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澳大利亚黄金海岸地区 COVID-19 大流行对药物和毒物相关死亡的影响。

The effects of the COVID-19 pandemic on drug and poison-related deaths in Gold Coast, Australia.

机构信息

Faculty of Health Sciences and Medicine, Bond University, Robina, QLD, Australia.

Forensic and Scientific Services, Health Support Queensland, Brisbane, QLD, Australia.

出版信息

Forensic Sci Med Pathol. 2023 Jun;19(2):154-159. doi: 10.1007/s12024-022-00555-5. Epub 2022 Nov 18.

Abstract

INTRODUCTION

COVID-19 is postulated to impact drug- and poison-related deaths. America has reported an increased in drug-related deaths, whereas Australia has reported a decline. Regional studies are scant and may not mirror national data. Characterising drug and poison-related deaths during COVID-19 at a regional level would inform local interventions and policies on the current and future pandemics.

METHODS

A 4-year retrospective study from January 1, 2018, to December 31, 2019 (pre-COVID-19 pandemic) and from January 1, 2020, to December 31, 2021 (COVID-19 pandemic) of all drug and poison-related deaths admitted to the Gold Coast University Hospital under Coronial investigation.

RESULTS

Drug and poison-related deaths increased in both the proportion and absolute numbers before and during the COVID-19 pandemic. There was no statistical difference in age, sex, location of death, manner of death and classification of drugs and poison implicated.

CONCLUSIONS

Although there is an increase in drug and poison-related deaths, the overall demographic and pattern have not changed. Further studies to account for the variation may enable implementation of targeted public health interventions to address the burden of related deaths in regional settings in the context of future pandemics.

摘要

介绍

COVID-19 据推测会对药物和中毒相关死亡产生影响。美国报告称药物相关死亡人数有所增加,而澳大利亚则报告称该数字有所下降。区域性研究较少,可能无法反映国家数据。在区域层面上描述 COVID-19 期间与药物和中毒相关的死亡情况,将为当前和未来的大流行提供有关当地干预措施和政策的信息。

方法

这是一项针对黄金海岸大学医院因 coronial 调查而入院的所有与药物和中毒相关的死亡病例的回顾性研究,时间跨度为 2018 年 1 月 1 日至 2019 年 12 月 31 日(COVID-19 大流行前)和 2020 年 1 月 1 日至 2021 年 12 月 31 日(COVID-19 大流行期间)。

结果

在 COVID-19 大流行前后,与药物和中毒相关的死亡人数在比例和绝对数量上均有所增加。在年龄、性别、死亡地点、死亡方式和涉及的药物和毒物分类方面,没有统计学差异。

结论

尽管与药物和中毒相关的死亡人数有所增加,但总体人口统计学和模式并未改变。进一步的研究可以考虑到这种变化,从而实施有针对性的公共卫生干预措施,以解决未来大流行背景下区域性相关死亡人数的负担。

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