Carter Mary W, Yang Bo Kyum, Davenport Marsha, Kabel Allison
Department of Health Sciences, College of Health Professions, Towson University, Maryland.
Innov Aging. 2019 Mar 7;3(1):igz002. doi: 10.1093/geroni/igz002. eCollection 2019 Jan.
This study sought to investigate factors associated with opioid misuse-related emergency department (ED) visits among older adults and changes in outcomes associated with these visits, using multiple years of nationally representative data.
A retrospective analysis of the Nationwide Emergency Department Sample was conducted. Study inclusion was limited to adults aged 65 years and older. Diagnostic codes were used to identify opioid misuse disorder; sampling weights were used to adjust standard estimates of the errors. Descriptive and multivariate procedures were used to describe risk and visit outcomes.
ED visits by older adults with opioid misuse identified in the ED increased sharply from 2006 to 2014, representing a nearly 220% increase over the study period. Opioid misuse was associated with an increased number of chronic conditions, greater injury risk, and higher rates of alcohol dependence and mental health diagnoses.
The steep increase in opioid misuse observed among older adult ED visits underscores the critical need for additional research to better understand the national scope and impact of opioid misuse on older adults, as well as to better inform policy responses to meet the needs of this particular age group.
本研究旨在利用多年具有全国代表性的数据，调查与老年人阿片类药物滥用相关的急诊科（ED）就诊因素，以及与这些就诊相关的结局变化。
对全国急诊科样本进行回顾性分析。研究纳入对象限于65岁及以上的成年人。使用诊断代码识别阿片类药物滥用障碍；抽样权重用于调整误差的标准估计值。采用描述性和多变量程序来描述风险和就诊结局。
2006年至2014年期间，在急诊科确诊为阿片类药物滥用的老年人的急诊科就诊次数急剧增加，在研究期间增加了近220%。阿片类药物滥用与慢性病数量增加、受伤风险加大以及酒精依赖和心理健康诊断率较高有关。
在老年急诊科就诊者中观察到的阿片类药物滥用急剧增加，凸显了迫切需要开展更多研究，以更好地了解阿片类药物滥用在全国范围内对老年人的影响范围和影响程度，并为政策应对提供更充分的信息，以满足这一特定年龄组的需求。
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