الفهرس 
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Abstract
Introduction: Drug addiction is considered a growing problem worldwide. The emergency department visits been recognized as an opportunity to identify and link patients to care for substance use disorders. The Aim of this study: The purpose of this study is to estimate the incidence of substance abuse related medical disorders among patients presented to Mansoura Emergency Hospital and the outcome of management of those cases. Materials and methods: This is a prospective observational clinical study carried out on patients arrived to ED in Emergency Hospital-Mansoura University over a year from February 2021 to January 2022. Emergency Hospital Mansoura University is a level one emergency center with about 250,000 visit and 25,000 cases per year. Results: The current study revealed that the incidence of substance use disorders (SUDs) among the studied cases was 11.2%. There were statistically significant correlations between toxicological screening results and studied cases presentation to emergency department. Male gender, single status, younger age and low income were the most frequently involved factors. Drug abusers were significantly increased among smokers. Male to female (M/F) ratio was 74.4/25.6. Percentage of unemployed cases was 76.4%. Regarding the outcome of the studied, half of the patients (50%) are admitted to regular ward followed 36.4% are admitted to ICU and 13.6% are discharged home from ED, while 8% of cases died. Conclusion: Of all adult patients presented to ED at Emergency Hospital-Mansoura University, about 10% of them had SUD. They were mostly male, single, younger age with unsatisfactory income. The outcomes emphasized on the significance of recognizing co-existing SUD as a predisposing factor for increased morbidity in acutely ill and injured cases, and the possible role of the ED as a site for interventions aimed at decreasing harm from SUD. Keywords: Substance abuse, Emergency, alcohol, Tramadol, cannabis.