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Netherlands National Drug Monitor - Research and Documentation ...

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• The same person may be admitted more than once per year. In addition, more than<br />

one secondary diagnosis may be made per case. In 2008, corrected for duplication,<br />

the total amounted to 166 persons who were admitted at least once during that<br />

year with amphetamine misuse or dependence as the main or secondary diagnosis.<br />

Their average age was 29, <strong>and</strong> 73% were male. The peak age group is twenty to<br />

twenty-four (23%).<br />

• In 2007 <strong>and</strong> 2008 the LMR registered no cases of accidental poisoning, with amphetamines<br />

as a secondary diagnosis (ICD-9 code E854.2).<br />

Figure 5.5 Admissions to general hospitals related to amphetamine misuse <strong>and</strong> dependence from<br />

1994<br />

160<br />

140<br />

Number<br />

136<br />

145<br />

120<br />

108<br />

100<br />

80<br />

60<br />

40<br />

20<br />

29 29<br />

23<br />

46<br />

80<br />

33<br />

69<br />

25<br />

66<br />

21<br />

61<br />

29<br />

58<br />

36<br />

70<br />

29<br />

63<br />

30<br />

40<br />

82<br />

45<br />

88<br />

39<br />

56<br />

54<br />

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008<br />

Amphetamine as main diagnosis<br />

Amphetamine as secondary diagnosis<br />

Number of diagnoses, not corrected for duplication of persons or more than one secondary diagnosis per<br />

admission. ICD-9 codes: 304.4, 305.7 (appendix C). Ecstasy <strong>and</strong> amphetamines are registered under the<br />

same codes. Source: Dutch Hospital Data, LMR, Prismant.<br />

According to the national Injury Information System (LIS) of the consumer safety<br />

association some 3,800 people annually receive emergency treatment in a hospital for<br />

injury caused by an accident, violence or self-mutilation incident involving drugs use<br />

(Valkenberg, 2009). The drugs involved are cannabis, cocaine, heroin, Ecstasy, amphetamine<br />

<strong>and</strong> magic mushrooms. The data have been averaged for the period from 2004<br />

through 2008 <strong>and</strong> are based on estimates for the whole country derived from data from<br />

a representative sample of hospitals.<br />

• Nine percent of drug victims report having used Ecstasy. If we count only those cases<br />

for which the drug is known (65%), then Ecstasy accounts for 15% of all drug-related<br />

cases treated in hospital emergency departments.<br />

122 <strong>Netherl<strong>and</strong>s</strong> <strong>National</strong> <strong>Drug</strong> <strong>Monitor</strong> - NDM Annual Report 2009

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