Evidence map›Paper›PMID 36848541›Full record

ArticleRhode Island medical journal (2013)2023

Evaluation of a Statewide Policy to Improve Post-Overdose Care in Emergency Departments and Subsequent Treatment Engagement.

Laura C Chambers, Benjamin D Hallowell, Elizabeth A Samuels, Mackenzie Daly, Janette Baird, Francesca L Beaudoin

Open access · greenAbstract read
In one paragraph

Article in Rhode Island medical journal (2013), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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

6 authors at 2 institutions in 1 country.

Laura C ChambersLead Research Scientist and Assistant Professor of the Practice of Epidemiology in the Department of Epidemiology at Brown University in Providence, Rhode Island.
Benjamin D HallowellProgram Manager of the Substance Use Epidemiology Program at the Rhode Island Department of Health in Providence, Rhode Island.
Elizabeth A SamuelsAssistant Professor in the Departments of Epidemiology and Emergency Medicine at Brown University and an Assistant Medical Director for the Drug Overdose Prevention Program at the Rhode Island Department of Health in Providence, Rhode Islan.
Mackenzie DalyChief Health Program Evaluator in the Research, Data Evaluation, and Compliance Unit at the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals in Providence, Rhode Island.
Janette BairdAssistant Professor of Research in the Department of Emergency Medicine at Brown University in Providence, Rhode Island.
Francesca L BeaudoinAssociate Professor and Interim Chair of the Department of Epidemiology, as well as an Associate Professor of Emergency Medicine and Health Services, Policy, and Practice, at Brown University in Providence, Rhode Island.
Rhode Island Department of Health · USBrown University · US

Funding

Tracking and Evaluation CoreU54GM115677 · NIGMS · BROWN UNIVERSITY · PI ROUNDS, SHARON IRENE SMITH · 2016 to 2025
$45.0M
Project 4: Neonatal Abstinence Syndrome (NAS): Fetus to First YearsP20GM125507 · NIGMS · RHODE ISLAND HOSPITAL · PI Ju Nyeong Park · 2018 to 2026
$23.4M
HIV and Other Infectious Consequences of Substance UseT32DA013911 · NIDA · MIRIAM HOSPITAL · PI TRACI C GREEN, JOSIAH D RICH · 2001 to 2026
$9.6M
The Brown Initiative in HIV and AIDS Clinical Research for Minority CommunitiesR25MH083620 · NIMH · MIRIAM HOSPITAL · PI NUNN, AMY STEWART · 2008 to 2025
$3.7M
NCIPC CDC HHS R01 CE003149NIDA NIH HHS T32 DA013911NIGMS NIH HHS P20 GM125507NIGMS NIH HHS U54 GM115677NIMH NIH HHS R25 MH083620
6 · The paper itself

Abstract

objectiveTo evaluate the impact of a statewide treatment standards policy for post-overdose emergency department (ED) care on services provided and subsequent treatment engagement.

methodsThis pre-/post-study used electronic health record data and surveillance data from Rhode Island. Outcomes were compared for patients attending EDs for opioid overdose before (03/1/2015-02/28/2017) and after (04/01/2017-03/31/2021) policy release.

resultsOverall, 2,134 patients attended 2,891 ED visits for opioid overdose. Compared to pre-policy, visits post-policy more often included initiation of buprenorphine in or from the ED (<1% vs. 3%, p<0.01), provision of a take-home naloxone kit or prescription (41% vs. 58%, p<0.01), and referral to treatment (0% vs. 34%, p<0.01). Provision of behavioral counseling in the ED and initiation of treatment within 30 days of the visit were similar during the two periods.

conclusionsStatewide post-overdose treatment standards may improve provision of some ED services. Additional strategies are needed to improve subsequent treatment engagement.

Indexed as

Drug OverdoseEmergency Medical ServicesOpiate OverdoseEmergency Service, HospitalHumansPolicyemergency medicinehealth policy, naloxoneopioid use disorderOverdose

Identifiers

PMID36848541
PMCPMC11457868
OpenAlexW4322616858

What OpenQuestion holds

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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.