Matthew Salzman1, Christopher W Jones2, Rachel Rafeq3, John Gaughan4, Rachel Haroz2. 1. Cooper Medical School of Rowan University, Department of Emergency Medicine, One Cooper Plaza, Camden, NJ, United States of America. Electronic address: Salzman-matthew@cooperhealth.edu. 2. Cooper Medical School of Rowan University, Department of Emergency Medicine, One Cooper Plaza, Camden, NJ, United States of America. 3. Cooper University Hospital Pharmacy, One Cooper Plaza, Camden, NJ, United States of America. 4. Cooper Research Institute, Cooper University Hospital, Camden, NJ, United States of America.
Abstract
GOALS: To characterize the epidemiology of opioid-related visits to United States (US) emergency departments (EDs) and describe trends in opioid-related visits over time. DESIGN: Retrospective cohort study CASES: The National Hospital Ambulatory Care Survey (NHAMCS) was used to identify opioid-related ED visits between 1999 and 2013. MEASUREMENTS: The NHAMCS is an annual, weighted, multi-stage survey which allows for the study of ambulatory care services within a nationally representative sample of US hospitals. We used ICD-9 codes to identify ED visits related to opioid use and abuse. We applied visit weights calculated by NHAMCS to generate nation-wide estimates regarding the overall prevalence of opioid-related visits, and demographic characteristics of these patients. We report trends with respect to opioid-related visits and ED resource utilization between 1999 and 2013. RESULTS: 1072 visits were included, representing 2,731,000 nation-wide opioid-related ED encounters between 1999 and 2013. During this time, opioid-related ED visits increased from 125,000 in 1999 to over 300,000 visits in 2013. Between 1999-2001 and 2011-2013 opioid-related visits increased by 170%. Greater numbers of such visits occurred across nearly all demographic groups, and all regions of the US. Weighted visits among women increased by 250% between these time periods. Over these periods, opioid-related ED visits resulting in hospital admission increased by over 240%. The proportion of ED visits that were related to opioids doubled from 1999 (0.12%) to 2013 (0.25%). CONCLUSIONS: Opioid-related ED encounters and resource utilization both rose substantially between 1999 and 2013, with consistent increases across a broad spectrum of demographic groups.
GOALS: To characterize the epidemiology of opioid-related visits to United States (US) emergency departments (EDs) and describe trends in opioid-related visits over time. DESIGN: Retrospective cohort study CASES: The National Hospital Ambulatory Care Survey (NHAMCS) was used to identify opioid-related ED visits between 1999 and 2013. MEASUREMENTS: The NHAMCS is an annual, weighted, multi-stage survey which allows for the study of ambulatory care services within a nationally representative sample of US hospitals. We used ICD-9 codes to identify ED visits related to opioid use and abuse. We applied visit weights calculated by NHAMCS to generate nation-wide estimates regarding the overall prevalence of opioid-related visits, and demographic characteristics of these patients. We report trends with respect to opioid-related visits and ED resource utilization between 1999 and 2013. RESULTS: 1072 visits were included, representing 2,731,000 nation-wide opioid-related ED encounters between 1999 and 2013. During this time, opioid-related ED visits increased from 125,000 in 1999 to over 300,000 visits in 2013. Between 1999-2001 and 2011-2013 opioid-related visits increased by 170%. Greater numbers of such visits occurred across nearly all demographic groups, and all regions of the US. Weighted visits among women increased by 250% between these time periods. Over these periods, opioid-related ED visits resulting in hospital admission increased by over 240%. The proportion of ED visits that were related to opioids doubled from 1999 (0.12%) to 2013 (0.25%). CONCLUSIONS: Opioid-related ED encounters and resource utilization both rose substantially between 1999 and 2013, with consistent increases across a broad spectrum of demographic groups.
Authors: Kara Suvada; Anna Zimmer; Jesse Soodalter; Jimi S Malik; Dio Kavalieratos; Mohammed K Ali Journal: BMJ Open Date: 2022-06-16 Impact factor: 3.006
Authors: Jessica Heil; Valerie S Ganetsky; Matthew S Salzman; Krystal Hunter; Kaitlan E Baston; Gerard Carroll; Eric Ketcham; Rachel Haroz Journal: West J Emerg Med Date: 2022-04-04
Authors: Lynn M Neilson; Caroline Swift; Elizabeth C S Swart; Yan Huang; Natasha Parekh; Kiraat D Munshi; Rochelle Henderson; Chester B Good Journal: J Gen Intern Med Date: 2021-02-11 Impact factor: 5.128