{"id":"https://openalex.org/W7223694397","doi":"https://doi.org/10.1093/eurpub/ckag169.1878","title":"Early Warning System for New Psychoactive Substances surveillance in the Community of Madrid, Spain","display_name":"Early Warning System for New Psychoactive Substances surveillance in the Community of Madrid, Spain","publication_year":2026,"publication_date":"2026-10-01","ids":{"openalex":"https://openalex.org/W7223694397","doi":"https://doi.org/10.1093/eurpub/ckag169.1878"},"language":"en","primary_location":{"id":"doi:10.1093/eurpub/ckag169.1878","doi":"https://doi.org/10.1093/eurpub/ckag169.1878","is_oa":true,"landing_page_url":"https://doi.org/10.1093/eurpub/ckag169.1878","pdf_url":"https://academic.oup.com/eurpub/article-pdf/36/Supplement_5/ckag169.1878/72464742/ckag169.1878.pdf","source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://academic.oup.com/eurpub/article-pdf/36/Supplement_5/ckag169.1878/72464742/ckag169.1878.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5159671757","display_name":"N Mata-Pariente","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"N Mata-Pariente","raw_affiliation_strings":["Addictions Surveillance Unit, General Directorate of Public Health of the Comunity of Madrid , Madrid,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Addictions Surveillance Unit, General Directorate of Public Health of the Comunity of Madrid , Madrid,","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159639544","display_name":"F S\u00e1nchez-Arenas","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"F S\u00e1nchez-Arenas","raw_affiliation_strings":["Addictions Surveillance Unit, General Directorate of Public Health of the Comunity of Madrid , Madrid,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Addictions Surveillance Unit, General Directorate of Public Health of the Comunity of Madrid , Madrid,","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159607513","display_name":"E Chong-Chong","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"E Chong-Chong","raw_affiliation_strings":["Addictions Surveillance Unit, General Directorate of Public Health of the Comunity of Madrid , Madrid,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Addictions Surveillance Unit, General Directorate of Public Health of the Comunity of Madrid , Madrid,","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159661522","display_name":"AM Ruiz-Tornero","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"AM Ruiz-Tornero","raw_affiliation_strings":["Addictions Surveillance Unit, General Directorate of Public Health of the Comunity of Madrid , Madrid,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Addictions Surveillance Unit, General Directorate of Public Health of the Comunity of Madrid , Madrid,","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159690221","display_name":"F Dom\u00ednguez-Berj\u00f3n","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"F Dom\u00ednguez-Berj\u00f3n","raw_affiliation_strings":["Non communicable diseases Department, General Directorate of Public Health of the Comunity of Madrid , Madrid,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Non communicable diseases Department, General Directorate of Public Health of the Comunity of Madrid , Madrid,","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159739938","display_name":"A Arce-Arn\u00e1ez","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"A Arce-Arn\u00e1ez","raw_affiliation_strings":["Subdirectorate of Public Health Surveillance, General Directorate of Public Health of the Comunity of Madrid , Madrid,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Subdirectorate of Public Health Surveillance, General Directorate of Public Health of the Comunity of Madrid , Madrid,","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159684262","display_name":"C Tortosa-Laso","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210139293","display_name":"Comunidad de Madrid","ror":"https://ror.org/040scgh75","country_code":"ES","type":"government","lineage":["https://openalex.org/I4210139293"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"C Tortosa-Laso","raw_affiliation_strings":["Forensic laboratory Department, Institute of Legal Medicine and Forensic Sciences of the Community of Madrid , Madrid,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Forensic laboratory Department, Institute of Legal Medicine and Forensic Sciences of the Community of