Advertisement

Emergency Department Visits Involving Opioid Overdoses, U.S., 2010–2014

  • Gery P. Guy Jr.
    Correspondence
    Address correspondence to: Gery P. Guy, Jr., PhD, MPH, Division of Unintentional Injury Prevention, Centers for Disease Control and Prevention, 4770 Buford Highway, NE, MS F-62, Atlanta GA 30341
    Affiliations
    Division of Unintentional Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
    Search for articles by this author
  • Emilia Pasalic
    Affiliations
    Division of Unintentional Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
    Search for articles by this author
  • Kun Zhang
    Affiliations
    Division of Unintentional Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
    Search for articles by this author
Published:November 10, 2017DOI:https://doi.org/10.1016/j.amepre.2017.09.003
      In 2015, opioid-involved overdoses accounted for 33,091 deaths in the U.S., 12,989 of which involved heroin.
      • Rudd R.A.
      • Seth P.
      • David F.
      • Scholl L.
      Increases in drug and opioid-involved overdose deaths — United States, 2010–2015.
      In addition to overdose deaths, many more individuals suffer nonfatal overdoses.
      Substance Abuse and Mental Health Services Administration, Drug Abuse Warning Network
      2011: National estimates of drug-related emergency department visits. HHS Publication No. (SMA) 13-4760, DAWN Series D-39.
      No recent study has examined trends in opioid overdoses treated in hospital emergency departments (ED) separately for non-heroin opioids and heroin. This study analyzes trends and the associated direct medical costs for such ED visits.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Preventive Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Rudd R.A.
        • Seth P.
        • David F.
        • Scholl L.
        Increases in drug and opioid-involved overdose deaths — United States, 2010–2015.
        MMWR Morb Mortal Wkly Rep. 2016; 65: 1445-1452https://doi.org/10.15585/mmwr.mm655051e1
        • Substance Abuse and Mental Health Services Administration, Drug Abuse Warning Network
        2011: National estimates of drug-related emergency department visits. HHS Publication No. (SMA) 13-4760, DAWN Series D-39.
        Substance Abuse and Mental Health Services Administration, Rockville, MD2013
      1. HCUP NEDS Database Documentation. Healthcare Cost and Utilization Project (HCUP). Agency for Healthcare Research and Quality, Rockville, MD. www.hcup-us.ahrq.gov/db/nation/neds/nedsdbdocumentation.jsp. Accessed May 31, 2017.

        • Green C.A.
        • Perrin N.A.
        • Janoff S.L.
        • Campbell C.I.
        • Chilcoat H.D.
        • Coplan P.M.
        Assessing the accuracy of opioid overdose and poisoning codes in diagnostic information from electronic health records, claims data, and death records.
        Pharmacoepidemiol Drug Saf. 2017; 26: 509-517https://doi.org/10.1002/pds.4157
      2. Senathirajah M, Owens P, Mutter R, Nagamine M. Special study on the meaning of the first-listed diagnosis on emergency department and ambulatory surgery records. 2011. HCUP Methods Series Report # 2011-03. U.S. Agency for Healthcare Research and Quality. www.hcup-us.ahrq.gov/reports/methods/2011_03.pdf. Published October 4, 2011. Accessed May 31, 2017.

      3. HCUP Cost-to-Charge Ratio Files (CCR). Healthcare Cost and Utilization Project (HCUP) Rockville, MD: U.S. Agency for Healthcare Research and Quality. www.hcup-us.ahrq.gov/db/state/costtocharge.jsp. Accessed June 23, 2016.

        • Gladden M.
        • Martinez P.
        • Seth P.
        Fentanyl law enforcement submissions and increases in synthetic opioid–involved overdose deaths — 27 states, 2013–2014.
        MMWR Morb Mortal Wkly Rep. 2016; 65: 837-843https://doi.org/10.15585/mmwr.mm6533a2
        • Florence C.
        • Zhou C.
        • Luo F.
        • Xu L.
        The economic burden of prescription opioid overdose, abuse, and dependence in the United States, 2013.
        Med Care. 2016; 54: 901-906https://doi.org/10.1097/MLR.0000000000000625
        • Jones C.
        • Logan J.
        • Gladden M.
        • Bohm M.
        Vital Signs: demographic and substance use trends among heroin users — United States, 2002–2013.
        MMWR Morb Mortal Wkly Rep. 2015; 64: 719-725
        • Dowell D.
        • Haegerich T.
        • Chou R.
        CDC guideline for prescribing opioids for chronic pain – United States, 2016.
        MMWR Recomm Rep. 2016; 65: 1-49
        • Dowell D.
        • Zhang K.
        • Noonan R.K.
        • Hockenberry J.M.
        Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death rates.
        Health Aff (Millwood). 2016; 35: 1876-1883https://doi.org/10.1377/hlthaff.2016.0448