ArticlePublic health reports (Washington, D.C. : 1974)
Use of Emergency Department Data to Monitor and Respond to an Increase in Opioid Overdoses in New Hampshire, 2011-2015.
Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evidence-based framework for identifying opioid use disorder in administrative data: A systematic review and methodological development study.Pain medicine (Malden, Mass.) · 2026Pooled it
- Diagnosis and coding of opioid misuse: a systematic scoping review and implementation framework.Pain medicine (Malden, Mass.) · 2025Article
- Compassion, stigma, and professionalism among emergency personnel responding to the opioid crisis: An exploratory study in New Hampshire, USA.Journal of the American College of Emergency Physicians open · 2022Article
- Epidemiological study of opioid use disorder in French emergency departments, 2010-2018 from OSCOUR database.BMJ open · 2020Article
- Strengths and weaknesses of existing data sources to support research to address the opioids crisis.Preventive medicine reports · 2020Review
- Article
- "You can see those concentric rings going out": Emergency personnel's experiences treating overdose and perspectives on policy-level responses to the opioid crisis in New Hampshire.Drug and alcohol dependence · 2019Article
- Determining spatial access to opioid use disorder treatment and emergency medical services in New Hampshire.Journal of substance abuse treatment · 2019Article
- Using Real-Time Syndromic Surveillance to Analyze the Impact of a Cold Weather Event in New Mexico.Journal of environmental and public health · 2018Article
- Emergency Medical Services and Syndromic Surveillance: A Comparison With Traditional Surveillance and Effects on Timeliness.Public health reports (Washington, D.C. : 1974)Article
- Socioeconomic factors and substances involved in poisoning-related emergency department visits in British Columbia, Canada.Health promotion and chronic disease prevention in Canada : research, policy and practiceArticle
- Using Syndromic Surveillance for All-Hazards Public Health Surveillance: Successes, Challenges, and the Future.Public health reports (Washington, D.C. : 1974)Article
- An Evaluation of Syndromic Surveillance-Related Practices Among Selected State and Local Health Agencies.Journal of public health management and practice : JPHMPArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesOpioid-related overdoses and deaths in New Hampshire have increased substantially in recent years, similar to increases observed across the United States. We queried emergency department (ED) data in New Hampshire to monitor opioid-related ED encounters as part of the public health response to this health problem.
methodsWe obtained data on opioid-related ED encounters for the period January 1, 2011, through December 31, 2015, from New Hampshire's syndromic surveillance ED data system by querying for (1) chief complaint text related to the words "fentanyl," "heroin," "opiate," and "opioid" and (2) opioid-related International Classification of Diseases ( ICD) codes. We then analyzed the data to calculate frequencies of opioid-related ED encounters by age, sex, residence, chief complaint text values, and ICD codes.
resultsOpioid-related ED encounters increased by 70% during the study period, from 3300 in 2011 to 5603 in 2015; the largest increases occurred in adults aged 18-29 and in males. Of 20 994 total opioid-related ED visits, we identified 18 554 (88%) using ICD code alone, 690 (3%) using chief complaint text alone, and 1750 (8%) using both chief complaint text and ICD code. For those encounters identified by ICD code only, the corresponding chief complaint text included varied and nonspecific words, with the most common being "pain" (n = 3335, 18%), "overdose" (n = 1555, 8%), "suicidal" (n = 816, 4%), "drug" (n = 803, 4%), and "detox" (n = 750, 4%). Heroin-specific encounters increased by 827%, from 4% of opioid-related encounters in 2011 to 24% of encounters in 2015.
conclusionsOpioid-related ED encounters in New Hampshire increased substantially from 2011 to 2015. Data from New Hampshire's ED syndromic surveillance system provided timely situational awareness to public health partners to support the overall response to the opioid epidemic.
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