Key result
Self-reported drug histories match urine drug screens in only ~31% of ED patients.
Why the study?
Inaccuracies in self-reported drug ingestion histories may lead to clinical and research errors, but the accuracy of these histories in ED patients was unclear.
Is self-reported drug ingestion history accurate compared to urine comprehensive drug screens in emergency department patients?
Cohort (n=55)
No
Is self-reported drug ingestion history accurate compared to urine comprehensive drug screens in emergency department patients?
Self-reported drug ingestion histories in the emergency department are frequently inaccurate, highlighting the need for objective screening methods like comprehensive drug screens.
No takes yet. Share an insight, caveat, or question.
Self-reported drug histories are often unreliable in ED pain/nausea patients; this level 3 cohort study leaves open whether routine urine screening improves care.
Monte et al. (2014) conducted a cohort in Pain or nausea in emergency department patients (n=55). Self-reported drug ingestion history vs. Urine comprehensive drug screens (CDS) was evaluated on Concordance between self-reported drug ingestion history and urine comprehensive drug screens. Self-reported drug ingestion histories were concordant with urine comprehensive drug screens in only 30.9% of emergency department patients presenting for pain or nausea.
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