The definition of opioid-related deaths in Australia: implications for surveillance and policy
The definition of opioid-related deaths in Australia: implications for surveillance and policy
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DOI：
10.1080/09595230500286021
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发表时间：
2005-09-01
影响因子：
3.8
通讯作者：
Degenhardt, LJ
中科院分区：
文献类型：
--
作者：
Jauncey, ME;Taylor, LK;Degenhardt, LJ
报告的类阿片使用造成的死亡人数取决于类阿片相关死亡的定义。在这项研究中，我们使用澳大利亚统计局（ABS）的死亡率数据来说明用于记录死亡原因的分类代码的选择如何影响国家监测阿片类药物死亡的统计数据。使用1997 - 2002年ABS死亡率数据中的国际疾病分类第10版（ICD- 10）代码，我们检查了阿片类药物被报告为促成或潜在原因的所有死亡。6年期间，共有5839例因使用阿片类药物而死亡的病例。对阿片类药物相关意外死亡的三种可能的监测定义进行了检查，并与每年报告的阿片类药物死亡总数进行了比较。年龄限制，往往放在监视定义，也进行了审查。正如预期的那样，采用更具包容性的定义，死亡人数更高。无论使用何种定义，死亡趋势都相似;然而，澳大利亚各州之间的比较显示，根据定义的不同，类阿片相关意外死亡的绝对数量相差高达两倍。对所报告的类阿片死亡人数的任何解释都应具体说明对数据的任何限制，并说明所用定义的含义。
The reported number of deaths caused by opioid use depends on the definition of an opioid- related death. In this study, we used Australian Bureau of Statistics ( ABS) mortality data to illustrate how choice of classification codes used to record cause of death can impact on the statistics reported for national surveillance of opioid deaths. Using International Classification of Diseases version 10 ( ICD- 10) codes from ABS mortality data 1997 - 2002, we examined all deaths where opioids were reported as a contributing or underlying cause. For the 6- year period there was a total of 5839 deaths where opioids were reported. Three possible surveillance definitions of accidental opioid- related deaths were examined, and compared to the total number of deaths where opioids were reported for each year. Age restrictions, often placed on surveillance definitions, were also examined. As expected, the number of deaths was higher with the more inclusive definitions. Trends in deaths were found to be similar regardless of the definition used; however, a comparison between Australian states revealed up to a twofold difference in the absolute numbers of accidental opioid- related deaths, depending on the definition. Any interpretation of reported numbers of opioid deaths should specify any restrictions placed on the data, and describe the implications of definitions used.