美国中年人中阿片类药物过量者居多：2018年第一季度至2023年第三季度911调度数据分析。

IF 2.7 3区医学 Q1 EMERGENCY MEDICINE

American Journal of Emergency Medicine Pub Date : 2024-09-28 DOI:10.1016/j.ajem.2024.09.057

Andrew J. McCabe PhD, MPH, Nae Y. Won PhD, MPH, Linda B. Cottler PhD, MPH, FACE

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引用次数: 0

摘要

背景：近年来，阿片类药物过量的增加速度令人担忧。据报道，中年人是阿片类药物过量的高关注年龄组。本研究旨在评估 2018 年第一季度至 2023 年第三季度期间不同年龄段阿片类药物过量 911 派送的趋势。根据假设，中年人的调度次数将急剧增加：我们使用 biosptial, io 收集的紧急医疗服务（EMS）数据评估了与阿片类药物相关的 911 派单的年龄相关趋势。数据涵盖美国所有 50 个州，并按 2018 年第一季度至 2023 年第三季度之间的年度季度划分。年龄组包括年轻人（10 至 29 岁）、中年人（30 至 49 岁）和老年人（50 至 69 岁）。采用连接点回归法研究这些趋势：共报告了 1,420,298 次与阿片类药物相关的 911 派遣。其中大部分是中年人，占所有派遣的 48.9%（n = 682 132）。在 2018 年第一季度和 2021 年第二季度之间，发现派遣次数总体上显著增加（β = 0.096，SE = 0.006，P ≤ 0.001）。在 2018 年第 1 季度至 2021 年第 2 季度期间，中年人的增幅最大（β = 0.104，SE = 0.007，P≤0.001）。2021 年第 2 季度至 2023 年第 3 季度期间，年轻个体的派遣次数明显减少（β = -0.024，SE = 0.011，P = .036）：2018 年第一季度至 2021 年第二季度期间，中年人与阿片类药物相关的 911 派遣次数大幅增加，与其他年龄组相比增幅最大。与此相反，年轻人的派遣次数近期有所减少。这些发现支持了之前的迹象，即中年人面临阿片类药物过量的重大风险。有必要开展更多研究，以确定可能影响这些趋势的地理和人口因素。

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The preponderance of opioid overdoses among middle-aged individuals in the US: Analysis of 911 dispatch data — Q1 2018 to Q3 2023

Background

Opioid overdoses have increased at a concerning rate in recent years. Middle-aged individuals have been reported as an age group of high concern for opioid overdoses. The purpose of this study was to assess trends in opioid overdose 911 dispatches between Q1 2018 and Q3 2023 among different age groups. It was hypothesized that the steepest increase in dispatches would be among middle-aged individuals.

Methods

We assessed age-related trends in opioid-related 911 dispatches using emergency medical service (EMS) data collected by biosptial, io. Data encompassed all 50 states and were broken into yearly quarters between Q1 2018 and Q3 2023. Age groups included younger- (10 to 29), middle- (30 to 49), and older-aged (50 to 69) individuals. Joinpoint regression was utilized to examine these trends.

Results

There were a total of 1,420,298 opioid-related 911 dispatches reported. Most were reported among middle-aged individuals, accounting for 48.9 % (n = 682,132) of all dispatches. Significant increases in dispatches were identified overall between Q1 2018 and Q2 2021 (β = 0.096, SE = 0.006, P ≤ 0.001). The steepest increase was identified among middle-aged individuals between Q1 2018 and Q2 2021 (β = 0.104, SE = 0.007, P ≤ 0.001). There was a significant decrease in dispatches among younger-aged individuals between Q2 2021 and Q3 2023 (β = −0.024, SE = 0.011, P = .036).

Conclusion

Middle-aged individuals experienced significant increases in opioid-related 911 dispatches between Q1 2018 and Q2 2021, and had the steepest increase compared to the other age groups. Conversely, younger-aged individuals have experienced a recent decrease in dispatches. These findings support previous indications that middle-aged individuals are at significant risk for opioid overdose. Additional research is necessary to identify geographic and demographic factors that may affect these trends.

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来源期刊

American Journal of Emergency Medicine 医学-急救医学

CiteScore

6.00

自引率

5.60%

发文量

730

审稿时长

42 days

期刊介绍： A distinctive blend of practicality and scholarliness makes the American Journal of Emergency Medicine a key source for information on emergency medical care. Covering all activities concerned with emergency medicine, it is the journal to turn to for information to help increase the ability to understand, recognize and treat emergency conditions. Issues contain clinical articles, case reports, review articles, editorials, international notes, book reviews and more.