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首页> 外文期刊>Journal of substance use >Self-reported medical co-morbidity among 400 substance using patients at an addiction unit in India
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Self-reported medical co-morbidity among 400 substance using patients at an addiction unit in India

机译：印度成瘾病房使用患者自我报告的400种药物的合并症

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Background and aims: Medical illnesses appear to be more common in substance users than non-users. However, research on medical co-morbidities with substance use disorders is sparse from developing countries. This study aimed to study the occurrence of medical co-morbidites in a sample of patients in India.Methods: This cross-sectional observational study was carried out at the de-addiction centre in northern India which caters to patients seeking treatment for alcohol detoxification and opioid use disorders and smoking cessation. Consecutive newly registered patients with substance use disorder were recruited and information was gathered using a structured questionnaire. Charlson Co-morbidity Index (CCI) was calculated.Results: In total, 406 consecutive participants were enrolled. Of the total, 215 patients (53.0% of the sample) had co-morbid medical disorders. The organ systems affected in descending order of frequency was gastrointestinal (24.9%), neurological (12.1%), cardiovascular (6.9%), infections (5.4%), orthopaedic (4.9%), pulmonary (4.7%), endocrine (3.7%), ophthalmic (2.4%), dermatological (1.9%), renal (1.7%), ENT (1.5%) and others (2.5%). Logistic regression revealed age, alcohol use disorder and nuclear family type as independent predictors of a medical disorder.Conclusions: Medical disorders frequently co-exist with substance use disorders, and need to be systematically evaluated and addressed for better patient management.
机译：背景和目的：在药物使用者中，医疗疾病似乎比非使用者更常见。但是，发展中国家对药物滥用合并症与药物滥用疾病的研究很少。这项研究旨在研究印度患者样本中医学共病菌的发生情况。方法：这项横断面观察研究是在印度北部的戒毒所进行的，旨在满足寻求酒精排毒和酒精治疗的患者。阿片类药物使用障碍和戒烟。连续招募连续使用药物滥用障碍的患者，并使用结构化问卷收集信息。结果：总共纳入了406名连续参与者。在总共215名患者中（占样本的53.0％）患有合并症。受影响的器官系统依次为胃肠道（24.9％），神经科（12.1％），心血管（6.9％），感染（5.4％），骨科（4.9％），肺部（4.7％），内分泌（3.7％） ），眼科（2.4％），皮肤科（1.9％），肾脏（1.7％），耳鼻喉科（1.5％）和其他（2.5％）。 Logistic回归显示年龄，酒精使用障碍和核心家庭类型是医学疾病的独立预测因素。结论：医学疾病经常与药物使用疾病并存，需要系统评估和解决，以改善患者管理。

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