A Prospective Study of Non-Fatal Heroin Overdose
MetadataShow full item record
We aimed to study the prevalence, characteristics and outcomes of patients presenting with non-fatal heroin overdose. Two hundred and forty nine overdoses in 224 patients (61% male, range 15-49 years). Mean reported age of first heroin use was 18.8 years (range 10-45). forty-two percent reported a previous heroin overdose requiring hospital intervention. Co-ingestants incluxded benzodiazepines (61, 27.2%), alcohol (35, 15.6%), cannabis (25,11.1%), amphetamines (13, 5.8%) and hallucinogens (3, 1.3%). Most patients experienced a benign course; 81 of 115 ambulance presentations (70.4%) received prehospital naloxone and 23(9.2%) received naloxone in the ED; 67.9% had no investigations and complications were uncommon (two aspiration, one hypoxic brain injury). Median length of stay was 180min (15 min to 48h). Only 29 (11.6%) presentations required admission. There were 15 individuals (6.7%) who had 40 (16.1% of the total) repeat presentations. Heroin overdose tends to occur in experienced users who commonly co-ingest other drugs. There is a trend of overdose occurring with increasing frequency in teenage females. Repeat overdosing is common. However, while morbidity is low, these patients require considerable resourses
This is an electronic version of an article published in Fatovich, Daniel and Bartu, Anne and Daly, F. 2008. A Prospective Study of Non-Fatal Heroin Overdose. Journal of Substance Use 13 (5): pp. 299-307.
Showing items related by title, author, creator and subject.
When is a little knowledge dangerous?: circumstances of recent heroin overdose and links to knowledge of overdose risk factorsDietze, P.; Jolley, D.; Fry, C.; Bammer, G.; Moore, David (2006)Objectives: To describe the circumstances surrounding recent heroin overdose among a sample of heroin overdose survivors and the links to their knowledge of overdose risk. Methods: A cross-sectional survey of 257 recent ...
Morbidity associated with heroin overdose presentations to an emergency department: A 10-year record linkage studyFatovich, D.; Bartu, Anne; Davis, G.; Atrie, J.; Daly, F. (2010)Introduction: To examine hospitalizations in a cohort of 224 patients who presented with non-fatal heroin overdose to an ED. Methods: A record linkage study, using the morbidity, mental health and mortality databases in ...
Characteristics of medication overdose presentations to the ED: how do they differ from illicit drug overdose and self-harm cases?Buykx, P.; Dietze, P.; Ritter, A.; Loxley, Wendy (2010)Background Medication overdose accounts for >80% of hospital presentations for self-harm. Previous research has identified typical characteristics of medication overdose cases; however, these cases have not been well ...