Nonfatal Opioid Overdoses at an Urban Emergency Department During the COVID-19 Pandemic.

@article{Ochalek2020NonfatalOO,
  title={Nonfatal Opioid Overdoses at an Urban Emergency Department During the COVID-19 Pandemic.},
  author={Taylor A. Ochalek and Kirk L. Cumpston and Brandon K. Wills and Tamas S. Gal and F. Gerard Moeller},
  journal={JAMA},
  year={2020}
}
Nonfatal Opioid Overdoses at an Urban Emergency Department During the COVID-19 Pandemic Psychosocial consequences related to coronavirus disease 2019 (COVID-19) may place individuals at a heightened likelihood of opioid overdose or relapse.1,2 In 1 study,2 emergency medical services responses to opioid overdoses in Kentucky were increased in the early weeks following the COVID-19 state emergency declaration compared with the 52 previous days. This increased risk of opioid overdose may be… 

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The study reported a greater number of visits for opioid overdoses from January to October of 2020 in an ED of a southeastern region, as well as higher overdose deaths in Blacks, which highlights the importance of substance use treatment, harm reduction, and overdose prevention efforts that should be immediately present to reduce opioid overdose.

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During the COVID-19 pandemic, the ALTO protocol can reduce out-patient opioid usage without changing opioid administration in the ED, and there was no significant difference in ED opioid administration, patient satisfaction with pain control, ED length of stay, and rate of LWBS between both groups.

Treatment of Opioid Use Disorder Among Commercially Insured Patients in the Context of the COVID-19 Pandemic.

OUD treatment during the early months of the COVID-19 pandemic, including medication fills, outpatient visits, and urine tests, among privately insured individuals compared with 2019 is examined.

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The Covid-19 pandemic and its accompanying PHOs were associated with steeper increases in nonfatal opioid overdoses in most but not all of the regions the authors assessed, with a net effect that was deleterious for the Maryland region as a whole.

Factors Associated With Increased Opioid Use During the COVID-19 Pandemic: A Prospective Study of Patients Enrolled in Opioid Agonist Treatment

Increased opioid use is one measure of the negative impact the COVID-19 pandemic has had on individuals with OUD, an already marginalized population.

The Hidden Epidemic of Opioid Overdoses During the Coronavirus Disease 2019 Pandemic.

Fentanyl is driving overdose deaths, and the most widely used OUD treatments, buprenorphine and methadone, do not block fentanyl, but a vaccine will, which blocks lethal fentanyl doses in animals.
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