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Use of Emergency Department Data to Monitor and Respond to an Increase in Opioid Overdoses in New Hampshire, 2011-2015.

Abstract Opioid-related overdoses and deaths in New Hampshire have increased substantially in recent years, similar to increases observed across the United States. We queried emergency department (ED) data in New Hampshire to monitor opioid-related ED encounters as part of the public health response to this health problem.
PMID
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Authors

Mayor MeshTerms
Keywords

emergency department data

heroin

opioid

syndromic surveillance

Journal Title public health reports (washington, d.c. : 1974)
Publication Year Start




PMID- 28692390
OWN - NLM
STAT- MEDLINE
DA  - 20170710
DCOM- 20170724
LR  - 20170724
IS  - 1468-2877 (Electronic)
IS  - 0033-3549 (Linking)
VI  - 132
IP  - 1_suppl
DP  - 2017 Jul/Aug
TI  - Use of Emergency Department Data to Monitor and Respond to an Increase in Opioid 
      Overdoses in New Hampshire, 2011-2015.
PG  - 73S-79S
LID - 10.1177/0033354917707934 [doi]
AB  - OBJECTIVES: Opioid-related overdoses and deaths in New Hampshire have increased
      substantially in recent years, similar to increases observed across the United
      States. We queried emergency department (ED) data in New Hampshire to monitor
      opioid-related ED encounters as part of the public health response to this health
      problem. METHODS: We obtained data on opioid-related ED encounters for the period
      January 1, 2011, through December 31, 2015, from New Hampshire's syndromic
      surveillance ED data system by querying for (1) chief complaint text related to
      the words "fentanyl," "heroin," "opiate," and "opioid" and (2) opioid-related
      International Classification of Diseases ( ICD) codes. We then analyzed the data 
      to calculate frequencies of opioid-related ED encounters by age, sex, residence, 
      chief complaint text values, and ICD codes. RESULTS: Opioid-related ED encounters
      increased by 70% during the study period, from 3300 in 2011 to 5603 in 2015; the 
      largest increases occurred in adults aged 18-29 and in males. Of 20 994 total
      opioid-related ED visits, we identified 18 554 (88%) using ICD code alone, 690
      (3%) using chief complaint text alone, and 1750 (8%) using both chief complaint
      text and ICD code. For those encounters identified by ICD code only, the
      corresponding chief complaint text included varied and nonspecific words, with
      the most common being "pain" (n = 3335, 18%), "overdose" (n = 1555, 8%),
      "suicidal" (n = 816, 4%), "drug" (n = 803, 4%), and "detox" (n = 750, 4%).
      Heroin-specific encounters increased by 827%, from 4% of opioid-related
      encounters in 2011 to 24% of encounters in 2015. CONCLUSIONS: Opioid-related ED
      encounters in New Hampshire increased substantially from 2011 to 2015. Data from 
      New Hampshire's ED syndromic surveillance system provided timely situational
      awareness to public health partners to support the overall response to the opioid
      epidemic.
FAU - Daly, Elizabeth R
AU  - Daly ER
AD  - 1 New Hampshire Department of Health and Human Services, Concord, NH, USA.
FAU - Dufault, Kenneth
AU  - Dufault K
AD  - 1 New Hampshire Department of Health and Human Services, Concord, NH, USA.
FAU - Swenson, David J
AU  - Swenson DJ
AD  - 1 New Hampshire Department of Health and Human Services, Concord, NH, USA.
FAU - Lakevicius, Paul
AU  - Lakevicius P
AD  - 1 New Hampshire Department of Health and Human Services, Concord, NH, USA.
FAU - Metcalf, Erin
AU  - Metcalf E
AD  - 1 New Hampshire Department of Health and Human Services, Concord, NH, USA.
FAU - Chan, Benjamin P
AU  - Chan BP
AD  - 1 New Hampshire Department of Health and Human Services, Concord, NH, USA.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Public Health Rep
JT  - Public health reports (Washington, D.C. : 1974)
JID - 9716844
RN  - 0 (Analgesics, Opioid)
SB  - AIM
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Analgesics, Opioid/*poisoning
MH  - Child
MH  - Drug Overdose/diagnosis/*epidemiology
MH  - Emergency Service, Hospital/*statistics & numerical data/trends
MH  - Female
MH  - Humans
MH  - International Classification of Diseases/classification/statistics & numerical
      data
MH  - Male
MH  - Middle Aged
MH  - New Hampshire/epidemiology
OTO - NOTNLM
OT  - emergency department data
OT  - heroin
OT  - opioid
OT  - syndromic surveillance
EDAT- 2017/07/12 06:00
MHDA- 2017/07/25 06:00
CRDT- 2017/07/11 06:00
AID - 10.1177/0033354917707934 [doi]
PST - ppublish
SO  - Public Health Rep. 2017 Jul/Aug;132(1_suppl):73S-79S. doi:
      10.1177/0033354917707934.