Eye-Related Emergency Department Visits and The Opioid Epidemic: a 10-Year Analysis
| Autor: | Asad Latif, Sohani Amarasekera, Vishal Jhanji, Deepta Raghavan, Kunal K. Dansingani, William D. Smith, Bushra Usmani, Mustafa Iftikhar, Syed Mahmood Shah, Saleema Kherani, Yasir J. Sepah, Sabrina Mukhtar |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Eye Diseases Epidemiology Infections Young Adult 03 medical and health sciences Eye Injuries 0302 clinical medicine medicine Humans Longitudinal Studies 030212 general & internal medicine Opioid Epidemic Child Orbital Fractures Retrospective Studies Endophthalmitis Opioid epidemic business.industry Incidence Opioid abuse Emergency department Middle Aged Orbital Cellulitis Eye infection Opioid-Related Disorders United States humanities Hospitalization Ophthalmology Cross-Sectional Studies Eye trauma Case-Control Studies Emergency medicine 030221 ophthalmology & optometry Wounds and Injuries Female Emergency Service Hospital business |
| Zdroj: | Ophthalmic Epidemiology. 27:300-309 |
| ISSN: | 1744-5086 0928-6586 |
| DOI: | 10.1080/09286586.2020.1744165 |
| Popis: | To describe the epidemiology of Emergency Department (ED) visits related to opioid abuse with primary ophthalmic diagnoses in the United States (US).This retrospective cross-sectional study used National ED Sample (NEDS) (2006-2015), a representative sample of all US EDs, to analyze and compare the epidemiology of primary ophthalmic diagnoses in opioid abusers and a control group of non-opioid users. National incidence and descriptive statistics were calculated for demographics and prevalent diagnoses. Multivariable logistic regression was used to compare outcomes between primary ophthalmic diagnoses in opioid and non-opioid abusers.An estimated 10,617 visits had a primary ophthalmic diagnosis and an accompanying opioid abuse diagnosis, and the incidence increased from 0.2 in 2006 to 0.6 per 100,000 US population in 2015. Opioid abuse group had more adults (6,747:63.5%) and middle-aged (3,361:31.7%) patients, while in controls adults (7,905,003:40.4%) and children (4,068,534:20.8%) were affected more. Leading etiologies were similar: traumatic and infectious etiologies were most common; however, opioid abuse patients had more severe ophthalmic diagnoses such as orbital fractures (8.4%), orbital cellulitis (7.4%), globe injury (3.4%) and endophthalmitis (3.2%) compared to controls. Patients in the opioid abuse group were also more likely to be admitted (adjusted Odds Ratio [aOR], 28.38 [95% CI, 24.50-32.87]).In the era of opioid crisis, an increase in ED visits with ophthalmic complaints is seen, with increasing direct and indirect costs on the healthcare system. More research is needed to establish causality and devise strategies to lower this burden. |
| Databáze: | OpenAIRE |
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