Emergency department utilization and subsequent prescription drug overdose death

Details

• Alternative Title:
  Ann Epidemiol
• Personal Author:
  Brady, Joanne E. ; DiMaggio, Charles J. ; Keyes, Katherine M. ; Doyle, John J. ; Richardson, Lynne D. ; Li, Guohua
• Description:
  Purpose ; Prescription drug overdose (PDO) deaths are a critical public health problem in the United States. This study aims to assess the association between emergency department (ED) utilization patterns in a cohort of ED patients and the risk of subsequent unintentional PDO mortality. ; Methods ; Using data from the New York Statewide Planning and Research Cooperative System for 2006–2010, a nested case-control design was used to examine the relationship between ED utilization patterns in New York State residents of age 18–64 years and subsequent PDO death. ; Results ; The study sample consisted of 2732 case patients who died of PDO and 2732 control ED patients who were selected through incidence density sampling. With adjustment for demographic characteristics, and diagnoses of pain, substance abuse, and psychiatric disorders, the estimated odds ratios of PDO death relative to one ED visit or less in the previous year were 4.90 (95% confidence interval CI: 4.50–5.34) for those with two ED visits, 16.61 (95% CI: 14.72–18.75) for those with three ED visits, and 48.24 (95% CI: 43.23–53.83) for those with four ED visits or more. ; Conclusions ; Frequency of ED visits is strongly associated with the risk of subsequent PDO death. Intervention programs targeting frequent ED users are warranted to reduce PDO mortality.
• Subjects:
  • Adolescent
  • Adult
  • Case-Control Studies
  • Death
  • Drug Overdose
  • Emergency Service, Hospital
  • Female
  • Health Care Surveys
  • Humans
  • Male
  More +
• Keywords:
  • Drug overdose
  • Emergency service, hospital
  • Prescription drugs
  • Prevention and control
• Source:
  Ann Epidemiol. 25(8):613-619.e2
• Pubmed ID:
  25935710
• Pubmed Central ID:
  PMC4675463
• Document Type:
  Journal Article
• Funding:
  K01 AA021511/AA/NIAAA NIH HHSUnited States/ ; R49 CE002096/CE/NCIPC CDC HHSUnited States/ ; R49CE002096/ACL/ACL HHSUnited States/ ; 1 R49 CE002096/CE/NCIPC CDC HHSUnited States/
• Volume:
  25
• Issue:
  8
• Download URL:
  https://stacks.cdc.gov/view/cdc/36796/cdc_36796_DS1.pdf
• File Type:
  [PDF - 510.24 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:50d12687442897106ff1e3b6b55e1aba70333652b743ccf0967c2fc4ffe7d42a