Evidence map›Paper›PMID 33346926›Full record

ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2021

A qualitative study of emergency department patients who survived an opioid overdose: Perspectives on treatment and unmet needs.

Kathryn Hawk, Lauretta E Grau, David A Fiellin, Marek Chawarski, Patrick G O'Connor, Nikolas Cirillo, Chris Breen, Gail D'Onofrio

Open access · greenAbstract read
In one paragraph

Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 41 citations in OpenAlex.

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  3. Developing Longitudinal Post-Overdose Care: A Call to Action.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2026
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  7. Exploring Preferences in Emergency Department Coordination of Opioid Use Disorder Treatment by Race and Ethnicity.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Kathryn HawkDepartment of Emergency Medicine, Yale University, New Haven, Connecticut, USA.ORCID 0000-0001-7435-5945
Lauretta E GrauSchool of Public Health, Yale University, New Haven, Connecticut, USA.
David A FiellinDepartment of Emergency Medicine, Yale University, New Haven, Connecticut, USA.
Marek ChawarskiDepartment of Psychiatry, Yale University, New Haven, Connecticut, USA.
Patrick G O'ConnorDepartment of Internal Medicine, Yale University, New Haven, Connecticut, USA.
Nikolas CirilloDepartment of Emergency Medicine, Yale University, New Haven, Connecticut, USA.
Chris BreenDepartment of Emergency Medicine, Yale University, New Haven, Connecticut, USA.
Gail D'OnofrioDepartment of Emergency Medicine, Yale University, New Haven, Connecticut, USA.
Yale University · USNova Southeastern University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Drug use, Addiction and HIV Research Scholars (DAHRS)K12DA033312 · NIDA · YALE UNIVERSITY · PI Gail D'Onofrio, Patrick O'Connor · 2013 to 2026
$7.2M
NCATS NIH HHS UL1 TR001863NIDA NIH HHS K12 DA033312
6 · The paper itself

Abstract

objectiveEmergency medicine clinicians are uniquely positioned to deliver interventions to enhance linkage to evidence-based treatment for opioid use disorder (OUD) in the acute overdose period, yet little is known about patient perspectives to effectively engage patients immediately following opioid overdose. Our objective was to explore patients' perspectives on substance use treatment, perceived needs, and contextual factors that shape the choice of patients seen in the emergency department (ED) to engage with treatment and other patient support services in the acute post-opioid overdose period.

methodsWe administered a brief quantitative survey and conducted semistructured interviews with 24 adult ED patients receiving care after an acute opioid overdose between June 2016 and August 2017 in an urban, academic ED. We used constant comparison method and thematic analysis to identify themes across four levels of a modified social ecologic model (individual, interpersonal, organizational, and structural).

resultsThe mean (±SD) age of the sample was 33.5 (±9.33) years; 83% were White and 12% were Black; 67% were male; and 83% were diagnosed with OUD, with a mean (±SD) of 3.25 (±2.64) self-reported lifetime opioid overdoses. Eight themes were identified as influencing participants' consideration of OUD treatment and other services: (1) perceptions about control of drug use, (2) personal experience with substance use treatment, (3) role of interpersonal relationships, (4) provider communication skills, (5) stigma, (6) availability of ED resources, (7) impact of treatment policies, and (8) support for unmet basic needs.

conclusionsPatients receiving ED care following overdose in our ED are willing to discuss their opioid use and its treatment in the ED and report a variety of unmet needs. This work supports a role for ED-based research evaluating a patient-oriented approach to engage patients after opioid overdose.

Indexed as

Drug OverdoseOpiate OverdoseOpioid-Related DisordersAdultAnalgesics, OpioidEmergency Service, HospitalFemaleHumansMaleYoung AdultAnalgesics, Opioid

Identifiers

PMID33346926
PMCPMC8281441
OpenAlexW3113585361

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.