Emergency Room Utilization and Methamphetamine Overdose Symptoms Among Syringe Services Program Participants in Washington State
Datos Bibliográficos
| ID | 21645387 |
|---|---|
| Autores | Noah D Frank (0000-0002-4418-2753, University of Washington), Caleb J Banta‐green (0000-0003-4084-6943, University of Washington), Caleb J Banta-Green (University of Washington), Brandon L Guthrie (0000-0002-2059-3291, University of Washington), Susan Kingston (University of Washington), Joe Tinsley (Public Health – Seattle & King County), Lauren Whiteside (0000-0002-0284-5336, University of Washington), Sara N Glick (0000-0003-2076-3083, University of Washington, autor de correspondencia) |
| Año | 2024 |
| Volumen | 59 |
| Número | 7 |
| Páginas | 1012-1019 |
| Fecha de publicación | 2024-06-06 |
| Peer Reviewed | Sí |
| Open Access | No |
| Tipo | ARTICLE |
| Revista | Substance Use & Misuse (JOURNAL) |
| Identificadores de la revista | ISSN: 1082-6084 • E-ISSN: 1532-2491 |
| Editorial | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/10826084.2024.2317148 |
| PMID | 38369494 |
| OpenAlex | W4391932579 |
| Idioma | EN |
| Referencias citadas | 22 |
BACKGROUND: Methamphetamine overdose can cause severe psychological and physical health issues including psychosis, heart attack, and death. People who use methamphetamine (PWUM) who experience methamphetamine overdose symptoms (MOS) are advised to seek emergency healthcare; however, factors related to seeking care are not well characterized. METHODS: = 955). Participants answered questions related to substance use including emergency department/room (ER) utilization for methamphetamine use and whether they experienced psychological and physical MOS. Using Poisson regression, we assessed the association between ER utilization for methamphetamine use, non-fatal opioid overdose, and other key covariates among PWUM who experienced MOS. RESULTS: Methamphetamine use in the last three months was reported by 86% of participants. Among PWUM, 31% reported psychological MOS, 19% reported physical MOS, and 37% reported ≥1 MOS in the prior three months. Non-fatal opioid overdose (adjusted prevalence ratio [APR] = 2.04, 95% CI = 1.38-3.03), main drug of goofball (heroin and methamphetamine combined) (APR = 1.98, 95% CI = 1.34-2.92) and recent blood infection/sepsis (APR = 2.07, 95% CI = 1.24-3.46) were associated with ER utilization for MOS. CONCLUSION: Among people who use SSPs in Washington State, methamphetamine use remains high, and MOS are common. Recent non-fatal opioid overdose was positively associated with ER utilization for methamphetamine use among PWUM who experienced MOS. Patients in the ER for MOS should be screened for opioid use disorder and linked with harm reduction supplies like naloxone and medications for opioid use disorder
Drug · Drug overdose · Emergency department · Heroin · Methamphetamine · Opioid · Opioid overdose · Poison control · Polysubstance dependence · Psychiatry · Substance abuse · HIV, Drug Use, Sexual Risk · Medicine · Opioid Use Disorder Treatment · Substance Abuse Treatment and Outcomes · Emergency Medicine · Internal Medicine
| Velocidad de citación | historical |
|---|---|
| Altamente citado | No |