Madrid , Madrid,","institution_ids":["https://openalex.org/I4210139293"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159726290","display_name":"A Mart\u00edn-Mart\u00ednez","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210101691","display_name":"Hospital Universitario 12 De Octubre","ror":"https://ror.org/00qyh5r35","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210101691","https://openalex.org/I4210139293"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"A Mart\u00edn-Mart\u00ednez","raw_affiliation_strings":["Emergency Department Coordinator, Doce de Octubre Hospital. Community of Madrid , Madrid,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency Department Coordinator, Doce de Octubre Hospital. Community of Madrid , Madrid,","institution_ids":["https://openalex.org/I4210101691"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159655988","display_name":"A Caballero-Bermejo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210105637","display_name":"Hospital Universitario Puerta de Hierro Majadahonda","ror":"https://ror.org/01e57nb43","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210105637","https://openalex.org/I4210139293"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"A Caballero-Bermejo","raw_affiliation_strings":["Department of Clinical Pharmacology, Puerta de Hierro Hospital. Community of Madrid , Madrid,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Pharmacology, Puerta de Hierro Hospital. Community of Madrid , Madrid,","institution_ids":["https://openalex.org/I4210105637"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5159721731","display_name":"EWS-NPS Working Group","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210139293","display_name":"Comunidad de Madrid","ror":"https://ror.org/040scgh75","country_code":"ES","type":"government","lineage":["https://openalex.org/I4210139293"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"EWS-NPS Working Group","raw_affiliation_strings":["EWS-NPS Working group, Government of the Community of Madrid, Madrid, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"EWS-NPS Working group, Government of the Community of Madrid, Madrid, Spain","institution_ids":["https://openalex.org/I4210139293"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5159671757"],"corresponding_institution_ids":[],"apc_list":{"value":2815,"currency":"EUR","value_usd":3181},"apc_paid":{"value":2815,"currency":"EUR","value_usd":3181},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.819063,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"36","issue":"Supplement_5","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10800","display_name":"Forensic Toxicology and Drug Analysis","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/3005","display_name":"Toxicology"},"field":{"id":"https://openalex.org/fields/30","display_name":"Pharmacology, Toxicology and Pharmaceutics"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T10800","display_name":"Forensic Toxicology and Drug Analysis","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/3005","display_name":"Toxicology"},"field":{"id":"https://openalex.org/fields/30","display_name":"Pharmacology, Toxicology and Pharmaceutics"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11635","display_name":"Poisoning and overdose treatments","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10043","display_name":"Substance Abuse Treatment and Outcomes","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/new-psychoactive-substances","display_name":"new psychoactive substances","score":1.0},{"id":"https://openalex.org/keywords/early-warning-systems","display_name":"early warning systems","score":0.9580000042915344},{"id":"https://openalex.org/keywords/emergency-department","display_name":"emergency department","score":0.8569999933242798},{"id":"https://openalex.org/keywords/acute-poisoning","display_name":"acute poisoning","score":0.7329999804496765},{"id":"https://openalex.org/keywords/polysubstance-use","display_name":"polydrug use","score":0.7940000295639038},{"id":"https://openalex.org/keywords/ketamine","display_name":"ketamine","score":0.9169999957084656},{"id":"https://openalex.org/keywords/cathinone","display_name":"cathinone","score":0.8529999852180481},{"id":"https://openalex.org/keywords/cannabinoids","display_name":"cannabinoids","score":0.7149999737739563},{"id":"https://openalex.org/keywords/gamma-hydroxybutyric-acid","display_name":"gamma-hydroxybutyric