-names><![CDATA[HS]]></given-names>
</name>
<name>
<surname><![CDATA[Bogstrand]]></surname>
<given-names><![CDATA[ST]]></given-names>
</name>
<name>
<surname><![CDATA[Gjerde]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Jamt]]></surname>
<given-names><![CDATA[REG]]></given-names>
</name>
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[HB]]></given-names>
</name>
<name>
<surname><![CDATA[Andreuccetti]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Bernini]]></surname>
<given-names><![CDATA[CO]]></given-names>
</name>
<name>
<surname><![CDATA[Muñoz]]></surname>
<given-names><![CDATA[DR]]></given-names>
</name>
<name>
<surname><![CDATA[Leyton]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Greve]]></surname>
<given-names><![CDATA[JMD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Use of alcohol and illicit drugs by trauma patients in Sao Paulo, Brazil]]></article-title>
<source><![CDATA[Injury.]]></source>
<year>2022</year>
<volume>53</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>30-6</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16.</label><nlm-citation citation-type="">
<collab>Junta Nacional de Drogas</collab>
<source><![CDATA[Uruguay. III Estudio sobre consumo de drogas en consultantes de la Emergencia del Hospital Pasteur de Montevideo. Informe de Investigación. 2017.]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B17">
<label>17.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moeller]]></surname>
<given-names><![CDATA[KE]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[KC]]></given-names>
</name>
<name>
<surname><![CDATA[Kissack]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Urine drug screening: practical guide for clinicians]]></article-title>
<source><![CDATA[Mayo Clin Proc.]]></source>
<year>2008</year>
<volume>83</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>66-76</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Leino]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Saarimies]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Grönholm]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Lillsunde]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparison of eight commercial on-site screening devices for drugs-of-abuse testing]]></article-title>
<source><![CDATA[Scand J Clin Lab Invest.]]></source>
<year>2001</year>
<volume>61</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>325-31</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mazor]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
<name>
<surname><![CDATA[Mycyk]]></surname>
<given-names><![CDATA[MB]]></given-names>
</name>
<name>
<surname><![CDATA[Wills]]></surname>
<given-names><![CDATA[BK]]></given-names>
</name>
<name>
<surname><![CDATA[Brace]]></surname>
<given-names><![CDATA[LD]]></given-names>
</name>
<name>
<surname><![CDATA[Gussow]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Erickson]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Coca tea consumption causes positive urine cocaine assay]]></article-title>
<source><![CDATA[Eur J Emerg Med.]]></source>
<year>2006</year>
<volume>13</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>340-1</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lustbader]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
<name>
<surname><![CDATA[Mayes]]></surname>
<given-names><![CDATA[LC]]></given-names>
</name>
<name>
<surname><![CDATA[McGee]]></surname>
<given-names><![CDATA[BA]]></given-names>
</name>
<name>
<surname><![CDATA[Jatlow]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Roberts]]></surname>
<given-names><![CDATA[WL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidence of passive exposure to crack/cocaine and clinical findings in infants seen in an outpatient service]]></article-title>
<source><![CDATA[Pediatrics.]]></source>
<year>1998</year>
<volume>102</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>e5</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Garro Zamora]]></surname>
<given-names><![CDATA[LD]]></given-names>
</name>
<name>
<surname><![CDATA[Zabaleta-Montestel]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Falsos positivos en pruebas de detección de drogas de abuso en orina asociados a consumo de medicamentos]]></article-title>
<source><![CDATA[Rev. Colegio de Microb. Quím. Clín. Costa Rica]]></source>
<year>2015</year>
<volume>21</volume>
<page-range>34-44</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Valsangiacomo]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Trostchansky]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Machado]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Perfil epidemiológico de traumatizados graves en un hospital de agudos]]></article-title>
<source><![CDATA[Rev Méd Urug]]></source>
<year>2006</year>
<volume>22</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>179-84</page-range></nlm-citation>
</ref>
<ref id="B23">
<label>23.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Soderstrom]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Dischinger]]></surname>
<given-names><![CDATA[PC]]></given-names>
</name>
<name>
<surname><![CDATA[Kerns]]></surname>
<given-names><![CDATA[TJ]]></given-names>
</name>
<name>
<surname><![CDATA[Kufera]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Mitchell]]></surname>
<given-names><![CDATA[KA]]></given-names>
</name>
<name>
<surname><![CDATA[Scalea]]></surname>
