Hospital Care for Opioid use in Illinois, 2016-2019.

摘要: This study analyzes trends in hospital emergency room visits and admissions for patients with opioid diagnoses seen at 214 hospitals Illinois over 42 months. Visits were coded hierarchically overdose, dependence, abuse, or use. Visit rates per 100,000 stratified by zip code level of poverty. Regression estimates the likelihood inpatient admission death are presented. There 239,069 accounting almost $5 billion total charges 710,000 days less than a 1% rate. The epidemic is concentrated poorest areas Chicago metropolitan area. was sharp gradient deaths poverty area more fivefold difference deaths. Effective state policy responses should expand to include decriminalization proven harm reduction strategies such as medically assisted treatment, access safe syringes, take home naloxone, supervised consumption facilities.