TY - JOUR
KW - Adult
KW - Aged
KW - Drug Overdose/drug therapy
KW - Humans
KW - Inpatients/education
KW - Middle Aged
KW - Naloxone/therapeutic use
KW - Narcotic Antagonists/therapeutic use
KW - Opioid-Related Disorders/drug therapy
KW - Outpatients/education
KW - Patient Education as Topic
KW - Pilot Projects
KW - Retrospective Studies
KW - Veterans/education
KW - Young Adult
KW - opioid-related disorders
KW - Drug overdose
KW - narcotic antagonist
AU - Grace Chang
AU - Michelle Davids
AU - Alan Kershaw
A1 - 
AB - Patients with opioid use disorder are at a high risk of overdose. To minimize that risk, a program offering intranasal naloxone rescue kits was piloted at a Veterans Administration Hospital. The purpose of this study was to characterize veterans who accepted these potentially lifesaving kits. Retrospective medical chart review of 158 veterans with opioid use disorder receiving treatment on either the inpatient psychiatry detoxification units or outpatient methadone maintenance setting who were offered overdose education and naloxone rescue kits. One hundred and ten of 158 veterans (70%) accepted overdose education and naloxone rescue. Overall, they had a mean age of 39.1 years and averaged 12.7 years of opioid use. In the prior month, they averaged 14.3 days of heroin use; they used alone 48.5% of the time. They estimated an average of 2.8 accidental overdoses over their lifetimes. There were few significant differences between those who accepted and those who declined with regard to demographic and clinical variables. However, significantly higher percentages of outpatients accepted overdose education and naloxone rescue compared to inpatients (89% versus 63%, p = 0.003, Chi-square); the odds of acceptance were increased four-fold when offered to outpatients. Outpatients were nearly a decade older, with more years of opioid use (19.0 versus 11.0), but with less utilization of inpatient services in the prior year (all p < 0.05). The main finding was that 70% of veterans accepted overdose education and naloxone rescue, but significantly higher proportions of outpatients were more receptive than inpatients (89% versus 63%, p = 0.003). Efforts to increase overdose education and naloxone rescue acceptance in all settings are encouraged.
AD - a VA Boston Healthcare System , Brockton , Massachusetts , USA.; b Harvard Medical School , Boston , Massachusetts , USA.; a VA Boston Healthcare System , Brockton , Massachusetts , USA.; b Harvard Medical School , Boston , Massachusetts , USA.; a VA Boston Healthcare System , Brockton , Massachusetts , USA.
BT - Journal of addictive diseases
C5 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use
CP - 4
CY - England
DO - 10.1080/10550887.2017.1333331
IS - 4
JF - Journal of addictive diseases
LA - eng
M1 - Journal Article
N2 - Patients with opioid use disorder are at a high risk of overdose. To minimize that risk, a program offering intranasal naloxone rescue kits was piloted at a Veterans Administration Hospital. The purpose of this study was to characterize veterans who accepted these potentially lifesaving kits. Retrospective medical chart review of 158 veterans with opioid use disorder receiving treatment on either the inpatient psychiatry detoxification units or outpatient methadone maintenance setting who were offered overdose education and naloxone rescue kits. One hundred and ten of 158 veterans (70%) accepted overdose education and naloxone rescue. Overall, they had a mean age of 39.1 years and averaged 12.7 years of opioid use. In the prior month, they averaged 14.3 days of heroin use; they used alone 48.5% of the time. They estimated an average of 2.8 accidental overdoses over their lifetimes. There were few significant differences between those who accepted and those who declined with regard to demographic and clinical variables. However, significantly higher percentages of outpatients accepted overdose education and naloxone rescue compared to inpatients (89% versus 63%, p = 0.003, Chi-square); the odds of acceptance were increased four-fold when offered to outpatients. Outpatients were nearly a decade older, with more years of opioid use (19.0 versus 11.0), but with less utilization of inpatient services in the prior year (all p < 0.05). The main finding was that 70% of veterans accepted overdose education and naloxone rescue, but significantly higher proportions of outpatients were more receptive than inpatients (89% versus 63%, p = 0.003). Efforts to increase overdose education and naloxone rescue acceptance in all settings are encouraged.
PP - England
PY - 2017
SN - 1545-0848; 1055-0887
SP - 217
EP - 221
EP - 
T1 - Overdose education and naloxone distribution for veterans with opioid use disorder: Results from a pilot initiative
T2 - Journal of addictive diseases
TI - Overdose education and naloxone distribution for veterans with opioid use disorder: Results from a pilot initiative
U1 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use
U2 - 28548574
U3 - 10.1080/10550887.2017.1333331
VL - 36
VO - 1545-0848; 1055-0887
Y1 - 2017
Y2 - Oct-Dec
ER -