Focused Report - Cannabis-Related Emergency Department Visits

Release date: March 2018

Cannabis will become legal for recreational use in Durham Region beginning in 2018. Cannabis use can negatively affect health. Not known is how this change in policy will impact the community. Building health promotion messages requires understanding the extent of cannabis use and the traits of people who use it. This summary describes the impact and characteristics of cannabis use in the community, by reviewing emergency department (ED) visits related to its use in 2016.

Emergency department visits related to cannabis increasing

There were 373 ED visits related to cannabis use in 2016. The number of visits has almost doubled from 2007, where 125 visits were reported. Cannabis use was listed as the main problem on 127 of the 373 visits (34 per cent) recorded in 2016. The remaining 246 visits listed cannabis as an additional factor.

Cannabis poisoning the most common reason for visiting the emergency department

Cannabis poisoning was the main problem for 12 per cent of ED visits related to cannabis use. The majority of these involved accidental consumption (58 per cent). The remaining poisoning incidents involved self-harm or undetermined intent. Other reasons listed as the main problem include harmful cannabis use (10 per cent), cannabis intoxication (5 per cent) and psychotic disorder (4 per cent).

Largest share of cannabis-related emergency department visits seen in Oshawa residents

In 2016, more than one-third (37 per cent) of cannabis-related ED visits occurred to residents of Oshawa; 16 per cent to residents of Whitby; and 13 per cent to resident of Ajax. Together these three municipalities accounted for two-thirds (67 per cent) of cannabis-related ED visits. The remaining municipalities accounted for 31 per cent of cannabis-related ED visits.

Table 1

Table 1. Cannabis-related ED visits compared with population size by municipality, Durham Region, 2016

Municipality of patient	Total ED visits	Per cent share	Per cent share of Durham Region's population
Oshawa	138	37%	25%
Whitby	61	16%	20%
Ajax	50	13%	18%
Clarington	45	12%	14%
Pickering	39	10%	15%
Uxbridge	17	5%	3%
Scugog	14	4%	4%
Brock	9	2%	2%
Figures may not add to 100% due to rounding.

Young adults most likely to visit an emergency department due to cannabis use

Half of ED visits related to cannabis use (50 per cent) occurred in the 20 to 34 year age group. The youngest person seen in the ED was less than one year old and the oldest was 68. Half of visits occurred to patients under 22 years and half to patients over 22. Youth between the ages of 15 and 19 accounted for less than one-third (29 per cent) of ED visits related to cannabis use.

Figure 1. Per cent of emergency department visits related to cannabis use, by age group, Durham Region, 2016

Figure 1

Data table for Figure 1

Table 2. Per cent of cannabis-related ED visits by age group, Durham Region, 2016

Age group	Per cent share
0 to 14	2%
15 to 19	29%
20 to 34	50%
35 and older	20%
Figures may not add to 100% due to rounding.

Majority of emergency department visits due to cannabis use seen in males

Males accounted for three out of five (59 per cent) ED visits related to cannabis use. Females accounted for the remaining 41 per cent of visits. The difference between males and females was largest for adults 20 to 34 years (23 percentage points); similar for children 0 to 14 (14 percentage points) and young adults 15 to 19 (16 percentage points); and smallest for adults 35 years and older (10 percentage points).

Figure 2. Per cent of emergency department visits related to cannabis, by age group and sex, Durham Region, 2016

Figure 2

Data table Figure 2

Table 3. Per cent of cannabis-related ED visits by age group and sex, Durham Region, 2016

Age group	Sex	Per cent share
0 to 14	Male	57%
0 to 14	Female	43%
15 to 19	Male	58%
15 to 19	Female	42%
20 to 34	Male	61%
20 to 34	Female	39%
35 and older	Male	55%
35 and older	Female	45%
Figures may not add to 100% due to rounding.

Most emergency department visits related to cannabis use do not result in additional care

The most common end result for cannabis-related ED visits was a discharge home (72 per cent). In a smaller number of visits (four per cent), patients left the ED before treatment was completed. The remaining 24 per cent resulted in a hospitalization or transfer to another facility. Among those transferred, three-quarters (73 per cent) were sent to a psychiatric facility.

Figure 3. Per cent of emergency department visits related to cannabis, by visit outcome, Durham Region, 2016

Figure 3

Data table for Figure 3

Table 4. Per cent of cannabis-related ED visits by visit outcome, Durham Region, 2016

Visit outcome	Per cent share
Discharged home	72%
Transferred to psychiatric facility	17%
Admitted to hospital	7%
Left ED	4%
Figures may not add to 100% due to rounding.

Data notes

All data come from: Ambulatory visits, IntelliHealth Ontario, Ontario Ministry of Health and Long-Term Care.

Cannabis-related ED visits were selected using the following ICD-10-CA codes:

T40.7 -- Cannabis poisoning
F12.0 to F12.9 -- Cannabis use disorders

A unique visit number was used to select ED visits where at least one of the above codes was captured. This analysis did not distinguish between prescription and illegal cannabis use.

Visit the Canadian Institute for Health Information for more on emergency department data.

Related information

Cannabis-Related Hospitalizations and Emergency Department Visits at a Glance
Statistics Canada’s Cannabis Stats Hub

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