Emergency Department Visits and Overnight Hospital Stays among Persons Aged 50 and Older Who Use and Misuse Opioids
Bibliographic Data
| ID | 13914222 |
|---|---|
| Authors | Bryan Y Choi (0000-0001-8697-7346, Department of Emergency Medicine, Warren Alpert Medical School, Brown University, Providence, RI, USA), Diana M Dinitto (0000-0002-8889-2511, Steve Hicks School of Social Work, University of Texas at Austin, Austin, TX, USA), C Nathan Marti (0000-0002-6743-8512, Steve Hicks School of Social Work, University of Texas at Austin, Austin, TX, USA), Namkee G Choi (0000-0002-8382-1191, Steve Hicks School of Social Work, University of Texas at Austin, Austin, TX, USA, corresponding author) |
| Year | 2018 |
| Volume | 51 |
| Issue | 1 |
| Pages | 37-47 |
| Publication date | 2018-12-25 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Journal of Psychoactive Drugs (JOURNAL) |
| Journal identifiers | ISSN: 0279-1072 • E-ISSN: 2159-9777 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/02791072.2018.1557356 |
| PMID | 30585135 |
| OpenAlex | W2905843628 |
| Language | EN |
| References cited | 33 |
Opioid misuse and adverse health outcomes are serious problems among the 50+ age group. Using data from the 2015-2016 National Survey of Drug Use and Health (N = 17,608 respondents aged 50+), we examined emergency department (ED) visits and hospitalizations among those who reported (1) no opioid use in the past year (61.4%); (2) opioid use but no misuse (36.0%); and (3) opioid misuse (2.6%). Compared to nonusers, those who reported use but no misuse or misuse had greater odds of any ED visit (AOR = 2.24, 95% CI = 2.05-2.47 and AOR = 1.99, 95% CI = 1.55-2.56, respectively) and hospitalization (AOR = 2.87, 95% CI = 2.48-3.32 and AOR = 2.57, 95% CI = 1.88-3.51, respectively); however, only those who used but did not misuse had more ED visits and longer hospital stays than nonusers. Those who misused opioids were younger, but they did not differ from those who used but did not misuse on ED visits and hospitalizations. Since those who misused had significantly higher rates of other substance use disorders and mental health problems than those who used but did not misuse, treatment of opioid misuse should also include help for these problems. Economically disadvantaged older adults suffering from chronic pain and opioid misuse also need assistance accessing effective pain treatment
Emergency department · Medical emergency · Psychiatry · Medicine · Opioid Use Disorder Treatment · Prenatal Substance Exposure Effects · Substance Abuse Treatment and Outcomes · Emergency Medicine
Overdose Deaths Involving Opioids, Cocaine, and Psychostimulants — United States, 2015–2016
Prescription Opioid Use, Misuse, and Use Disorders in U.S. Adults
Trends in Opioid Analgesic Abuse and Mortality in the United States
Medication-Assisted Treatment of Opioid Use Disorder
CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016
The Fagerström Test for Nicotine Dependence
| Highly cited | No |
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