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Characteristics of Patients Presenting at an Emergency Department for a Heroin Overdose vs Detoxification.
Leonard, Kenneth E; Lynch, Joshua J; Leong, Florence W; Kruger, Daniel J; Clemency, Brian M.
Afiliación
  • Leonard KE; Department of Psychiatry and Clinical and Research Institute on Addiction, University at Buffalo, The State University of New York, Buffalo, NY, USA.
  • Lynch JJ; Department of Emergency Medicine and Clinical and Research Institute on Addiction, University at Buffalo, The State University of New York, Buffalo, NY, USA.
  • Leong FW; Clinical and Research Institute on Addiction, University at Buffalo, The State University of New York, Buffalo, NY, USA.
  • Kruger DJ; Department of Emergency Medicine and Clinical and Research Institute on Addiction, University at Buffalo, The State University of New York, Buffalo, NY, USA.
  • Clemency BM; Department of Emergency Medicine and Clinical and Research Institute on Addiction, University at Buffalo, The State University of New York, Buffalo, NY, USA.
Subst Abuse Rehabil ; 15: 79-85, 2024.
Article en En | MEDLINE | ID: mdl-38948167
ABSTRACT

Purpose:

This study compares substance use, treatment histories, and sociodemographic characteristics of patients presenting to an emergency department (ED) following a heroin overdose or seeking detoxification services for heroin and examines risk factors for a subsequent return to the ED for a substance-related problem.

Methods:

A convenience sample of patients presenting for an overdose or detoxification at an urban teaching ED was recruited for this study. During their ED visit, patients were interviewed regarding demographics, substance use experiences, and treatment history. Subsequently, a review of patient records for past and subsequent ED use was performed.

Results:

Patients requesting detox and those with an overdose were similar in terms of prior treatment. Both groups had similar extensive polysubstance histories. As a group, however, patients presenting for detox were more likely to report use of each of three substances (benzodiazepines, opioid pain medications, and heroin) more than three times per week, compared to those presenting for overdose. Detox patients had higher scores on the 3-item Alcohol Use Disorder Identification Test-C and the drug problems scale compared to overdose patients. Overall, 28% of the patients returned to the ED within 90 days for a drug-related issue, including 8% that returned for an overdose. Factors predictive of a return ED visit included ED visits for substance use in the previous year and recent frequent heroin use.

Conclusion:

Patients requesting detox were similar in most domains to those presenting following an overdose. Notably, overdose patients were less likely to use heroin more than three times per week compared to detox patients. Both groups were equally likely to return for an SUD reason within 3-months, however for both groups, previous ED visits and recent frequent heroin use predicted a return visit.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Subst Abuse Rehabil Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Nueva Zelanda
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Subst Abuse Rehabil Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Nueva Zelanda