Combined Impact of Cannabinoids and Cocaine on Outcomes of Trauma Patients

Background: In recent years, the use of polypharmacy has surged. There is a gap in knowledge regarding the impact of pre-injury use of polypharmacy on outcomes. The purpose of the study was to evaluate the effects of cannabinoids (CANB) and cocaine (COC) on trauma patients' outcomes. The hypothesis is, no difference in-hospital mortality in patients who tested positive for CANB+COC versus those who only tested positive for CANB. Methods: The Trauma Quality Improvement Program (TQIP) for 2019-2023 dataset was used. Patients' demography, clinical characteristics, injury type and severity, and outcomes were compared between patients who tested positive for CANB+COC and those who tested positive only for CANB. Propensity score matching methodology was used to obtain the results. A p-value < 0.05 was considered statistically significant. Results: = 0.01) in patients who tested positive for CANB+COC versus CANB. Conclusion: No significant association was observed between the in-hospital mortality and combined use of, CANB+COC when compared to only CANB use. However, combined drug usage was associated with a longer length of hospital stay.

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Publication Details

Journal
Surgery in Practice and Science
Published
2026-04-14
DOI
https://doi.org/10.1016/j.sipas.2026.100349
Primary Topic
Cannabis and Cannabinoid Research
Type
article
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article

Combined Impact of Cannabinoids and Cocaine on Outcomes of Trauma Patients

Yen-Hong Kuo
Surgery in Practice and Science
Cannabis and Cannabinoid Research
article

Combined Impact of Cannabinoids and Cocaine on Outcomes of Trauma Patients

Yen-Hong Kuo
article en

Abstract

Background: In recent years, the use of polypharmacy has surged. There is a gap in knowledge regarding the impact of pre-injury use of polypharmacy on outcomes. The purpose of the study was to evaluate the effects of cannabinoids (CANB) and cocaine (COC) on trauma patients' outcomes. The hypothesis is, no difference in-hospital mortality in patients who tested positive for CANB+COC versus those who only tested positive for CANB. Methods: The Trauma Quality Improvement Program (TQIP) for 2019-2023 dataset was used. Patients' demography, clinical characteristics, injury type and severity, and outcomes were compared between patients who tested positive for CANB+COC and those who tested positive only for CANB. Propensity score matching methodology was used to obtain the results. A p-value < 0.05 was considered statistically significant. Results: = 0.01) in patients who tested positive for CANB+COC versus CANB. Conclusion: No significant association was observed between the in-hospital mortality and combined use of, CANB+COC when compared to only CANB use. However, combined drug usage was associated with a longer length of hospital stay.

Surgery in Practice and ScienceVol. 25
Hackensack Meridian Health (US), Center for Discovery (US), Jersey Shore University Medical Center (US)
Good health and well-being
Openalex Percentile: Top 16%
Cannabis and Cannabinoid Research
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Combined Impact of Cannabinoids and Cocaine on Outcomes of Trauma Patients — Yen-Hong Kuo · Surgery in Practice and Science (2026) | TGRS Research Map | TGRS