Hospital admissions among people who inject opioids following syringe services program implementation

Abstract Background Syringe services programs (SSPs) are an evidence-based harm reduction strategy that reduces dangerous sequelae of injection drug use among people who inject drugs (PWID) such as overdose. SSP services include safer injection education and community-based naloxone distribution pro...

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Main Authors: K. J. Bornstein (Author), A. E. Coye (Author), J. E. St. Onge (Author), H. Li (Author), A. Muller (Author), T. S. Bartholomew (Author), H. E. Tookes (Author)
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Published: BMC, 2020-05-01T00:00:00Z.
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042 |a dc 
100 1 0 |a K. J. Bornstein  |e author 
700 1 0 |a A. E. Coye  |e author 
700 1 0 |a J. E. St. Onge  |e author 
700 1 0 |a H. Li  |e author 
700 1 0 |a A. Muller  |e author 
700 1 0 |a T. S. Bartholomew  |e author 
700 1 0 |a H. E. Tookes  |e author 
245 0 0 |a Hospital admissions among people who inject opioids following syringe services program implementation 
260 |b BMC,   |c 2020-05-01T00:00:00Z. 
500 |a 10.1186/s12954-020-00376-1 
500 |a 1477-7517 
520 |a Abstract Background Syringe services programs (SSPs) are an evidence-based harm reduction strategy that reduces dangerous sequelae of injection drug use among people who inject drugs (PWID) such as overdose. SSP services include safer injection education and community-based naloxone distribution programs. This study evaluates differences in overdose-associated hospital admissions following the implementation of the first legal SSP in Florida, based in Miami-Dade County. Methods We performed a retrospective analysis of hospitalizations for injection drug-related sequelae at a county hospital before and after the implementation of the SSP. An algorithm utilizing ICD-10 codes for opioid use and sequelae was used to identify people who inject opioids (PWIO). Florida Department of Law Enforcement Medical Examiners Commission Report data was used to analyze concurrent overdose death trends in Florida counties. Results Over the 25-month study period, 302 PWIO admissions were identified: 146 in the pre-index period vs. 156 in the post-index period. A total of 26 admissions with PWIO overdose were found: 20 pre-index and 6 post-index (p = 0.0034). Conclusions Declining overdose-associated admissions among PWIO suggests early impacts following SSP implementation. These results indicate a potential early benefit of SSP that should be further explored for its effects on future hospital admission and mortality. 
546 |a EN 
690 |a Syringe services program 
690 |a Take-Home Naloxone 
690 |a Overdose 
690 |a Opioid epidemic 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n Harm Reduction Journal, Vol 17, Iss 1, Pp 1-5 (2020) 
787 0 |n http://link.springer.com/article/10.1186/s12954-020-00376-1 
787 0 |n https://doaj.org/toc/1477-7517 
856 4 1 |u https://doaj.org/article/24951ad992d7471e881d25c3372d0de3  |z Connect to this object online.