<given-names><![CDATA[TM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Epidemic increases in cocaine and opiate use by trauma center patients: documentation with a large clinical toxicology database]]></article-title>
<source><![CDATA[J Trauma.]]></source>
<year>2001</year>
<volume>51</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>557-64</page-range></nlm-citation>
</ref>
<ref id="B24">
<label>24.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Verga]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Pascale]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gil]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[França]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Alvez]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Echavarría]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Bagnulo]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cocaine use in trauma patients admitted to intensive care medicine. clinical and epidemiological characterization]]></article-title>
<source><![CDATA[Intensive Care Med Exp.]]></source>
<year>2015</year>
<volume>3</volume>
<numero>^sSuppl 1</numero>
<issue>^sSuppl 1</issue>
<supplement>Suppl 1</supplement>
<page-range>A726</page-range></nlm-citation>
</ref>
<ref id="B25">
<label>25.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Woelfel]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Drug abuse urine tests: false-positive results]]></article-title>
<source><![CDATA[Pharmacist Lett/Prescribers Lett.]]></source>
<year>2005</year>
<volume>21</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>210-314</page-range></nlm-citation>
</ref>
<ref id="B26">
<label>26.</label><nlm-citation citation-type="">
<collab>Observatorio Uruguayo de Drogas</collab>
<source><![CDATA[VII Encuesta Nacional sobre Consumo de Drogas en Población General. Informe de Investigación, diciembre 019. Junta Nacional de Drogas, Presidencia de la República Oriental del Uruguay.]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B27">
<label>27.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Blondell]]></surname>
<given-names><![CDATA[RD]]></given-names>
</name>
<name>
<surname><![CDATA[Dodds]]></surname>
<given-names><![CDATA[HN]]></given-names>
</name>
<name>
<surname><![CDATA[Looney]]></surname>
<given-names><![CDATA[SW]]></given-names>
</name>
<name>
<surname><![CDATA[Lewis]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Hagan]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Lukan]]></surname>
<given-names><![CDATA[JK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Toxicology screening results: injury associations among hospitalized trauma patients]]></article-title>
<source><![CDATA[J Trauma.]]></source>
<year>2005</year>
<volume>58</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>561-70</page-range></nlm-citation>
</ref>
<ref id="B28">
<label>28.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lindenbaum]]></surname>
<given-names><![CDATA[GA]]></given-names>
</name>
<name>
<surname><![CDATA[Carroll]]></surname>
<given-names><![CDATA[SF]]></given-names>
</name>
<name>
<surname><![CDATA[Daskal]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Kapusnick]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Patterns of alcohol and drug abuse in an urban trauma center: the increasing role of cocaine abuse]]></article-title>
<source><![CDATA[J Trauma.]]></source>
<year>1989</year>
<volume>29</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1654-8</page-range></nlm-citation>
</ref>
<ref id="B29">
<label>29.</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Harrison]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Hughes]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[The Validity of Self Reported Drug Use: Improving the Accuracy of Survey Estimates. NIDA Research Monograph 167.]]></source>
<year>1997</year>
<publisher-loc><![CDATA[US ]]></publisher-loc>
<publisher-name><![CDATA[U.S Department of Health and Human Services, National Institutes of Health]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B30">
<label>30.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pascale]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Negrin]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Laborde]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pasta base de cocaína: experiencia del Centro de Información y Asesoramiento Toxicológico]]></article-title>
<source><![CDATA[Adicciones.]]></source>
<year>2010</year>
<volume>22</volume>
<page-range>227-32</page-range></nlm-citation>
</ref>
<ref id="B31">
<label>31.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wiener]]></surname>
<given-names><![CDATA[SE]]></given-names>
</name>
<name>
<surname><![CDATA[Sutijono]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Moon]]></surname>
<given-names><![CDATA[CH]]></given-names>
</name>
<name>
<surname><![CDATA[Subramanian]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Calaycay]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rushbrook]]></surname>
<given-names><![CDATA[JI]]></given-names>
</name>
<name>
<surname><![CDATA[Zehtabchi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Patients with detectable cocaethylene are more likely to require intensive care unit admission after trauma]]></article-title>
<source><![CDATA[Am J Emerg Med.]]></source>
<year>2010</year>
<volume>28</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1051-5</page-range></nlm-citation>
