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Retrospective case series analysis of characteristics and trends in unintentional pharmaceutical drug poisoning by methadone, opioid analgesics, antidepressants and benzodiazepines in Clark County, NV 2009-13.
J Public Health (Oxf). 2017 06 01; 39(2):304-311.JP

Abstract

Background

Poisoning has become the leading cause of injury death in the USA-with opioid analgesic involved in more fatal poisonings than any other drug, including cocaine and heroin. The epidemic of prescription drug poisonings is a public health concern. This study aimed to define potential high-risk groups for unintentional prescription drug poisoning by methadone, opioid analgesics, antidepressants or benzodiazepines.

Methods

A hospital-based retrospective case series analysis of admissions related to prescription drug poisonings associated with methadone, opioid analgesics, antidepressants or benzodiazepines for hospitals in Clark County, Nevada between 2009 and 2013 was employed.

Results

There were 7414 admissions with a primary diagnosis of an unintentional poisoning due to methadone, opioid analgesics, antidepressants or benzodiazepines. Women had the highest rate of admissions particularly in the 45-54 age group. Higher rates of admissions were also found among non-Hispanic whites, single and uninsured populations. There were concerning increases in admissions among 65+ and Native American/Alaskan Native subgroups in 2013. Benzodiazepines and opioid analgesics were the most prevalent drug categories for prescription drug poisoning admissions.

Conclusion

Public health professionals can utilize hospital data to identify populations at risk and in need of targeted interventions.

Authors+Show Affiliations

Department of Global and Environmental Health, School of Community Health Sciences, University of Nevada, Las Vegas, NV 89154, USA.Department of Global and Environmental Health, School of Community Health Sciences, University of Nevada, Las Vegas, NV 89154, USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

27222239

Citation

Bruno, Tamara, and Jennifer R. Pharr. "Retrospective Case Series Analysis of Characteristics and Trends in Unintentional Pharmaceutical Drug Poisoning By Methadone, Opioid Analgesics, Antidepressants and Benzodiazepines in Clark County, NV 2009-13." Journal of Public Health (Oxford, England), vol. 39, no. 2, 2017, pp. 304-311.
Bruno T, Pharr JR. Retrospective case series analysis of characteristics and trends in unintentional pharmaceutical drug poisoning by methadone, opioid analgesics, antidepressants and benzodiazepines in Clark County, NV 2009-13. J Public Health (Oxf). 2017;39(2):304-311.
Bruno, T., & Pharr, J. R. (2017). Retrospective case series analysis of characteristics and trends in unintentional pharmaceutical drug poisoning by methadone, opioid analgesics, antidepressants and benzodiazepines in Clark County, NV 2009-13. Journal of Public Health (Oxford, England), 39(2), 304-311. https://doi.org/10.1093/pubmed/fdw052
Bruno T, Pharr JR. Retrospective Case Series Analysis of Characteristics and Trends in Unintentional Pharmaceutical Drug Poisoning By Methadone, Opioid Analgesics, Antidepressants and Benzodiazepines in Clark County, NV 2009-13. J Public Health (Oxf). 2017 06 1;39(2):304-311. PubMed PMID: 27222239.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Retrospective case series analysis of characteristics and trends in unintentional pharmaceutical drug poisoning by methadone, opioid analgesics, antidepressants and benzodiazepines in Clark County, NV 2009-13. AU - Bruno,Tamara, AU - Pharr,Jennifer R, PY - 2016/5/26/pubmed PY - 2018/5/4/medline PY - 2016/5/26/entrez KW - emergency care KW - morbidity and mortality KW - public health SP - 304 EP - 311 JF - Journal of public health (Oxford, England) JO - J Public Health (Oxf) VL - 39 IS - 2 N2 - Background: Poisoning has become the leading cause of injury death in the USA-with opioid analgesic involved in more fatal poisonings than any other drug, including cocaine and heroin. The epidemic of prescription drug poisonings is a public health concern. This study aimed to define potential high-risk groups for unintentional prescription drug poisoning by methadone, opioid analgesics, antidepressants or benzodiazepines. Methods: A hospital-based retrospective case series analysis of admissions related to prescription drug poisonings associated with methadone, opioid analgesics, antidepressants or benzodiazepines for hospitals in Clark County, Nevada between 2009 and 2013 was employed. Results: There were 7414 admissions with a primary diagnosis of an unintentional poisoning due to methadone, opioid analgesics, antidepressants or benzodiazepines. Women had the highest rate of admissions particularly in the 45-54 age group. Higher rates of admissions were also found among non-Hispanic whites, single and uninsured populations. There were concerning increases in admissions among 65+ and Native American/Alaskan Native subgroups in 2013. Benzodiazepines and opioid analgesics were the most prevalent drug categories for prescription drug poisoning admissions. Conclusion: Public health professionals can utilize hospital data to identify populations at risk and in need of targeted interventions. SN - 1741-3850 UR - https://www.unboundmedicine.com/medline/citation/27222239/Retrospective_case_series_analysis_of_characteristics_and_trends_in_unintentional_pharmaceutical_drug_poisoning_by_methadone_opioid_analgesics_antidepressants_and_benzodiazepines_in_Clark_County_NV_2009_13_ L2 - https://academic.oup.com/jpubhealth/article-lookup/doi/10.1093/pubmed/fdw052 DB - PRIME DP - Unbound Medicine ER -