Non-Fatal Opioid Overdose and Abuse Visits to a University Hospital Emergency Department in Puerto Rico, 2009-2018.

IF 0.4 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Puerto Rico Health Sciences Journal Pub Date : 2023-06-01

Steven Vélez-Pastrana, Miguel Campos-Colberg, Juan González-Sanchez, Rodney George, Vanesa Campos-Colberg, Bianca López, Susan Corey-Best

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引用次数: 0

Abstract

Objective: The objective was to describe opioid-use trends (2009-2018) at a university hospital emergency department (ED) in metropolitan San Juan, Puerto Rico.

Methods: The ED database of the University of Puerto Rico - Dr. Federico Trilla Hospital provided the data for the study.

Results: Non-fatal opioid overdoses surged 7.5-fold, increasing from 12.1 (±2.5) per 100,000 ED encounters for 2009 through 2016 to 91.2 (±8.7) per 100,000 ED encounters for 2017 through 2018 (P < .0001). Starting in summer 2017, the surge reached its peak in October after two major hurricanes. The opioid-related ED cases comprised 15.8% from 2009 through 2016, increasing to 67% in 2017 through 2018. Prior to October 2015, multiple drugs were mentioned in 65% of the opioid-related cases, decreasing to 37% of the total cases, thereafter. Cocaine was reported in combination with opioids in 53% of all opioid-related cases from August 2009 through September 2015, decreasing to 21% from October 2015 through December 2018, cannabis in 15 % and 10%, respectively, and alcohol in 10% and 6%, respectively. Amphetamines were mentioned once in combination with opioids. The overall male:female ratio for all opioid-related cases was 6.3 (rate: 8.8).

Conclusion: The data show an increase in opioid-toxicity cases in the area served by the above-named hospital beginning in mid-2017. Opioid-related cases overwhelmingly involved male patients. More work is needed to establish islandwide trends.

本刊更多论文

2009-2018年波多黎各一所大学医院急诊科非致命性阿片类药物过量和滥用就诊情况

目的:目的是描述波多黎各圣胡安市区一所大学医院急诊科(ED)的阿片类药物使用趋势(2009-2018年)。方法:波多黎各大学费德里科·特里拉医生医院的ED数据库为研究提供了数据。结果:非致命性阿片类药物过量激增7.5倍，从2009年至2016年的每10万次ED就诊12.1(±2.5)增加到2017年至2018年的每10万次ED就诊91.2(±8.7)(P < 0.0001)。从2017年夏季开始，在两次大飓风之后，这股浪潮在10月份达到了顶峰。从2009年到2016年，阿片类药物相关的ED病例占15.8%，从2017年到2018年增加到67%。在2015年10月之前，65%的阿片类药物相关病例中提到了多种药物，此后下降到37%。从2009年8月到2015年9月，可卡因和阿片类药物在所有阿片类药物相关病例中占53%，从2015年10月到2018年12月下降到21%，大麻分别占15%和10%，酒精分别占10%和6%。安非他明曾被提及与阿片类药物联合使用。所有阿片类药物相关病例的总体男女比例为6.3(比率:8.8)。结论:数据显示，从2017年年中开始，该地区阿片类药物中毒病例有所增加。阿片类药物相关病例绝大多数是男性患者。需要做更多的工作来确定整个岛屿的趋势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Puerto Rico Health Sciences Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Puerto Rico Health Sciences Journal (PRHSJ) is the scientific journal of the University of Puerto Rico Medical Sciences Campus. It was founded in 1982 as a vehicle for the publication of reports on scientific research conducted in-campus, Puerto Rico and abroad. All published work is original and peer-reviewed. The PRHSJ is included in PubMed/Medline, SCOPUS, Latindex, EBSCO, SHERPA/RoMEO, Science Citation Index Expanded (SciSearch®) and Journal Citation Reports/Science Edition. All papers are published both online and in hard copy. From its beginning, the PRHSJ is being published regularly four times a year. The scope of the journal includes a range of medical, dental, public health, pharmaceutical and biosocial sciences research. The journal publishes full-length articles, brief reports, special articles, reviews, editorials, case reports, clinical images, and letters arising from published material.