Emergency Department Visits, Inpatient Hospitalizations, and Nonfatal and Fatal Drug Overdoses During COVID-19 Among Veterans With Opioid Use Disorder
We observed significant decreases in the use of emergency department and inpatient care services and fewer nonfatal overdoses after the pandemic's onset. Health care disruptions limiting access to emergency and inpatient care could account for the lower number of recorded nonfatal overdoses, potentially reflecting an underestimate of risk. In contrast, fatal overdoses increased during the pandemic compared with pre-pandemic trends. Lower use of emergency and inpatient care and higher rates of fatal overdoses during the pandemic suggest an exacerbation of unmet treatment needs after the pandemic's onset.
Authors
- Michael D. Stein (ORCID: https://orcid.org/0000-0002-2466-5192)
- Clara E Roth (ORCID: https://orcid.org/0000-0002-0357-6668)
- Frank Meng (ORCID: https://orcid.org/0000-0002-3065-1619)
- Rebecca Hall (ORCID: https://orcid.org/0000-0002-1786-7984)
- Anne N. Banducci (ORCID: https://orcid.org/0000-0003-1213-7998)
- Nicholas A. Livingston (ORCID: https://orcid.org/0000-0001-5671-3200)
- Lauren B. Loeffel (ORCID: https://orcid.org/0000-0002-4261-089X)
- Molly Maloney
- Amar Mandavia (ORCID: https://orcid.org/0000-0002-7166-7692)
- Jennifer R. Fonda (ORCID: https://orcid.org/0000-0001-9482-2918)
- Justeen Hyde (ORCID: https://orcid.org/0000-0001-5155-0924)
- Michael Davenport (ORCID: https://orcid.org/0000-0002-5160-2410)
Institutions
- Boston University (US)
- University of Minnesota (US)
- Harvard University (US)
- University of Minnesota System (US)
- VA Boston Healthcare System (US)
- Bedford VA Research Corporation (US)
- VA New England Healthcare System (US)
- National Center for PTSD (US)
- Boston VA Research Institute (US)
- Minneapolis VA Health Care System (US)
Publication Details
- Journal
- Journal of Studies on Alcohol and Drugs
- Published
- 2024-10-31
- DOI
- https://doi.org/10.15288/jsad.24-00184
- Citations
- 3
- Primary Topic
- Opioid Use Disorder Treatment
- Type
- article
- Field-Weighted Citation Impact
- 1.63