Signal of increased opioid overdose during COVID-19 from emergency medical services data
Signal of increased opioid overdose during COVID-19 from emergency medical services data
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DOI：
10.1016/j.drugalcdep.2020.108176
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发表时间：
2020-09-01
影响因子：
4.2
通讯作者：
Walsh, Sharon L.
中科院分区：
文献类型：
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作者：
Slavova, Svetla;Rock, Peter;Walsh, Sharon L.
背景资料：阿片类药物使用障碍患者在COVID-19期间的社会隔离、经济困境和治疗服务中断期间，阿片类药物过量的风险可能会增加。本研究评估了2020年1月14日至2020年4月26日期间肯塔基州紧急医疗服务（EMS）阿片类药物过量每日运行次数的变化。方法：我们评估了2020年3月6日COVID-19紧急状态宣布前后52天内平均每日EMS阿片类药物过量运行次数变化的统计学显著性。结果：肯塔基州EMS阿片类药物过量每日运行增加后，COVID-19国家紧急声明。相比之下，EMS在其他条件下的日运行量持平或下降。EMS阿片类药物过量运送到急诊室（艾德）的次数增加了17%，拒绝运送的次数增加了71%，疑似阿片类药物过量在现场死亡的次数增加了50%。在COVID-19相关研究期间，平均每天EMS阿片类药物过量运行并拒绝运输显着增加，平均每天增加一倍，达到8名阿片类药物过量患者拒绝运输。这项针对哥伦比亚的研究提供了经验证据，证明人们担心阿片类药物过量在COVID-19期间正在上升。19大流行，并呼吁分享来自不同区域和监测系统的观察和分析，及时收集数据（例如，EMS数据、艾德就诊的综合征监测数据），以提高我们对情况的了解，告知积极主动的反应，并防止我们社区的另一大波阿片类药物过量。
Background: Individuals with opioid use disorder may be at heightened risk of opioid overdose during the COVID-19 period of social isolation, economic distress, and disrupted treatment services delivery. This study evaluated changes in daily number of Kentucky emergency medical services (EMS) runs for opioid overdose between January 14, 2020 and April 26, 2020.Methods: We evaluated the statistical significance of the changes in the average daily EMS opioid overdose runs in the 52 days before and after the COVID-19 state of emergency declaration, March 6, 2020.Results: Kentucky EMS opioid overdose daily runs increased after the COVID-19 state emergency declaration. In contrast, EMS daily runs for other conditions leveled or declined. There was a 17% increase in the number of EMS opioid overdose runs with transportation to an emergency department (ED), a 71% increase in runs with refused transportation, and a 50% increase in runs for suspected opioid overdoses with deaths at the scene. The average daily EMS opioid overdose runs with refused transportation increased significantly, doubled to an average of 8 opioid overdose patients refusing transportation every day during the COVID-19-related study period.Conclusions: This Kentucky-specific study provides empirical evidence for concerns that opioid overdoses are rising during the COVID-19 pandemic and calls for sharing of observations and analyses from different regions and surveillance systems with timely data collection (e.g., EMS data, syndromic surveillance data for ED visits) to improve our understanding of the situation, inform proactive response, and prevent another big wave of opioid overdoses in our communities.