@article{ref1,
title="Admission to intensive care for a trauma related to alcohol or drugs, a 'teachable moment' for the beginning of a change",
journal="Enfermería intensiva / Sociedad Española de Enfermería Intensiva y Unidades Coronarias",
year="2017",
author="Cordovilla-Guardia, S. and Vilar-Lopez, R. and Lardelli-Claret, P. and Navas, J. F. and Guerrero-López, F. and Fernández-Mondejar, E.",
volume="28",
number="1",
pages="4-12",
abstract="OBJECTIVES: To estimate how many of the trauma patients admitted to ICU would be candidates for a secondary prevention programme for trauma related to alcohol or drug use by brief motivational intervention and to define what factors prevent that intervention being performed. <br><br>METHODS: All 16-70year old trauma patients (n=242) admitted to ICU in 32 non-consecutive months (November 2011 to March 2015) were included in the study, coinciding with the implementation of a screening and brief motivational intervention programme for trauma patients related to substance consumption. The programme includes screening for exposure to substances at admission. Sociodemographic and clinical variables were collected prospectively. <br><br>RESULTS: The screening for substances was not performed in 38 (15.7%) of all admitted patients. Of the patients screened, 101 (49.5%) were negative. The variables that in greater proportion impeded intervention between screening positive patients were neurological damage due to the trauma with 23 patients (37.1%) and prior psychiatric disorder with 18 (29%). Both variables were associated with substance consumption: negatives 9.9% vs positive 22.3% (P=.001) and negatives 3% vs positive 17.5% (P=.016) respectively. The number of candidates for motivational intervention was 41, 16.9% of all admitted patients. <br><br>CONCLUSIONS: Almost 2 out of 10 patients were potential candidates. The factors that in a greater proportion precluded the intervention were the same as those associated with consumption. Mortality in ICU was associated with non-compliance with the screening protocol.<br><br>Copyright © 2017 Sociedad Española de Enfermería Intensiva y Unidades Coronarias (SEEIUC). Publicado por Elsevier España, S.L.U. All rights reserved.<p /> <p>Language: es</p>",
language="es",
issn="1130-2399",
doi="10.1016/j.enfi.2016.12.002",
url="http://dx.doi.org/10.1016/j.enfi.2016.12.002"
}