Characteristics of fatal opioid overdoses with stimulant involvement in Tennessee: A descriptive study using 2018 State Unintentional Drug Overdose Reporting System Data
| Autor: | Molly Golladay, Jenna Moses, Jessica Anne Korona-Bailey, Shanthi Krishnaswami, Olivia Bastasch, Sarah Nechuta |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Epidemiology medicine.medical_treatment Drug overdose 01 natural sciences Fentanyl Heroin 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine 0101 mathematics Retrospective Studies business.industry Public health 010102 general mathematics Retrospective cohort study Opioid overdose medicine.disease Tennessee Analgesics Opioid Stimulant Opiate Overdose Opioid Emergency medicine Drug Overdose business medicine.drug |
| Zdroj: | Annals of Epidemiology. 58:149-155 |
| ISSN: | 1047-2797 |
| Popis: | Purpose Opioid overdose deaths involving stimulants are on the rise. Demographic characteristics for these deaths to be used in prevention efforts have not been established. Methods We conducted a statewide retrospective study to evaluate the characteristics of fatal opioid overdoses with stimulant involvement using 2018 Tennessee State Unintentional Drug Overdose Reporting System data. Data sources included death certificates, autopsy reports, toxicology, and prescription drug monitoring program data. Frequencies were generated to compare demographics, circumstances, opioid history, death scene information, bystander intervention, and toxicology between fatal opioid overdoses with and without stimulant involvement. Results A total of 1183 SUDORS opioid overdose deaths occurred in Tennessee in 2018 of which 434 (36.7%) involved a stimulant. Fatal opioid overdoses involving stimulants had higher frequencies of illicit drugs on toxicology specifically marijuana, fentanyl, and heroin compared to fatal opioid overdoses without stimulants. Fatal opioid overdoses involving stimulants had higher frequencies of scene indications of injection drug use compared to fatal opioid overdoses without stimulant involvement. Conclusions Fatal overdoses are shifting from mainly opioid to multidrug involvement and over one-third include use of stimulants. This analysis can help public health practitioners understand the circumstances around fatal opioid overdoses involving stimulants to inform tailored prevention strategies. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect