ArticleHealth promotion and chronic disease prevention in Canada : research, policy and practice2018
Patterns of health care utilization among people who overdosed from illegal drugs: a descriptive analysis using the BC Provincial Overdose Cohort.
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 19 papers.
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19 citing papers in PubMed, 34 citations in OpenAlex.
- Article
- "Before medically advised" departure from hospital and subsequent drug overdose: a population-based cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024Article
- Screening for harmful substance use in emergency departments: a systematic review.International journal of emergency medicine · 2024Article
- An emergency-department-initiated outreach program for patients with opioid use disorder is associated with an increase in agonist therapy and engagement in addictions care: a one-year cohort study.Substance abuse treatment, prevention, and policy · 2024Article
- Healthcare provider perspectives on emergency department-initiated buprenorphine/naloxone: a qualitative study.BMC health services research · 2024Article
- Effect of Risk Mitigation Guidance opioid and stimulant dispensations on mortality and acute care visits during dual public health emergencies: retrospective cohort study.BMJ (Clinical research ed.) · 2024Article
- Self-discharge during treatment for acute recreational drug toxicity: an observational study from emergency departments in seven European countries.International journal of emergency medicine · 2023Article
- Article
- Qualitative Exploration of Emergency Department Care Experiences Among People With Opioid Use Disorder.Annals of emergency medicine · 2023Article
- Exploring the contextual risk factors and characteristics of individuals who died from the acute toxic effects of opioids and other illegal substances: listening to the coroner and medical examiner voice.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2023Article
- Emergency department experiences of people who use drugs who left or were discharged from hospital against medical advice.PloS one · 2023Article
- Using linked data to identify pathways of reporting overdose events in British Columbia, 2015-2017.International journal of population data science · 2022Article
- Article
- Caring for hospitalized patients during dual public health emergencies.Journal of substance abuse treatment · 2021Article
- Microdosing and standard-dosing take-home buprenorphine from the emergency department: A feasibility study.Journal of the American College of Emergency Physicians open · 2020Article
- Healthcare cost associations of patients who use illicit drugs in Florida: a retrospective analysis.Substance abuse treatment, prevention, and policy · 2020Article
- 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
- Article
- Article
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Authors and funding
11 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionBritish Columbia (BC) declared a public health emergency in April 2016 in response to a rapid rise in overdose deaths. Further understanding of health care utilization is needed to inform prevention strategies for individuals who overdose from illegal drugs.
methodsThe Provincial Overdose Cohort includes linked administrative data on health care utilization by individuals who experienced an illegal drug overdose event in BC between 1 January 2015 and 30 November 2016. Overdose cases were identified using data from ambulance services, coroners' investigations, poison control centre calls and hospital, emergency department and physician administrative records. In total, 10 455 overdose cases were identified and compared with 52 275 controls matched on age, sex and area of residence for a descriptive analysis of health care utilization.
resultsTwo-thirds (66%) of overdose cases were male and about half (49%) were 20-39 years old. Over half of the cases (54%) visited the emergency department and about one-quarter (26%) were admitted to hospital in the year before the overdose event, compared with 17% and 9% of controls, respectively. Nevertheless, nearly onefifth (19%) of cases were recorded leaving the emergency department without being seen or against medical advice. High proportions of both cases (75%) and controls (72%) visited community-based physicians. Substance use and mental health-related concerns were the most common diagnoses among people who went on to overdose.
conclusionPeople who overdosed frequently accessed the health care system in the year before the overdose event. In light of the high rates of health care use, there may be opportunities to identify at-risk individuals before they overdose and connect them with targeted programs and evidence-based interventions. Further work using the BC Provincial Overdose Cohort will focus on identifying risk factors for overdose events and death by overdose.
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