Circumstances surrounding non-fatal opioid overdoses attended by ambulance services.

作者: Desiree Madah-Amiri , Thomas Clausen , Lars Myrmel , Guttorm Brattebø , Philipp Lobmaier

DOI: 10.1111/DAR.12451

关键词: Emergency medical servicesEmergency medicineMedical emergencyPsychological interventionDrug overdoseNaloxoneEveningRetrospective cohort studyRelative riskOpioid overdoseMedicine

摘要: Introduction and Aims Opioid overdose fatalities are a significant concern globally. Non-fatal overdoses have been described as strong predictor for future overdoses, often attended by the ambulance services. This paper explores characteristics associated with non-fatal aims to identify possible trends among these events in an urban area Norway. Design Methods This is retrospective analysis of from Bergen services 2012 2013. Demographic, temporal geographic data were explored. Results During two years, 463 opioid Ambulance call-outs occurred primarily during late afternoon evening hours weekdays. Summer months had more than other seasons, peak August. Overdoses nearly twice likely occur public location August (risk ratio 1.92, P = 0.042). response times be longer private locations, victims treated left at scene. There was no difference arrival time drug-related non-drug related dispatch. Discussion Conclusions The patterns suggest that non-recreational periods. The disposition addresses indicate potential opportunities peer interventions. Our describes circumstances surrounding can useful guiding relevant, targeted prevention [Madah-Amiri D, Clausen T, Myrmel L, Brattebo G, Lobmaier P. Circumstances Drug Alcohol Rev 2017;36:288-294]

参考文章(30)
Dan Seidler, Anita Schmeiser-Rieder, Oliver Schlarp, Anton N Laggner, Heroin and opiate emergencies in Vienna: analysis at the municipal ambulance service. Journal of Clinical Epidemiology. ,vol. 53, pp. 734- 741 ,(2000) , 10.1016/S0895-4356(99)00216-4
Ellen J. Amundsen, Anne Line Bretteville-Jensen, Hard drug use in Norway Nordic studies on alcohol and drugs. ,vol. 27, pp. 87- 94 ,(2010) , 10.1177/145507251002700106
Jørgen G. Bramness, Thomas Clausen, Fanny Duckert, Edle Ravndal, Helge Waal, Addiction research centres and the nurturing of creativity The Norwegian Centre for Addiction Research (SERAF). Addiction. ,vol. 106, pp. 1381- 1385 ,(2011) , 10.1111/J.1360-0443.2010.03086.X
MARK A. STOOVÉ, PAUL M. DIETZE, DAMIEN JOLLEY, Overdose deaths following previous non-fatal heroin overdose: record linkage of ambulance attendance and death registry data Drug and Alcohol Review. ,vol. 28, pp. 347- 352 ,(2009) , 10.1111/J.1465-3362.2009.00057.X
Corey S. Davis, Traci C. Green, Nickolas D. Zaller, Addressing the overdose epidemic requires timely access to data to guide interventions Drug and Alcohol Review. ,vol. 35, pp. 383- 386 ,(2016) , 10.1111/DAR.12321
Matthew Warner-Smith, Shane Darke, Carolyn Day, Morbidity associated with non-fatal heroin overdose. Addiction. ,vol. 97, pp. 963- 967 ,(2002) , 10.1046/J.1360-0443.2002.00132.X
Angela K. Clark, Christine M. Wilder, Erin L. Winstanley, A Systematic Review of Community Opioid Overdose Prevention and Naloxone Distribution Programs Journal of Addiction Medicine. ,vol. 8, pp. 153- 163 ,(2014) , 10.1097/ADM.0000000000000034
Danielle Horyniak, Louisa Degenhardt, Venita Munir, Jennifer Johnston, Craig Fry, Paul Dietze, None, Pattern and characteristics of ecstasy and related drug (ERD) presentations at two hospital emergency departments, Melbourne, Australia, 2008–2010 Emergency Medicine Journal. ,vol. 31, pp. 317- 322 ,(2014) , 10.1136/EMERMED-2012-202174