• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Addiction >Determining the Impact of the Opioid Crisis on a Tertiary-Care Hospital in Central New York to Identify Critical Areas of Intervention in the Local Community
【24h】

Determining the Impact of the Opioid Crisis on a Tertiary-Care Hospital in Central New York to Identify Critical Areas of Intervention in the Local Community

机译：确定阿片类药物危机对纽约市中心医院的影响，确定当地社区的关键干预领域

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background. Central New York has been afflicted by the heroin epidemic with an increase in overdose deaths involving opioids. Objective. The objective of the study was to understand the epidemiology of hospitalizations related to a diagnosis of opioid use (OU). Design. The study was designed as a retrospective analysis of hospitalized patients admitted from January 1, 2008, to December 30, 2018, using ICD-9 and 10 codes for heroin or opiate use, overdose, or poisoning. Setting. The study was conducted in a tertiary-care and teaching hospital located in Central New York. Patients. Hospitalized patients were included as study participants. Results. Opioid use-related admissions increased from .05/100 hospital admissions in 2008 to a peak of 2.9/100 in 2018, a 58-fold increase. There were 49 deaths over the 11-year period for an overall case fatality of 1.2 per 100 OU admissions. The median age for all years was 40 years (SD of 13.7 years), and admissions were largely white caucasians (67.0% of all admissions). The mean length of stay was 8.55 days (SD 12 days), with a range of 1 to 153 days. The most frequent discharge diagnosis was due to infections (15.0% of discharge diagnoses) followed by trauma (5.8% of discharge diagnoses). Methicillin-resistant Staphylococcus aureus was more common in patients with OU (58.1%) than in patients with non-OU (43%) (p0.0001 by chi-square with Yates’ correction). Spatial analysis was performed by zip code and demonstrated regional hotspots for OU-related admissions. Limitations. The limitations of this study are its retrospective nature and largely numerator-based analysis. The use of ICD codes underrepresents the true burden due to underreporting and failure to code appropriately. This study focuses on patients who are hospitalized for a medical reason with a secondary diagnosis of opioid use and does not include patients who present to the emergency room with an overdose underrepresenting the true burden of the problem. Conclusions. Our results demonstrate the impact of the opioid epidemic in one tertiary-care center and the need to prepare for the costs and resources to address addiction care for this population.
机译：背景。纽约市中心因海洛因流行病而受到涉及阿片类药物的过量死亡的影响。客观的。该研究的目的是了解与阿片类药物使用诊断（OU）有关的住院的流行病学。设计。该研究被设计为从2008年1月1日至2018年12月30日入院的住院患者的回顾性分析，使用ICD-9和10个代码用于海洛因或阿片类药物，过量或中毒。环境。该研究在位于纽约市中心的一家高级护理和教学医院进行。耐心。住院患者作为研究参与者包括住院患者。结果。阿片类药物的使用相关录取从2008年的0.05 / 100医院入院增加到2018年的2.9 / 100的峰值，增加58倍。 11年内，在11年期间有49人死亡，整体案件致命是每100欧录取1.2。全年期间的年龄为40岁（SD为13.7岁），招生主要是白人白人（占所有入学67.0％）。平均入住时间为8.55天（SD 12天），范围为1至153天。最常见的放电诊断是由于感染（15.0％的放电诊断），然后是创伤（排放诊断的5.8％）。在OU（58.1％）的患者中，耐甲氧西蛋白抗性金黄色葡萄球菌比在非OU（43％）的患者患者（Chi-Square，带有Yates校正的P <0.0001）。空间分析由邮政编码执行，并显示与OU相关录取的区域热点。限制。该研究的局限性是其回顾性和基于分子的分析。使用ICD代码代表代表性的真正负担，由于泄露和适当的代码。本研究重点介绍，患者因患有阿片类药物的二次诊断而入院的患者，并且不包括以过量给予急诊室的患者，这是陈述问题的真正负担。结论。我们的结果证明了阿片类疫情在一个第三节护理中心的影响以及准备成本和资源的需要，以解决这一人口的成瘾。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号