Non-fatal drug overdose surveillance using hospital discharge data: a comparison between the Drug Overdose Surveillance and Epidemiology (DOSE) system and the Healthcare Cost and Utilisation Project, 18 states, 2018-2020.

IF 2.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Injury Prevention Pub Date : 2024-12-24 DOI:10.1136/ip-2024-045446
Zerleen S Quader, Joohyun Park, Snehaa D Krishnan, Erin Stokes, Cassandra M Pickens
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Abstract

Background: The Centers for Disease Control and Prevention's Drug Overdose Surveillance and Epidemiology (DOSE) system captures non-fatal overdose data from health departments' emergency department (ED) and inpatient hospitalisation discharge data; however, these data have not been compared with other established state-level surveillance systems, which may lag by several years depending on the state. This analysis compared non-fatal overdose rates from DOSE discharge data with rates from the Healthcare Cost and Utilization Project (HCUP) in order to compare DOSE data against an established dataset.

Methods: DOSE discharge data case definitions (ie, International Classification of Diseases, 10th revision, Clinical Modification codes) for non-fatal unintentional/undetermined intent all drug, all opioid-involved, heroin-involved and stimulant-involved overdoses were applied to HCUP's 2018-2020 State Emergency Department Databases (SEDD) and State Inpatient Databases (SID). Quarterly crude rates (per 100 000 population) and rate differences of four overdose categories were calculated for ED and inpatient data sources across 18 states included in DOSE and HCUP datasets for at least 2 consecutive years. Joinpoint regression models examined trends from 2018 through 2020, estimating average quarterly percentage change (AQPC) and 95% CIs.

Results: Quarterly crude rate differences between DOSE ED and SEDD data (across 12 states) and DOSE inpatient and SID data (across 16 states) indicated that 82% and 93% of rates, respectively, were within ±0.5 non-fatal overdoses per 100 000 population of each other. AQPC across states and drug categories were similar between the two data sources for both ED and inpatient data.

Discussion: Non-fatal overdose surveillance through DOSE discharge data may be a valid and timely source for estimating non-fatal overdoses at the state level.

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使用医院出院数据的非致命药物过量监测:药物过量监测和流行病学(DOSE)系统与医疗成本和利用项目之间的比较,18个州,2018-2020。
背景:美国疾病控制和预防中心的药物过量监测和流行病学(DOSE)系统从卫生部门的急诊科(ED)和住院病人住院出院数据中获取非致命性药物过量数据;然而,这些数据尚未与其他已建立的州级监测系统进行比较,这些系统可能会滞后数年,具体取决于各州。该分析比较了来自DOSE出院数据的非致命过量率与来自医疗成本和利用项目(HCUP)的比率,以便将DOSE数据与已建立的数据集进行比较。方法:使用HCUP 2018-2020年国家急诊科数据库(SEDD)和国家住院患者数据库(SID)对非致死性非故意/不确定意图所有药物、所有阿片类药物、海洛因和兴奋剂相关过量的DOSE出院数据病例定义(即《国际疾病分类第10版,临床修改代码》)。对至少连续2年纳入DOSE和HCUP数据集的18个州的ED和住院患者数据源计算季度粗率(每10万人口)和四种过量类别的比率差异。连接点回归模型研究了2018年至2020年的趋势,估计了平均季度百分比变化(AQPC)和95% ci。结果:DOSE ED和SEDD数据(跨越12个州)以及DOSE住院和SID数据(跨越16个州)的季度粗比率差异表明,82%和93%的比率分别在每10万人口±0.5以内非致命性过量用药。跨州和药物类别的AQPC在ED和住院患者数据的两个数据源之间相似。讨论:通过DOSE排放数据进行的非致命性过量监测可能是估算州一级非致命性过量的有效和及时的来源。
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来源期刊
Injury Prevention
Injury Prevention 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.30
自引率
2.70%
发文量
68
审稿时长
6-12 weeks
期刊介绍: Since its inception in 1995, Injury Prevention has been the pre-eminent repository of original research and compelling commentary relevant to this increasingly important field. An international peer reviewed journal, it offers the best in science, policy, and public health practice to reduce the burden of injury in all age groups around the world. The journal publishes original research, opinion, debate and special features on the prevention of unintentional, occupational and intentional (violence-related) injuries. Injury Prevention is online only.
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