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Impact of a shelter-in-place order during the COVID-19 pandemic on the incidence of opioid overdoses.
Rosenbaum, Jennifer; Lucas, Nicole; Zandrow, Gregory; Satz, Wayne A; Isenberg, Derek; D'Orazio, Joseph; Gentile, Nina T; Schreyer, Kraftin E.
  • Rosenbaum J; Department of Emergency Medicine, Temple University Hospital, 1316 W. Ontario Street, 10(th) Floor Jones Hall, Philadelphia, PA 19140, United States. Electronic address: Jennifer.Rosenbaum@tuhs.temple.edu.
  • Lucas N; Department of Emergency Medicine, Temple University Hospital, 1316 W. Ontario Street, 10(th) Floor Jones Hall, Philadelphia, PA 19140, United States. Electronic address: Nicole.Lucas@tuhs.temple.edu.
  • Zandrow G; Department of Emergency Medicine, Temple University Hospital, 1316 W. Ontario Street, 10(th) Floor Jones Hall, Philadelphia, PA 19140, United States. Electronic address: Gregory.Zandrow@tuhs.temple.edu.
  • Satz WA; Department of Emergency Medicine, Temple University Hospital, 1316 W. Ontario Street, 10(th) Floor Jones Hall, Philadelphia, PA 19140, United States. Electronic address: Wayne.Satz@tuhs.temple.edu.
  • Isenberg D; Department of Emergency Medicine, Temple University Hospital, 1316 W. Ontario Street, 10(th) Floor Jones Hall, Philadelphia, PA 19140, United States. Electronic address: Derek.Isenberg@tuhs.temple.edu.
  • D'Orazio J; Department of Emergency Medicine, Temple University Hospital, 1316 W. Ontario Street, 10(th) Floor Jones Hall, Philadelphia, PA 19140, United States. Electronic address: Orazio@tuhs.temple.edu.
  • Gentile NT; Department of Emergency Medicine, Temple University Hospital, 1316 W. Ontario Street, 10(th) Floor Jones Hall, Philadelphia, PA 19140, United States. Electronic address: Nina.Gentile@tuhs.temple.edu.
  • Schreyer KE; Department of Emergency Medicine, Temple University Hospital, 1316 W. Ontario Street, 10(th) Floor Jones Hall, Philadelphia, PA 19140, United States. Electronic address: Kraftin.schreyer@tuhs.temple.edu.
Am J Emerg Med ; 41: 51-54, 2021 03.
Article in English | MEDLINE | ID: covidwho-1002242
ABSTRACT

INTRODUCTION:

Since the beginning of the novel coronavirus (COVID-19) pandemic in the United States, there have been concerns about the potential impact of the pandemic on persons with opioid use disorder. Shelter-in-place (SIP) orders, which aimed to reduce the spread and scope of the virus, likely also impacted this patient population. This study aims to assess the role of the COVID-19 pandemic on the incidence of opioid overdose before and after a SIP order.

METHODS:

A retrospective review of the incidence of opioid overdoses in an urban three-hospital system was conducted. Comparisons were made between the first 100 days of a city-wide SIP order during the COVID-19 pandemic and the 100 days during the COVID-19 pandemic preceding the SIP order (Pre-SIP). Differences in observed incidence and expected incidence during the SIP period were evaluated using a Fisher's Exact test.

RESULTS:

Total patient visits decreased 22% from 46,078 during the Pre-SIP period to 35,971 during the SIP period. A total of 1551 opioid overdoses were evaluated during the SIP period, compared to 1665 opioid overdoses during the Pre-SIP period, consistent with a 6.8% decline. A Fisher's Exact Test demonstrated a p < 0.0001, with a corresponding Odds Ratio of 1.20 with a 95% confidence interval (1.12;1.29).

CONCLUSION:

The COVID-19 pandemic and the associated SIP order were associated with a statistically and clinically significant increase in the proportion of opioid overdoses in relation to the overall change in total ED visits.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Quarantine / Pandemics / Opiate Overdose / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: North America Language: English Journal: Am J Emerg Med Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Quarantine / Pandemics / Opiate Overdose / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: North America Language: English Journal: Am J Emerg Med Year: 2021 Document Type: Article