acid","score":0.7609999775886536},{"id":"https://openalex.org/keywords/2c-b","display_name":"2C-B","score":0.7329999804496765},{"id":"https://openalex.org/keywords/substance-use-surveillance","display_name":"substance use surveillance","score":0.5379999876022339},{"id":"https://openalex.org/keywords/comunidad-de-madrid","display_name":"Comunidad de Madrid","score":0.6710000038146973},{"id":"https://openalex.org/keywords/public-health-prevention","display_name":"public health prevention","score":0.4410000145435333}],"concepts":[{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.6603000164031982},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6559000015258789},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.5644000172615051},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.499099999666214},{"id":"https://openalex.org/C29825287","wikidata":"https://www.wikidata.org/wiki/Q1427940","display_name":"Warning system","level":2,"score":0.49079999327659607},{"id":"https://openalex.org/C22467394","wikidata":"https://www.wikidata.org/wiki/Q849359","display_name":"Multidisciplinary approach","level":2,"score":0.4693000018596649},{"id":"https://openalex.org/C3019607171","wikidata":"https://www.wikidata.org/wiki/Q3706669","display_name":"Psychoactive substance","level":2,"score":0.40880000591278076},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.40849998593330383},{"id":"https://openalex.org/C2779296788","wikidata":"https://www.wikidata.org/wiki/Q5326904","display_name":"Early warning system","level":3,"score":0.39489999413490295},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.3855000138282776},{"id":"https://openalex.org/C2775860198","wikidata":"https://www.wikidata.org/wiki/Q7257872","display_name":"Public hospital","level":2,"score":0.367000013589859},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.329800009727478},{"id":"https://openalex.org/C2908607107","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency rooms","level":2,"score":0.3294999897480011},{"id":"https://openalex.org/C2776361769","wikidata":"https://www.wikidata.org/wiki/Q821775","display_name":"Public health surveillance","level":3,"score":0.32919999957084656},{"id":"https://openalex.org/C3020501284","wikidata":"https://www.wikidata.org/wiki/Q849359","display_name":"Multidisciplinary team","level":2,"score":0.3228999972343445},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3034000098705292},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.29580000042915344},{"id":"https://openalex.org/C2780385302","wikidata":"https://www.wikidata.org/wiki/Q367158","display_name":"Protocol (science)","level":3,"score":0.2793000042438507},{"id":"https://openalex.org/C142546437","wikidata":"https://www.wikidata.org/wiki/Q2661195","display_name":"Descriptive research","level":2,"score":0.27140000462532043},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.26579999923706055},{"id":"https://openalex.org/C3019806175","wikidata":"https://www.wikidata.org/wiki/Q11974939","display_name":"Health professionals","level":3,"score":0.2639999985694885},{"id":"https://openalex.org/C187155963","wikidata":"https://www.wikidata.org/wiki/Q629029","display_name":"Occupational safety and health","level":2,"score":0.25920000672340393},{"id":"https://openalex.org/C2993197305","wikidata":"https://www.wikidata.org/wiki/Q294308","display_name":"Public health care","level":4,"score":0.2542000114917755},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.25360000133514404},{"id":"https://openalex.org/C2780876324","wikidata":"https://www.wikidata.org/wiki/Q69488","display_name":"MDMA","level":2,"score":0.25110000371932983}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1093/eurpub/ckag169.1878","doi":"https://doi.org/10.1093/eurpub/ckag169.1878","is_oa":true,"landing_page_url":"https://doi.org/10.1093/eurpub/ckag169.1878","pdf_url":"https://academic.oup.com/eurpub/article-pdf/36/Supplement_5/ckag169.1878/72464742/ckag169.1878.pdf","source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13699309","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13699309/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13699309/pdf/ckag169.1878.