Estimation of the Prevalence of Tramadol and Cannabis Abuse among Drivers Involved in Road Traffic Accidents Admitted to Alexandria Main University Hospital: A Prospective Study
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 4
Abstract
Introduction: In Egypt, many drivers are regular users of illicit drugs assuming that they reduce tiredness and sleepiness during working hours but unfortunately road traffic accidents result. Cannabis and tramadol are particularly important and used with high frequency among Egyptians. The aim of this work was to estimate prevalence of tramadol and cannabis abuse among drivers involved and/ or injured in road traffic accidents. Material and Methods: A prospective case-control study was conducted on drivers involved in road traffic accidents and admitted to Emergency Department at Alexandria Main University Hospital during a period of one year. The Control group was randomly selected from patients admitted to the same department during the same period. Injury Severity Score was calculated and urine samples were collected to be screened for detection of tramadol and/or cannabis metabolite by One Step Drug Screen Test Device. Results: The study was performed on a number of 427 drivers; 20.8% of them gave positive results. An equivalent number of the control group was randomly selected from patients admitted during the same time period. Among that group, 22% were positive for tested illicit drugs. Therefore, there was no significant difference in the prevalence of substance abuse between both groups. Cannabis was the most common drug abused among drivers (59.6%) meanwhile there was a significant increase in incidence of consumption of tramadol among controls (40.4%). Mean value of Injury Severity Score was significantly higher (P≤ 0.001) in drugged drivers. Conclusion: Cannabis was the most illicit drug frequently consumed among drivers.
Authors and Affiliations
Rania Abdel Mageid
Keywords
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