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ED visits for drug-related poisoning in the United States, 2007

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from Binstock

ED

visits for

drug-related poisoning in the United States, 2007.

Xiang Y, Zhao W, Xiang H, GA.

Am J Emerg Med. 2011 Feb 28.

http://www.ajemjournal.com/article/S0735-6757(10)00583-8/abstract

BACKGROUND: Fatal drug-related poisoning has been well described.

However, death data only show the tip of the iceberg of drug-related

poisoning as a public health problem. Using the 2007 Nationwide Emergency

Department Sample, this study described the characteristics of emergency

department visits for drug-related poisoning in the United

States.

METHODS: Any ED visit that had an International Classification of

Diseases, Ninth Revision, Clinical Modification diagnosis code of 960-979

was defined as a drug-related poisoning case. Intentionality of poisoning

was determined by E-codes. Weighted estimates of ED visits were

calculated by patient and hospital characteristics, intentionality of

poisoning, and selected drug classes. Population rates by sex, age,

urban/rural classification, median household income in patient's zip

code, and hospital region were calculated.

RESULTS: An estimated 699 123 (95% confidence interval, 666 529-731 717)

ED visits for drug-related poisoning occurred in 2007. Children 0 to 5

years old had the highest rate for unintentional poisoning (male, 237 per

100 000; female, 218 per 100 000). The rate of drug-related poisoning in

rural areas (684 per 100 000) was 3 times higher than the rates in other

areas. Psychotropic agents and analgesics were responsible for 43.7% of

all drug-related poisoning. Women 18 to 20 years old had the highest ED

visit rate for suicidal poisoning (245 per 100 000). The estimated ED

charges were $1 394 051 262, and 41.1% were paid by Medicaid and

Medicare.

CONCLUSION: Antidepressants and analgesics were responsible for nearly

44% of ED visits for drug-related poisoning in the United States.

Interventions and future research should target prescription opioids,

rural areas, children 0 to 5 years old for unintentional drug-related

poisoning, and female ages 12 to 24 years for suicidal drug-related

poisoning.

two news synopses:

http://www.prnewswire.com/news-releases/drug-related-poisoning-the-cause-for-nearly-700000-emergency-department-visits-a-year-according-to-new-research-118084754.html

http://tinyurl.com/4ogl3db

Sheri Nakken, former R.N., MA, Hahnemannian

Homeopath

Vaccination Information & Choice Network, Washington State, USA

Vaccines -

http://vaccinationdangers.wordpress.com/ Homeopathy

http://homeopathycures.wordpress.com

Vaccine Dangers, Childhood Disease Classes & Homeopathy

Online/email courses - next classes start March 25 & April 1

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Share on other sites

Guest guest

from Binstock

ED

visits for

drug-related poisoning in the United States, 2007.

Xiang Y, Zhao W, Xiang H, GA.

Am J Emerg Med. 2011 Feb 28.

http://www.ajemjournal.com/article/S0735-6757(10)00583-8/abstract

BACKGROUND: Fatal drug-related poisoning has been well described.

However, death data only show the tip of the iceberg of drug-related

poisoning as a public health problem. Using the 2007 Nationwide Emergency

Department Sample, this study described the characteristics of emergency

department visits for drug-related poisoning in the United

States.

METHODS: Any ED visit that had an International Classification of

Diseases, Ninth Revision, Clinical Modification diagnosis code of 960-979

was defined as a drug-related poisoning case. Intentionality of poisoning

was determined by E-codes. Weighted estimates of ED visits were

calculated by patient and hospital characteristics, intentionality of

poisoning, and selected drug classes. Population rates by sex, age,

urban/rural classification, median household income in patient's zip

code, and hospital region were calculated.

RESULTS: An estimated 699 123 (95% confidence interval, 666 529-731 717)

ED visits for drug-related poisoning occurred in 2007. Children 0 to 5

years old had the highest rate for unintentional poisoning (male, 237 per

100 000; female, 218 per 100 000). The rate of drug-related poisoning in

rural areas (684 per 100 000) was 3 times higher than the rates in other

areas. Psychotropic agents and analgesics were responsible for 43.7% of

all drug-related poisoning. Women 18 to 20 years old had the highest ED

visit rate for suicidal poisoning (245 per 100 000). The estimated ED

charges were $1 394 051 262, and 41.1% were paid by Medicaid and

Medicare.

CONCLUSION: Antidepressants and analgesics were responsible for nearly

44% of ED visits for drug-related poisoning in the United States.

Interventions and future research should target prescription opioids,

rural areas, children 0 to 5 years old for unintentional drug-related

poisoning, and female ages 12 to 24 years for suicidal drug-related

poisoning.

two news synopses:

http://www.prnewswire.com/news-releases/drug-related-poisoning-the-cause-for-nearly-700000-emergency-department-visits-a-year-according-to-new-research-118084754.html

http://tinyurl.com/4ogl3db

Sheri Nakken, former R.N., MA, Hahnemannian

Homeopath

Vaccination Information & Choice Network, Washington State, USA

Vaccines -

http://vaccinationdangers.wordpress.com/ Homeopathy

http://homeopathycures.wordpress.com

Vaccine Dangers, Childhood Disease Classes & Homeopathy

Online/email courses - next classes start March 25 & April 1

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