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Vital Signs: Trends in Emergency Department Visits for Suspected Opioid Overdoses - United States, July 2016-September 2017.

Abstract From 2015 to 2016, opioid overdose deaths increased 27.7%, indicating a worsening of the opioid overdose epidemic and highlighting the importance of rapid data collection, analysis, and dissemination.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title mmwr. morbidity and mortality weekly report
Publication Year Start




PMID- 29518069
OWN - NLM
STAT- MEDLINE
DCOM- 20180312
LR  - 20180312
IS  - 1545-861X (Electronic)
IS  - 0149-2195 (Linking)
VI  - 67
IP  - 9
DP  - 2018 Mar 9
TI  - Vital Signs: Trends in Emergency Department Visits for Suspected Opioid Overdoses
      - United States, July 2016-September 2017.
PG  - 279-285
LID - 10.15585/mmwr.mm6709e1 [doi]
AB  - INTRODUCTION: From 2015 to 2016, opioid overdose deaths increased 27.7%,
      indicating a worsening of the opioid overdose epidemic and highlighting the
      importance of rapid data collection, analysis, and dissemination. METHODS:
      Emergency department (ED) syndromic and hospital billing data on opioid-involved 
      overdoses during July 2016-September 2017 were examined. Temporal trends in
      opioid overdoses from 52 jurisdictions in 45 states were analyzed at the regional
      level and by demographic characteristics. To assess trends based on urban
      development, data from 16 states were analyzed by state and urbanization level.
      RESULTS: From July 2016 through September 2017, a total of 142,557 ED visits
      (15.7 per 10,000 visits) from 52 jurisdictions in 45 states were suspected
      opioid-involved overdoses. This rate increased on average by 5.6% per quarter.
      Rates increased across demographic groups and all five U.S. regions, with largest
      increases in the Southwest, Midwest, and West (approximately 7%-11% per quarter).
      In 16 states, 119,198 ED visits (26.7 per 10,000 visits) were suspected
      opioid-involved overdoses. Ten states (Delaware, Illinois, Indiana, Maine,
      Missouri, Nevada, North Carolina, Ohio, Pennsylvania, and Wisconsin) experienced 
      significant quarterly rate increases from third quarter 2016 to third quarter
      2017, and in one state (Kentucky), rates decreased significantly. The highest
      rate increases occurred in large central metropolitan areas. CONCLUSIONS AND
      IMPLICATIONS FOR PUBLIC HEALTH PRACTICE: With continued increases in opioid
      overdoses, availability of timely data are important to inform actions taken by
      EDs and public health practitioners. Increases in opioid overdoses varied by
      region and urbanization level, indicating a need for localized responses.
      Educating ED physicians and staff members about appropriate services for
      immediate care and treatment and implementing a post-overdose protocol that
      includes naloxone provision and linking persons into treatment could assist EDs
      with preventing overdose.
FAU - Vivolo-Kantor, Alana M
AU  - Vivolo-Kantor AM
FAU - Seth, Puja
AU  - Seth P
FAU - Gladden, R Matthew
AU  - Gladden RM
FAU - Mattson, Christine L
AU  - Mattson CL
FAU - Baldwin, Grant T
AU  - Baldwin GT
FAU - Kite-Powell, Aaron
AU  - Kite-Powell A
FAU - Coletta, Michael A
AU  - Coletta MA
LA  - eng
PT  - Journal Article
DEP - 20180309
PL  - United States
TA  - MMWR Morb Mortal Wkly Rep
JT  - MMWR. Morbidity and mortality weekly report
JID - 7802429
RN  - 0 (Analgesics, Opioid)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Analgesics, Opioid/*poisoning
MH  - Drug Overdose/*epidemiology
MH  - Emergency Service, Hospital/trends/*utilization
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - United States/epidemiology
MH  - Young Adult
COIS- No conflicts of interest were reported.
EDAT- 2018/03/09 06:00
MHDA- 2018/03/13 06:00
CRDT- 2018/03/09 06:00
PHST- 2018/03/09 06:00 [entrez]
PHST- 2018/03/09 06:00 [pubmed]
PHST- 2018/03/13 06:00 [medline]
AID - 10.15585/mmwr.mm6709e1 [doi]
PST - epublish
SO  - MMWR Morb Mortal Wkly Rep. 2018 Mar 9;67(9):279-285. doi: 10.15585/mmwr.mm6709e1.