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10.1080/10903127.2020.1834656

http://scihub22266oqcxt.onion/10.1080/10903127.2020.1834656
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33054530!ä!33054530

suck abstract from ncbi


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pmid33054530      Prehosp+Emerg+Care 2021 ; 25 (1): 46-54
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  • Refusals After Prehospital Administration of Naloxone during the COVID-19 Pandemic #MMPMID33054530
  • Glenn MJ; Rice AD; Primeau K; Hollen A; Jado I; Hannan P; McDonough S; Arcaris B; Spaite DW; Gaither JB
  • Prehosp Emerg Care 2021[Jan]; 25 (1): 46-54 PMID33054530show ga
  • OBJECTIVE: To determine if COVID-19 was associated with a change in patient refusals after Emergency Medical Services (EMS) administration of naloxone. METHODS: This is a retrospective cohort study in which the incidence of refusals after naloxone administration in a single EMS system was evaluated. The number of refusals after naloxone administration was compared across the before-pandemic interval (01/01/20 to 02/15/20) and the during-pandemic interval (03/16/20 to 04/30/20). For comparison the incidence of all other patient refusals before and during COVID-19 as well as the incidences of naloxone administration before and during COVID-19 were also reported. RESULTS: Prior to the widespread knowledge of the COVID-19 pandemic, 24 of 164 (14.6%) patients who received naloxone via EMS refused transport. During the pandemic, 55 of 153 (35.9%) patients who received naloxone via EMS refused transport. Subjects receiving naloxone during the COVID-19 pandemic were at greater risk of refusal of transport than those receiving naloxone prior to the pandemic (RR = 2.45; 95% CI 1.6-3.76). Among those who did not receive naloxone, 2067 of 6956 (29.7%) patients were not transported prior to the COVID-19 pandemic and 2483 of 6016 (41.3%) were not transported during the pandemic. Subjects who did not receive naloxone with EMS were at greater risk of refusal of transport during the COVID-19 pandemic than prior to it (RR = 1.39; 95% CI 1.32-1.46). CONCLUSION: In this single EMS system, more than a two-fold increase in the rate of refusal after non-fatal opioid overdose was observed following the COVID-19 outbreak.
  • |*COVID-19/epidemiology[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Emergency Medical Services[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Incidence[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Naloxone/*therapeutic use[MESH]
  • |Narcotic Antagonists/*therapeutic use[MESH]
  • |Pandemics[MESH]
  • |Retrospective Studies[MESH]


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