Cristin-resultat-ID: 1280221
Sist endret: 28. oktober 2016 16:37
NVI-rapporteringsår: 2015
Resultat
Vitenskapelig artikkel
2015

Are overdoses treated by ambulance services an opportunity for additional interventions? A prospective cohort study

Bidragsytere:
  • Linn Renathe Gjersing og
  • Anne Line Bretteville-Jensen

Tidsskrift

Addiction
ISSN 0965-2140
e-ISSN 1360-0443
NVI-nivå 2

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2015
Volum: 110
Hefte: 11
Sider: 1767 - 1774
Open Access

Importkilder

Scopus-ID: 2-s2.0-84944452721

Beskrivelse Beskrivelse

Tittel

Are overdoses treated by ambulance services an opportunity for additional interventions? A prospective cohort study

Sammendrag

To assess whether people who inject drugs (PWID) and who are treated for overdose by ambulance services have a greater mortality risk compared with other PWID, and to compare mortality risk within potentially critical time-periods (1 week, 1 month, 3 months, 6 months, 1 year, 5 years) after an overdose attendance with the mortality risk within potentially non-critical time-periods (time before and/or after critical periods). A total of 172 PWID street-recruited in 1997 and followed-up until the end of 2004. Interview data linked to data from ambulance records, Norwegian Correctional Services, Opioid Substitution Treatment records and National Cause of Death Registry. Separate Cox regression models (one for each critical time-period) were estimated. Ambulance services treated 54% of the participants for an overdose during follow-up. The mortality rate was 2.8 per 100 person-years for those with an overdose and 3.3 for those without; the adjusted hazard ratio (HR) was 1.3 (95% CI = 0.6, 2.6, P = 0.482). Mortality risk was greater in all but the shortest critical time-period following ambulance attendance than in the non-critical periods. The mortality risk remained significantly elevated during critical periods, even when adjusted for total time spent in prison and substitution treatment. The HR ranged from 9.4 (95% CI = 3.5, 25.4) in the month after an overdose to 13.9 (95% CI = 6.4, 30.2) in the 5-year period. Mortality risk among people who inject drugs is significantly greater in time-periods after an overdose attendance than outside these time-periods.

Bidragsytere

Aktiv cristin-person

Linn Gjersing

Bidragsyterens navn vises på dette resultatet som Linn Renathe Gjersing
  • Tilknyttet:
    Forfatter
    ved Avdeling for rusmidler og tobakk ved Folkehelseinstituttet
Aktiv cristin-person

Anne Line Bretteville-Jensen

  • Tilknyttet:
    Forfatter
    ved Avdeling for rusmidler og tobakk ved Folkehelseinstituttet
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