Opioid-related Emergency Department Visits and Hospitalizations Among Commercially Insured Individuals, 2009-2015
| Autor: | Nicole Fergestrom, Cynthia Kay, Jeffrey L. Jackson, Joanne Bernstein |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Databases Factual medicine.drug_class MEDLINE Opioid prescribing 03 medical and health sciences Young Adult 0302 clinical medicine medicine Humans 030212 general & internal medicine Young adult Aged Aged 80 and over Benzodiazepine Insurance Health North central business.industry Secondary data Emergency department Middle Aged Analgesics Opioid Hospitalization Anesthesiology and Pain Medicine Opioid Emergency medicine Female Neurology (clinical) Drug Overdose business Emergency Service Hospital 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | The Clinical journal of pain. 34(12) |
| ISSN: | 1536-5409 |
| Popis: | Objectives Overall opioid prescribing rates have decreased since 2012, but opioid-involved deaths have not. This study describes the regional and overall trends of opioid-related emergency department visits (EDVs) and hospitalizations of commercially insured patients on chronic opioids and those on concurrent opioids and benzodiazepines. Methods Secondary data analysis from Truven Health MarketScan Commercial Claims and Encounters (MarketScan) database from 2009 to 2015 was used. Outcomes were geographic rates of opioid-related EDVs and hospitalizations and rates of concurrent benzodiazepine and opioid use. Results Rates of opioid-related EDVs and hospitalizations for patients on chronic opioids have decreased since 2009. Two thirds of those with opioid-related EDVs and nearly 3-quarters of those with an opioid-related hospitalization were coprescribed benzodiazepines. The North Central region had the highest proportion of individuals on chronic opioid therapy (2.7%) in 2015. However, the South had not only the highest rates of opioid-related EDVs (23/100,000 in 2015) and opioid-related hospitalizations (39/100,000 in 2015) but also the largest percentage of individuals on concurrent opioids and benzodiazepines (41%). Discussion Rates of opioid-related EDVs and hospitalizations, as well as concurrent opioid and benzodiazepine use, vary geographically. More research is needed to examine factors that impact regional variation and what influences the concurrent use of opioids and benzodiazepines. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|