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简报:COVID-19 对急诊科药物过量诊断和县级药物过量死亡的影响。

Brief Report: The Impact of COVID-19 on Emergency Department Overdose Diagnoses and County Overdose Deaths.

机构信息

Department of Emergency Medicine, University of Louisville, Louisville, Kentucky.

出版信息

Am J Addict. 2021 Jul;30(4):330-333. doi: 10.1111/ajad.13148. Epub 2021 Mar 19.

Abstract

BACKGROUND AND OBJECTIVES

We sought to understand the impact of COVID-19 on emergency department (ED) overdoses and county coroner verified overdose deaths.

METHODS

Electronic medical health record and county coroner data were gathered and comparisons were made between three 16-week time periods. In the three time periods, 873 individuals had an overdose diagnosis in the ED and 440 individuals in the county died of drug overdose.

RESULTS

While total ED patient volume decreased substantially, the number of ED overdose patients increased between March 6 and June 25, 2020. Furthermore, during this same period, coroner data revealed an increase in overdose deaths.

CONCLUSION AND SCIENTIFIC SIGNIFICANCE

This preliminary evidence provides a key insight into the impact of COVID-19 on both overdose presentations to the ED and county overdose deaths. These results emphasize the critical need for increasing vigilance to prevent overdose by continuously developing and optimizing both accessible and quality treatment as we navigate through this pandemic and its ongoing effects on persons with substance use disorder. (Am J Addict 2021;00:00-00).

摘要

背景与目的

我们旨在了解 COVID-19 对急诊室(ED)药物过量和县级验尸官认定的药物过量死亡的影响。

方法

收集电子医疗健康记录和县级验尸官数据,并在三个 16 周的时间段内进行比较。在这三个时间段内,873 名患者在 ED 被诊断为药物过量,440 名患者在县因药物过量死亡。

结果

尽管急诊室患者总数大幅减少,但 2020 年 3 月 6 日至 6 月 25 日期间,ED 药物过量患者的数量有所增加。此外,在同一时期,验尸官数据显示药物过量死亡人数有所增加。

结论和科学意义

这初步证据提供了一个关键的见解,了解 COVID-19 对 ED 药物过量就诊和县级药物过量死亡的影响。这些结果强调了在我们应对这一大流行病及其对药物滥用者的持续影响时,需要持续提高警惕,以防止药物过量的重要性,不断开发和优化可及和高质量的治疗方法。

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