Prime

Type your tag names separated by a space and hit enter

Recognition and response to opioid overdose deaths-New Mexico, 2012.

Abstract

PURPOSE

Drug overdose deaths are epidemic in the U.S. Prescription opioid pain relievers (OPR) and heroin account for the majority of drug overdoses. Preventing death after an opioid overdose by naloxone administration requires the rapid identification of the overdose by witnesses. This study used a state medical examiner database to characterize fatal overdoses, evaluate witness-reported signs of overdose, and identify opportunities for intervention.

METHODS

We reviewed all unintentional drug overdose deaths that occurred in New Mexico during 2012. Data were abstracted from medical examiner records at the New Mexico Office of the Medical Investigator. We compared mutually exclusive groups of OPR and heroin-related deaths.

RESULTS

Of the 489 overdose deaths reviewed, 49.3% involved OPR, 21.7% involved heroin, 4.7% involved a mixture of OPR and heroin, and 24.3% involved only non-opioid substances. The majority of OPR-related deaths occurred in non-Hispanic whites (57.3%), men (58.5%), persons aged 40-59 years (55.2%), and those with chronic medical conditions (89.2%). Most overdose deaths occurred in the home (68.7%) and in the presence of bystanders (67.7%). OPR and heroin deaths did not differ with respect to paramedic dispatch and CPR delivery, however, heroin overdoses received naloxone twice as often (20.8% heroin vs. 10.0% OPR; p<0.01).

CONCLUSION

OPR overdose deaths differed by age, health status, and the presence of bystanders, yet received naloxone less often when compared to heroin overdose deaths. These findings suggest that naloxone education and distribution should be targeted in future prevention efforts.

Links

  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Division of Unintentional Injury Prevention, Centers for Disease Control and Prevention, 4770 Buford Highway MS-F62, Chamblee, GA 30341, United States. Electronic address: benalevy@hotmail.com.

    ,

    Women and Infants' Hospital of Rhode Island, Warrren Alpert Medical School at Brown University, United States. Electronic address: mspelke@wihri.org.

    ,

    Division of Unintentional Injury Prevention, Centers for Disease Control and Prevention, 601 Sunland Park Dr. Suite 200, El Paso, TX 79912, United States. Electronic address: lbp4@cdc.gov.

    ,

    Division of Unintentional Injury Prevention, Centers for Disease Control and Prevention, 4770 Buford Highway MS-F62, Chamblee, GA 30341, United States. Electronic address: hqp8@cdc.gov.

    ,

    The University of New Mexico, 1101 Camino de Salud NE, Albuquerque, NM 87102, United States. Electronic address: knolte@salud.unm.edu.

    ,

    The University of New Mexico, Albuquerque, NM 87131, United States. Electronic address: slathrop@salud.unm.edu.

    ,

    Center for Global Health, Centers for Disease Control and Prevention, 1600 Clifton Rd., Atlanta, GA 30329-4018, United States. Electronic address: ggi4@cdc.gov.

    New Mexico Department of Health, 1190 S. St. Francis Drive, Santa Fe, NM 87505, United States. Electronic address: Michael.Landen@state.nm.us.

    Source

    Drug and alcohol dependence 167: 2016 Oct 01 pg 29-35

    MeSH

    Adult
    Age Factors
    Analgesics, Opioid
    Drug Overdose
    Emergency Medical Services
    Female
    Health Status
    Heroin
    Humans
    Male
    Middle Aged
    Naloxone
    Narcotic Antagonists
    New Mexico

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    27507658