ArticleHealth promotion and chronic disease prevention in Canada : research, policy and practice2018
Sentinel surveillance of suspected opioid-related poisonings and injuries: trends and context derived from the electronic Canadian Hospitals Injury Reporting and Prevention Program, March 2011 to June 2017.
Article in Health promotion and chronic disease prevention in Canada : research, policy and practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 13 citations in OpenAlex.
- Is urinary toxicology rapid screening a useful first-line diagnostic tool for paediatric coma in the emergency department?Frontiers in pediatrics · 2026Review
- A mixed methods study on poisoning and injury-related emergency department visits associated with opioids in Canada, 2011 to 2022: from the Canadian hospitals injury reporting and prevention program.BMC public health · 2024Article
- Impact of substance-related harms on injury hospitalizations in Canada, from 2010 to 2020.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2023Article
- Sentinel surveillance of substance-related self-harm in Canadian emergency departments, 2011 - 19.BMC public health · 2022Article
- Strengthening surveillance of consumer products in Canada: the vaping example.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2020Article
- Injuries and poisonings associated with methamphetamine use: sentinel surveillance, the electronic Canadian Hospitals Injury Reporting and Prevention Program (eCHIRPP), 2011-2019.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2020Article
- Suicidal motivations reported by opioid overdose survivors: A cross-sectional study of adults with opioid use disorder.Drug and alcohol dependence · 2019Article
- Commentary - Broadening our understanding of Canada's epidemics of pharmaceutical and contaminated street drug opioid-related overdoses.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2018Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe opioid epidemic is currently a major public health problem in Canada. As such, knowledge of upstream risk factors associated with opioid use is needed to inform injury prevention, health promotion and harm reduction efforts.
methodsWe analyzed data extracted from 11 pediatric and 6 general hospital emergency departments (EDs) as part of the electronic Canadian Hospitals Injury Reporting and Prevention Program (eCHIRPP) from March 2011 to June 2017. We identified suspected opioid-related injuries using search strings and manually verified them. We computed age-adjusted and sex-stratified proportionate injury ratios (PIRs) and 95% confidence intervals (CIs) to compare opioid-related injuries to all injuries in eCHIRPP. Negative binomial regression was used to determine trends over time. We conducted qualitative analyses of narratives to identify common themes across life stages.
resultsBetween March 2011 and June 2017, 583 suspected opioid-related poisoning/ injury cases were identified from eCHIRPP. Most of the cases were females (55%). Many of the injuries occurred in patients' own homes (51%). Forty-five percent of the injuries were intentional self-harm. Among children (aged 1-9 years), most injuries were caused by inadvertent consumption of opioids left unattended. Among youth (aged 10-19 years) and adults (aged 20-49 years), opioid use was associated with underlying mental illness. Overall, the average annual percent change (AAPC) in the rate of injuries (per 100 000 eCHIRPP cases) has been increasing since 2012 (AAPC = 11.9%, p < .05). The increase is particularly evident for males (AAPC = 16.3%, p < .05). Compared to other injuries, people with suspected opioid-related injuries were more likely to be admitted to hospital (PIR = 5.3, 95% CI: 4.6-6.2).
conclusionThe upstream determinants of opioid-related injuries are complex and likely vary by subpopulations. Therefore, continued monitoring of risk factors is important in providing the evidence necessary to prevent future overdoses and deaths.
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