TY  - JOUR
PY  - 2021//
TI  - The impact of the national stay-at-home order on emergency department visits for suspected opioid overdose during the first wave of the CoViD-19 pandemic
JO  - Drug and alcohol dependence
A1  - Root, Elisabeth D.
A1  - Slavova, Svetla
A1  - LaRochelle, Marc
A1  - Feaster, Daniel J.
A1  - Villani, Jennifer
A1  - DeFiore-Hyrmer, Jolene
A1  - El-Bassel, Nabila
A1  - Ergas, Rosa
A1  - Gelberg, Kitty
A1  - Jackson, Rebecca
A1  - Manchester, Kara
A1  - Parikh, Megha
A1  - Rock, Peter
A1  - Walsh, Sharon L.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - Background  Although national syndromic surveillance data reported declines in emergency department (ED) visits after the declaration of the national stay-at-home order for COVID-19, little is known whether these declines were observed for suspected opioid overdose.   Methods  This interrupted time series study used syndromic surveillance data from four states participating in the HEALing Communities Study: Kentucky, Massachusetts, New York, and Ohio. All ED encounters for suspected opioid overdose (n = 48,301) occurring during the first 31 weeks of 2020 were included. We examined the impact of the national public health emergency for COVID-19 (declared on March 14, 2020) on trends in ED encounters for suspected opioid overdose.   Results  Three of four states (Massachusetts, New York and Ohio) experienced a statistically significant immediate decline in the rate of ED encounters for suspected opioid overdose (per 100,000) after the nationwide public health emergency declaration (MA: -0.99; 95% CI: -1.75, -0.24; NY: -0.10; 95% CI, -0.20, 0.0; OH: -0.33, 95% CI: -0.58, -0.07). After this date, Ohio and Kentucky experienced a sustained rate of increase for a 13-week period. New York experienced a decrease in the rate of ED encounters for a 10-week period, after which the rate began to increase. In Massachusetts after a significant immediate decline in the rate of ED encounters, there was no significant difference in the rate of change for a 6-week period, followed by an immediate increase in the ED rate to higher than pre-COVID levels.   Conclusions  The heterogeneity in the trends in ED encounters between the four sites show that the national stay-at-home order had a differential impact on opioid overdose ED presentation in each state.<p />  <p>Language: en</p>
LA  - en
SN  - 0376-8716
UR  - http://dx.doi.org/10.1016/j.drugalcdep.2021.108977
ID  - ref1
ER  -