Methamphetamine abuse and emergency department utilization

Methamphetamine (MAP) abuse continues to increase worldwide, based on morbi dity, mortality, drug treatment, and epidemiologic studies and surveys. MAP abuse has become a significant health care, environmental, and law enforce ment problem. Acute intoxication often results in agitation, violence, and death. Chronic use may lead to infection, heart failure, malnutrition, and permanent psychiatric illness. MAP users frequently use the emergency depar tment (ED) for their medical care. Over a 6-month period we studied the dem ographics, type, and frequency of medical and traumatic problems in 461 MAP patients presenting to our ED, which serves an area noted for high levels of MAP production and consumption, Comparison was made to the general ED po pulation to assess use patterns. MAP patients were most commonly Caucasian males who lacked health insurance. Compared to other ED patients during thi s time, MAP patients used ambulance transport more and were more likely to be admitted to the hospital. There was a significant association between tr auma and MAP use in this patient population. Our data suggest MAP users uti lize prehospital and hospital resources at levels higher than the average E D population. Based on current trends, we can expect more ED visits by MAP users in the future.