Evidence map›Paper›PMID 34481260›Full record

ArticleThe American journal of emergency medicine2021

Tele-buprenorphine for emergency department overdose visit follow up and treatment initiation.

Rachel S Wightman, Brendan Jacka, Julia Uber, Michelle McKenzie, Neha G Reddy, Roger Winters, Lee Ann Jordison Keeler, Elizabeth A Samuels

Open access · greenAbstract read
In one paragraph

Article in The American journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
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 3 institutions in 1 country.

Rachel S WightmanDepartment of Emergency Medicine, The Warren Alpert Medical School of Brown University, 55 Claverick St, Providence, RI 02903, United States of America. Electronic address: Rachel_wightman@brown.edu.
Brendan JackaDepartment of Epidemiology, Brown University School of Public Health, 121 South Main Street, Providence, RI 02903, United States of America.
Julia UberRhode Island Hospital, 593 Eddy St. Providence, RI, 02903, United States of America.
Michelle McKenzieCOBRE on Opioids and Overdose/Rhode Island Hospital, 164 Summit Ave (1125 N. Main Bldg), Providence, RI 02906, United States of America.
Neha G ReddyThe Warren Alpert Medical School of Brown University, 222 Richmond St, Providence, RI 02903, United States of America.
Roger WintersThe Warren Alpert Medical School of Brown University, 222 Richmond St, Providence, RI 02903, United States of America.
Lee Ann Jordison KeelerDepartment of Emergency Medicine, The Warren Alpert Medical School of Brown University, 55 Claverick St, Providence, RI 02903, United States of America.
Elizabeth A SamuelsDepartment of Emergency Medicine, The Warren Alpert Medical School of Brown University, 55 Claverick St, Providence, RI 02903, United States of America.
Brown University · USProvidence College · USRhode Island Hospital · US

Funding

Tracking and Evaluation CoreU54GM115677 · NIGMS · BROWN UNIVERSITY · PI SCHMID, CHRISTOPHER H. · 2016 to 2025
$45.0M
Project 4: Neonatal Abstinence Syndrome (NAS): Fetus to First YearsP20GM125507 · NIGMS · RHODE ISLAND HOSPITAL · PI TRACI C GREEN · 2018 to 2026
$23.4M
NIGMS NIH HHS P20 GM125507NIGMS NIH HHS U54 GM115677
6 · The paper itself

Abstract

introductionAn ED visit for opioid overdose may be a person's only contact with the medical and behavioral health care systems and is an important opportunity to reduce risk of subsequent overdose and death. While ED initiatives to engage people with opioid use disorder (OUD) are being increasingly implemented, there are significant gaps in the receipt of services at the time of the ED encounter.

methodsThis is a retrospective cohort study of an outreach pilot project providing real-time telehealth delivered buprenorphine initiation and referral to community harm reduction and addiction treatment services via a follow up telephone call to patients after an ED visit for an opioid overdose.

resultsFrom January 2020 to April 2021 there were 606 patients with an ED visit for an opioid overdose eligible for a callback. Of the 606 eligible patients, 254/645 (42%) patients could be contacted and accepted service and/or treatment referrals. Fifteen patients were connected same-day to a buprenorphine prescriber for a telehealth encounter and, of connected patients, nine received a buprenorphine prescription.

conclusionA post-ED follow up telephone call protocol is an opportunity to improve treatment engagement and access to buprenorphine for patients at high risk for opioid overdose and death.

Indexed as

Emergency Service, HospitalTelemedicineAdultBuprenorphineDrug OverdoseFemaleHumansMaleNarcotic AntagonistsOpioid-Related DisordersRetrospective StudiesBuprenorphineNarcotic AntagonistsBuprenorphine treatmentHealthcare accessMedications for opioid use disorderOpioid use disorderOverdoseTelehealth

Identifiers

PMID34481260
PMCPMC8665045
OpenAlexW3196480041

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.