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10.1016/j.jsat.2021.108391 http://scihub22266oqcxt.onion/10.1016/j.jsat.2021.108391 33994360!9581895!33994360     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=33994360&cmd=llinks): Failed to open stream: HTTP request failed! 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How emergency department visits for substance use disorders have evolved during the early COVID-19 pandemic |pdf=|usr=}}{{33994360}} gab.com Text How emergency department visits for substance use disorders have evolved during the early COVID-19 pandemic JO: J Subst Abuse Treat http://www.kidney.de/pget.php?&tw=1&pmid=33994360 #FOAvip OBJECTIVE: Higher opioid overdoses and drug use have reportedly occurred during the COVID-19 pandemic. We provide evidence on how emergency department (ED) visits for substance use disorders (SUD) changed in the early pandemic period. METHODS: Using retrospective data from January-July 2020 compared to January-July 2019, we calculated weekly 2020/2019 visit ratios for opioid-related, alcohol-related, other drug-related disorders, and all non-COVID-19 visits. We assess how this ratio as well as overall visit numbers changed after the mid-March 2020 onset of general pandemic restrictions. RESULTS: In 4.5 million ED visits in 2020 and 2019 to 108 EDs in 18 U.S. states, SUD visits were higher in early 2020 compared to 2019. During the peak-pandemic restriction period (March 13-July 31), non-COVID-19, non-SUD visits fell by approximately 45% early on, and then partly recovered with an average decline of 33% relative to 2019 levels. Visits for opioid-related, alcohol-related, and other drug-related disorders also declined, although less sharply, with an average drop of 17%, which was similar across SUD types. The visit ratios for 2020/2019 partially or fully recovered later in our sample period, depending on SUD type, but did not exceed early-2020 levels. However, substantial variation occurred across SUD types and across states. SUD visit declines were most prominent in the 65+ age group, except for alcohol-related visits where trends were similar across ages. SUD visits arriving by ambulance declined less or increased relative to self-transport visits, and ED deaths were rare. CONCLUSIONS: The 2020/2019 ratios of SUD ED visits fell substantially early in the COVID-19 pandemic, yet less than non-SUD, non-COVID ED visits. SUD ED visit ratios partly or fully recovered to 2019 levels by early June 2020, but did not exceed early 2020 ratios. Twit Text FOAVip How emergency department visits for substance use disorders have evolved during the early COVID-19 pandemic ????J Subst Abuse Treat http://www.kidney.de/pget.php?&tw=1&pmid=33994360 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33994360 #FOAvip English Wikipedia <ref>{{Cite pmid|33994360}}</ref> How emergency department visits for substance use disorders have evolved during the early COVID-19 pandemic #MMPMID33994360 Pines JM; Zocchi MS; Black BS; Carlson JN; Celedon P; Moghtaderi A; Venkat A J Subst Abuse Treat 2021[Oct]; 129 (ä): 108391 PMID33994360show ga OBJECTIVE: Higher opioid overdoses and drug use have reportedly occurred during the COVID-19 pandemic. We provide evidence on how emergency department (ED) visits for substance use disorders (SUD) changed in the early pandemic period. METHODS: Using retrospective data from January-July 2020 compared to January-July 2019, we calculated weekly 2020/2019 visit ratios for opioid-related, alcohol-related, other drug-related disorders, and all non-COVID-19 visits. We assess how this ratio as well as overall visit numbers changed after the mid-March 2020 onset of general pandemic restrictions. RESULTS: In 4.5 million ED visits in 2020 and 2019 to 108 EDs in 18 U.S. states, SUD visits were higher in early 2020 compared to 2019. During the peak-pandemic restriction period (March 13-July 31), non-COVID-19, non-SUD visits fell by approximately 45% early on, and then partly recovered with an average decline of 33% relative to 2019 levels. Visits for opioid-related, alcohol-related, and other drug-related disorders also declined, although less sharply, with an average drop of 17%, which was similar across SUD types. The visit ratios for 2020/2019 partially or fully recovered later in our sample period, depending on SUD type, but did not exceed early-2020 levels. However, substantial variation occurred across SUD types and across states. SUD visit declines were most prominent in the 65+ age group, except for alcohol-related visits where trends were similar across ages. SUD visits arriving by ambulance declined less or increased relative to self-transport visits, and ED deaths were rare. CONCLUSIONS: The 2020/2019 ratios of SUD ED visits fell substantially early in the COVID-19 pandemic, yet less than non-SUD, non-COVID ED visits. SUD ED visit ratios partly or fully recovered to 2019 levels by early June 2020, but did not exceed early 2020 ratios. |*COVID-19[MESH] |*Substance-Related Disorders/epidemiology[MESH] |Emergency Service, Hospital[MESH] |Humans[MESH] |Pandemics[MESH] |Retrospective Studies[MESH]How emergency department visits for substance use disorders have evolv(epmc).pdf DeepDyve Pubget Overpricing