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Opioid Exposures Reported to U.S. Poison Centers

Bibliographic Data

ID21646422
AuthorsSaumitra V Rege (0000-0002-9348-0052, Division of Medical Toxicology, Department of Emergency Medicine, University of Virginia School of Medicine, corresponding author), Moira Smith (0000-0002-6681-6534, Division of Medical Toxicology, Department of Emergency Medicine, University of Virginia School of Medicine), Heather A Borek (Division of Medical Toxicology, Department of Emergency Medicine, University of Virginia School of Medicine), Christopher P Holstege (Division of Medical Toxicology, Department of Emergency Medicine, University of Virginia School of Medicine)
Year2021
Volume56
Issue8
Pages1169-1181
Publication date2021-07-03
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueSubstance Use & Misuse (JOURNAL)
Journal identifiersISSN: 1082-6084 • E-ISSN: 1532-2491
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10826084.2021.1914101
PMID33939935
OpenAlexW3158872618
LanguageEN
Citations received1
References cited68

OBJECTIVE: Opioid-related deaths are a leading cause of accidental deaths in the United States (U.S.). This study aims to examine the national trends in opioid exposures reported to U.S. poison centers (PCs). METHODS: The National Poison Data System (NPDS) was queried for opioid exposures between 2011 and 2018. We descriptively assessed the demographic and clinical characteristics. Trends in opioid frequencies and rates were analyzed using Poisson regression. Independent predictors of serious adverse events in opioid exposures were studied. RESULTS: < 0.001). Multiple substance exposures accounted for 48.9% cases. The most frequent age group was 20-29 years (19.3%). Suspected suicides accounted for 34.9% cases. There were 7,246 deaths in our study sample, with 6.8% of cases demonstrating major effects. Hydrocodone was the most frequently observed opioid causing a toxic exposure and naloxone was used in 20.6% cases. Important predictors of a serious adverse event were age, gender, multi-substance exposures, and reasons for exposure. CONCLUSIONS: Analysis of calls to PCs indicated a decreasing trend of opioid exposures. However, the proportion of SAEs due to such exposures increased. There was a high proportion of intentional exposures and occurred in older age groups. PCs are a vital component of real-time public health surveillance of overdoses in the current opioid crisis

Environmental health · Injury prevention · Medical emergency · Occupational safety and health · Opioid · Poison control · Psychiatry · Suicide prevention · Human Factors and Ergonomics · Medicine · Opioid Use Disorder Treatment · Poisoning and overdose treatments · Psychology · Suicide and Self-Harm Studies · Internal Medicine

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Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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