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posted by mrpg on Monday August 14 2017, @03:00AM   Printer-friendly
from the crisis dept.

Since 2009, hospital intensive care units have witnessed a stark increase in opioid-related admissions and deaths, according to new study led by researchers at Beth Israel Deaconess Medical Center’s (BIDMC) Center for Healthcare Delivery Science. Published online today ahead of print in the Annals of the American Thoracic Society, the study is believed to be the first to quantify the impact of opioid abuse on critical care resources in the United States. The findings reveal that opioid-related demand for acute care services has outstripped the available supply.

Analyzing data from the period between January 1, 2009 and September 31, 2015, the researchers documented a 34 percent increase in overdose-related ICU admissions. The average cost of care per ICU overdose admissions rose by 58 percent, from $58,517 in 2009 to $92,408 in 2015 (in 2015 dollars). Meanwhile opioid deaths in the ICU nearly doubled during that same period. "This study tells us that the opioid epidemic has made people sicker and killed more people, in spite of all the care we can provide in the ICU, including mechanical ventilation, acute dialysis, life support and round-the-clock care," said the study's lead author, Jennifer P. Stevens, MD, associate director of the medical intensive care unit at BIDMC and assistant professor of medicine at Harvard Medical School.

[...] These data not only document the scope of the opioid abuse epidemic, they also reveal its complexity. Stevens and colleagues suggest that any opioid overdose-related admission is a preventable one, and that the team's findings not only represent the need for increased acute care resources, but also for expanded opioid-abuse prevention and treatment.

The article is paywalled but there is an abstract: The Critical Care Crisis of Opioid Overdoses in the United States

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  • (Score: 2) by Oakenshield on Monday August 14 2017, @04:26PM (1 child)

    by Oakenshield (4900) on Monday August 14 2017, @04:26PM (#553742)

    I also cringe at the idea that people want to take away this useful medicine from people who benefit greatly from it.

    You are correct. I used to take Actifed for my seasonal allergies as that worked the best for me. It was dirt cheap so I could pick up a package of 20 for a few bucks. Then the meth-heads came and screwed it up for everybody. Now I cannot find it anywhere and when I substitute Allegra or Xyrtec it costs about five to ten times as much and doesn't work as well.

    I took opiate pain relievers when I dislocated my knee. I never saw what the alleged "thrill" of opiates were either. I took a couple and said screw it, Advil worked just as well. I probably still have the bottle somewhere. The only thing I have ever taken that made me loopy was a single Valium that I received at the ER and I had absolutely no interest in ever having it again.

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  • (Score: 2) by DannyB on Monday August 14 2017, @06:49PM

    by DannyB (5839) Subscriber Badge on Monday August 14 2017, @06:49PM (#553799) Journal

    I have rarely taken enough to be loopy. I don't see the appeal of it. I can't stand the idea of losing control of my mind, emotions and faculties. That's probably why I don't drink alcohol.

    I daily take prescription nsaids stronger than advil. And tylenol. Occasionally opiates.

    A couple months ago I was on vacation in Colorado. Tried some edibles while I was there to see if it would help. I thought it provided a bit of relief -- but not much. But the biggest thing was that it is not cost effective at all. At about $10 a dose, that's ridiculous. I'll stick with opiates when those times come when other drugs aren't enough. I can get a whole bottle of opiates for less than $10 -- the cost of a single dose of edibles. And unlike the cannabis, the prescription opiate is like a sledged hammer for pain. Maybe the edibles help others, but I wasn't impressed by either the effectiveness nor the cost.

    --
    The lower I set my standards the more accomplishments I have.