Spatial patterns of rural opioid-related hospital emergency department visits: A machine learning analysis

IF 3.8 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Eric Robinson , Kathleen Stewart , Erin Artigiani , Margaret Hsu , Amy S. Billing , Ebonie C. Massey , Sridhar Rao Gona , Eric D. Wish
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引用次数: 0

Abstract

As opioid-related overdose emergency department visits continue to rise in the United States, there is a need to understand the location and magnitude of the crisis, especially in at-risk rural areas. We analyzed sets of ZIP code level electronic health records for emergency department visits from 6 hospitals for two rural regions of Maryland with higher opioid-related overdose rates. Analysis of the demographics of visits found Black or African American emergency department visits in both rural regions were higher than the proportion of their population per region. We trained random forest models with socio-demographic factors and health risk factors on the visits data to understand drivers and risk factors for opioid misuse. The models ranked factors relating to opioid prescribing rates, race, housing, and poor mental health as highly important. Factors associated with opioid-related overdose emergency department visits were found to vary by race, gender, and location and may provide useful insights for designing mitigation initiatives.
农村阿片类药物相关医院急诊就诊的空间模式:机器学习分析
随着美国阿片类药物相关用药过量急诊就诊率的持续上升,我们有必要了解这场危机的发生地点和严重程度,尤其是在高风险的农村地区。我们分析了马里兰州两个阿片类药物相关用药过量率较高的农村地区 6 家医院急诊科就诊的邮政编码级电子健康记录集。对就诊者的人口统计数据进行分析后发现,这两个农村地区的黑人或非裔美国人急诊就诊率高于其在每个地区的人口比例。我们对就诊数据进行了包含社会人口因素和健康风险因素的随机森林模型训练,以了解阿片类药物滥用的驱动因素和风险因素。模型将与阿片类药物处方率、种族、住房和不良心理健康有关的因素列为高度重要因素。研究发现,与阿片类药物过量相关的急诊就诊因素因种族、性别和地点的不同而有所差异,这些因素可为设计缓解措施提供有益的启示。
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来源期刊
Health & Place
Health & Place PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.70
自引率
6.20%
发文量
176
审稿时长
29 days
期刊介绍: he journal is an interdisciplinary journal dedicated to the study of all aspects of health and health care in which place or location matters.
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