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Eur J Public Health","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/eurpub/ckag169.1878","doi":"https://doi.org/10.1093/eurpub/ckag169.1878","is_oa":true,"landing_page_url":"https://doi.org/10.1093/eurpub/ckag169.1878","pdf_url":"https://academic.oup.com/eurpub/article-pdf/36/Supplement_5/ckag169.1878/72464742/ckag169.1878.pdf","source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223694397.pdf","grobid_xml":"https://content.openalex.org/works/W7223694397.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4210418057","https://openalex.org/W4220764013","https://openalex.org/W4413427467","https://openalex.org/W3128710447","https://openalex.org/W4291291575","https://openalex.org/W2153864222","https://openalex.org/W4408085593","https://openalex.org/W2772207759","https://openalex.org/W4296848303","https://openalex.org/W2894050070"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"The":[2,151,175,265],"global":[3],"use":[4],"of":[5,25,64,73,109,133,205,212,227,233,244,280,320],"new":[6,299],"psychoactive":[7,217,300],"substances":[8,301],"(NPS)":[9],"has":[10],"increased":[11],"over":[12],"recent":[13],"decades,":[14],"posing":[15],"significant":[16],"public":[17,51,126,288],"health":[18,52,235,289],"challenges.":[19],"In":[20],"this":[21,286],"context,":[22],"the":[23,61,71,78,86,107,116,129,134,147,278,318],"Community":[24],"Madrid":[26],"(CM)":[27],"implemented":[28],"an":[29],"Early":[30],"Warning":[31],"System":[32],"for":[33,98,271,298,310],"NPS":[34,44,164,179,196,245,253],"(EWS-NPS)":[35],"surveillance":[36],"in":[37,103,124,128,155,167,302],"hospital":[38,104,303],"emergency":[39,304],"departments":[40,305],"(ED)":[41],"to":[42,84,93,115,284],"monitor":[43],"use,":[45,214],"enabling":[46],"early":[47,295],"detection":[48,197],"and":[49,67,77,112,185,190,208,222,276],"timely":[50],"responses.":[53],"Methods":[54],"A":[55,88,119,139],"multidisciplinary":[56],"working":[57],"group,":[58],"led":[59],"by":[60],"General":[62],"Directorate":[63],"Public":[65],"Health":[66],"comprising":[68],"professionals":[69],"from":[70,146],"Institute":[72],"Legal":[74],"Medicine":[75],"(ILM)":[76],"Hospital":[79],"Care":[80],"Directorate,":[81],"was":[82,91,122,142,153],"established":[83],"implement":[85],"project.":[87],"technical":[89],"protocol":[90],"developed":[92],"define":[94],"case":[95],"notification":[96],"procedures":[97],"suspected":[99,252],"NPS-related":[100],"acute":[101],"intoxications":[102],"ED,":[105],"including":[106],"collection":[108],"biological":[110],"samples":[111],"their":[113],"submission":[114],"ILM":[117],"laboratory.":[118],"pilot":[120],"study":[121],"conducted":[123],"4":[125],"hospitals":[127],"CM,":[130],"covering":[131],"22%":[132],"region\u2019s":[135],"7,2":[136],"million":[137],"inhabitants.":[138],"descriptive":[140],"analysis":[141],"performed":[143],"using":[144],"data":[145],"2025\u20132026":[148],"period.":[149],"Results":[150],"EWS-NPS":[152,266],"launched":[154],"March":[156],"2025.":[157],"Since":[158],"then,":[159],"52":[160],"cases":[161,169],"were":[162,165,180,198],"analyzed.":[163],"detected":[166],"20":[168],"(38,5%),":[170],"involving":[171,215],"13":[172],"different":[173],"NPS.":[174],"most":[176],"frequently":[177],"identified":[178],"ketamine,":[181],"MAB-CHMINACA":[182],"(cannabinoid),":[183],"3-CMC":[184],"\u03b1-PVP":[186],"(cathinones),":[187],"2C-B":[188],"(phenethylamine)":[189],"GHB.":[191],"Most":[192,255],"patients":[193,228,248,256],"with":[194,201,251,261],"confirmed":[195],"male":[199],"(85,0%),":[200],"a":[202,209,231,241,268,307],"mean":[203],"age":[204],"28":[206],"years":[207],"high":[210,242],"prevalence":[211],"polydrug":[213,263],"other":[216],"substances,":[218],"primarily":[219],"cocaine,":[220],"MDMA":[221],"methamphetamine.":[223],"More":[224],"than":[225],"half":[226],"(60,0%)":[229],"had":[230],"history":[232],"mental":[234],"disorders.":[236],"Conclusions":[237],"Preliminary":[238],"results":[239],"indicate":[240],"proportion":[243],"detections":[246],"among":[247],"attending":[249],"ED":[250],"intoxication.":[254],"are":[257],"young":[258],"adult":[259],"men":[260],"concurrent":[262],"use.":[264,314],"is":[267,306],"valuable":[269,308],"tool":[270,309],"monitoring":[272,311],"emerging":[273,312],"drug":[274,313],"trends":[275],"supporting":[277],"development":[279],"targeted":[281,321],"preventive":[282,322],"strategies":[283],"address":[285],"growing":[287],"concern.":[290],"Key":[291],"messages":[292],"\u2022":[293,315],"An":[294],"warning":[296],"system":[297],"It":[316],"enables":[317],"design":[319],"strategies.":[323]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2026-10-27T00:00:00"}
