ArticleDrug and alcohol dependence2021
The impact of the national stay-at-home order on emergency department visits for suspected opioid overdose during the first wave of the COVID-19 pandemic.
Article in Drug and alcohol dependence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 29 citations in OpenAlex.
- States' COVID-19 policy contexts and suicide rates among US working-age adults.Health affairs scholar · 2025Article
- Employment industry and opioid overdose risk: A pre- and post-COVID-19 comparison in Kentucky and Massachusetts 2018-2021.Spatial and spatio-temporal epidemiology · 2025Article
- State COVID-19 Policies and Drug Overdose Mortality Among Working-Age Adults in the United States, 2020.American journal of public health · 2024Article
- An Approach to Enhancing Medication Treatment for Opioid Use Disorder in the HEALing Communities Study.Psychiatric services (Washington, D.C.) · 2024Article
- Article
- Changes in substance use, recovery, and quality of life during the initial phase of the COVID-19 pandemic.PloS one · 2024Article
- Interrupted time series analysis of drug overdose fatalities in service-related industries versus non-service-related industries during the COVID-19 pandemic, 2018-2021.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2023Article
- An interrupted time series analysis of trends in opioid-related emergency department visits from pre-COVID-19 pandemic to pandemic, from the Canadian Hospitals Injury Reporting and Prevention Program.BMC public health · 2023Article
- Psychiatric Emergencies in Los Angeles County During, and After, Initial COVID-19 Societal Restrictions: An Interrupted Time-Series Analysis.Community mental health journal · 2023Article
- Public mental health during and after the SARS-CoV-2 pandemic: Opportunities for interventionFrontiers in psychology · 2023Article
- Opioid overdose decedent characteristics during COVID-19.Annals of medicine · 2022Article
- Responding to a surge in overdose deaths: perspectives from US syringe services programs.Harm reduction journal · 2022Article
- Economic burden of drug overdose deaths before and during the COVID-19 pandemic in the USA.Journal of comparative effectiveness research · 2022Article
- Subsequent Buprenorphine Treatment Following Emergency Physician Buprenorphine Prescription Fills: A National Assessment 2019 to 2020.Annals of emergency medicine · 2022Observational
- Has the United States Reached a Plateau in Overdoses Caused by Synthetic Opioids After the Onset of the COVID-19 Pandemic? Examination of Centers for Disease Control and Prevention Data to November 2021.Frontiers in psychiatry · 2022Article
Corrections and comments
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Authors and funding
14 authors at 9 institutions in 1 country.
Funding
Abstract
backgroundAlthough national syndromic surveillance data reported declines in emergency department (ED) visits after the declaration of the national stay-at-home order for COVID-19, little is known whether these declines were observed for suspected opioid overdose.
methodsThis interrupted time series study used syndromic surveillance data from four states participating in the HEALing Communities Study: Kentucky, Massachusetts, New York, and Ohio. All ED encounters for suspected opioid overdose (n = 48,301) occurring during the first 31 weeks of 2020 were included. We examined the impact of the national public health emergency for COVID-19 (declared on March 14, 2020) on trends in ED encounters for suspected opioid overdose.
resultsThree of four states (Massachusetts, New York and Ohio) experienced a statistically significant immediate decline in the rate of ED encounters for suspected opioid overdose (per 100,000) after the nationwide public health emergency declaration (MA: -0.99; 95 % CI: -1.75, -0.24; NY: -0.10; 95 % CI, -0.20, 0.0; OH: -0.33, 95 % CI: -0.58, -0.07). After this date, Ohio and Kentucky experienced a sustained rate of increase for a 13-week period. New York experienced a decrease in the rate of ED encounters for a 10-week period, after which the rate began to increase. In Massachusetts after a significant immediate decline in the rate of ED encounters, there was no significant difference in the rate of change for a 6-week period, followed by an immediate increase in the ED rate to higher than pre-COVID levels.
conclusionsThe heterogeneity in the trends in ED encounters between the four sites show that the national stay-at-home order had a differential impact on opioid overdose ED presentation in each state.
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