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Abstract
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AIMS AND OBJECTIVES: To review the clinical impact methamphetamine has on emergency departments (ED) by assessing the available research on the rates and features of methamphetamine-related presentations.
BACKGROUND: Globally, methamphetamine availability, distribution and use has rapidly increased. As a result, the number of methamphetamine-related presentations to EDs has also increased. In this context, it is timely to review the rate and features of methamphetamine-related presentations to understand the impact of methamphetamine on EDs and facilitate the allocation of services, staff and resources.
DESIGN: An integrative literature review.
METHODS: This paper presents an integrated literature review, following the systematic review process as outlined in the PRISMA flow chart. Several databases were searched using a combination of search terms. Articles were measured against inclusion and exclusion criteria and the final ten articles were subjected to quality appraisal and outcomes reported.
RESULTS: Methamphetamine accounted for 2.3% or less of all ED presentations. The majority of methamphetamine users presenting to EDs were males, with a mean age 31-37. Methamphetamine-related presentations to ED were more likely to present with trauma, psychosis, and be placed on 24-hour psychiatric hold. Methamphetamine-related presentations were more likely to present with agitation, aggression and homicidal behaviour and present to ED out of hours and accompanied by police compared with other ED substance-related presentations.
CONCLUSIONS: Several important themes were highlighted in this review that have an impact on ED services, resources and staff. Understanding the rate and patterns of methamphetamine-related presentations can help to provide evidence for policy development and staff education in ED. This article is protected by copyright. All rights reserved.
This article is protected by copyright. All rights reserved.
Language: en |