</ref>
<ref id="B32">
<label>32.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hadjizacharia]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Green]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Plurad]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Chan]]></surname>
<given-names><![CDATA[LS]]></given-names>
</name>
<name>
<surname><![CDATA[Law]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Inaba]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Demetriades]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cocaine use in trauma: effect on injuries and outcomes]]></article-title>
<source><![CDATA[J Trauma.]]></source>
<year>2009</year>
<volume>66</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>491-4</page-range></nlm-citation>
</ref>
<ref id="B33">
<label>33.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brotto]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Substance use and its implications for the critical care nurses: a literature review]]></article-title>
<source><![CDATA[Intensive Crit Care Nurs.]]></source>
<year>2007</year>
<volume>23</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>64-70</page-range></nlm-citation>
</ref>
<ref id="B34">
<label>34.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yeung]]></surname>
<given-names><![CDATA[JT]]></given-names>
</name>
<name>
<surname><![CDATA[Williams]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Bowling]]></surname>
<given-names><![CDATA[WM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effect of cocaine use on outcomes in traumatic brain injury]]></article-title>
<source><![CDATA[J Emerg Trauma Shock.]]></source>
<year>2013</year>
<volume>6</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>189-94</page-range></nlm-citation>
</ref>
<ref id="B35">
<label>35.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Satish]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Freeman]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Culhane]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Urine drug screen positive for cocaine and amphetamine is not an adverse risk factor for cardiovascular morbidity or mortality in trauma]]></article-title>
<source><![CDATA[Trauma Surg Acute Care Open.]]></source>
<year>2021</year>
<volume>6</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>e000749</page-range></nlm-citation>
</ref>
<ref id="B36">
<label>36.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hanzlick]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Gowitt]]></surname>
<given-names><![CDATA[GT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cocaine metabolite detection in homicide victims]]></article-title>
<source><![CDATA[JAMA.]]></source>
<year>1991</year>
<volume>265</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>760-1</page-range></nlm-citation>
</ref>
<ref id="B37">
<label>37.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bhullar]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Nahmias]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Kong]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Swentek]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Chin]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Schellenberg]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Grigorian]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cocaine use in trauma: the vices-paradox revisited]]></article-title>
<source><![CDATA[Surgery.]]></source>
<year>2023</year>
<volume>174</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>1056-62</page-range></nlm-citation>
</ref>
<ref id="B38">
<label>38.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[De Wit]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Gennings]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Zilberberg]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Burnham]]></surname>
<given-names><![CDATA[EL]]></given-names>
</name>
<name>
<surname><![CDATA[Moss]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Balster]]></surname>
<given-names><![CDATA[RL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Drug withdrawal, cocaine and sedative use disorders increase the need for mechanical ventilation in medical patients]]></article-title>
<source><![CDATA[Addiction.]]></source>
<year>2008</year>
<volume>103</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1500-8</page-range></nlm-citation>
</ref>
<ref id="B39">
<label>39.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tetrault]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[O&#8217;Connor]]></surname>
<given-names><![CDATA[PG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Substance abuse and withdrawal in the critical care setting]]></article-title>
<source><![CDATA[Crit Care Clin.]]></source>
<year>2008</year>
<volume>24</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>767-88</page-range></nlm-citation>
</ref>
<ref id="B40">
<label>40.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Miñambres]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Alcohol, drogas y traumatismos: ¿se puede romper el círculo vicioso? [Alcohol, drugs and traumatisms: can we break the vicious circle?]]]></article-title>
<source><![CDATA[Med Intensiva.]]></source>
<year>2013</year>
<volume>37</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-2</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
