PDF(Pubmed)
Abstract：
UNASSIGNED: The purpose of the study was to investigate the relationship between community-level variables and emergency department (ED) visit rates before and during COVID-19. The focus was on opioid-related ED visits. Despite large declines in overall ED visits during COVID-19, opioid-related visits increased. While visits for avoidable conditions decreased, the opposite was true for opioid-related visits.
UNASSIGNED: We combined data from Florida EDs with community-level variables from the 2020 American Community Survey. The outcome measures of the study were quarterly ZIP code tabulation-area-level ED visit rates for opioid-related ED visits as well as visit rates for all other causes. Associations with opioid-related visit rates were estimated before and during COVID-19.
UNASSIGNED: The associations between community-level variables and opioid-related visit rates did not match those found when analyzing overall ED visit rates. The increase in opioid-related visits during COVID-19 was not unique to or more prevalent in areas with a larger percentage of racial/ethnic minority populations. However, socioeconomic status was important, as areas with higher unemployment, lower income, lower home ownership, and higher uninsured had higher overall ED visit rates and opioid visit rates during the pandemic. In addition, the negative association with income increased during the pandemic.
UNASSIGNED: These results suggest socioeconomic status should be the focus of prevention and treatment efforts to reduce opioid-related visits in future pandemics. Healthcare organizations can use these results to target their prevention and treatment efforts during future pandemics.
UNASSIGNED: We combined data from Florida EDs with community-level variables from the 2020 American Community Survey. The outcome measures of the study were quarterly ZIP code tabulation-area-level ED visit rates for opioid-related ED visits as well as visit rates for all other causes. Associations with opioid-related visit rates were estimated before and during COVID-19.
UNASSIGNED: The associations between community-level variables and opioid-related visit rates did not match those found when analyzing overall ED visit rates. The increase in opioid-related visits during COVID-19 was not unique to or more prevalent in areas with a larger percentage of racial/ethnic minority populations. However, socioeconomic status was important, as areas with higher unemployment, lower income, lower home ownership, and higher uninsured had higher overall ED visit rates and opioid visit rates during the pandemic. In addition, the negative association with income increased during the pandemic.
UNASSIGNED: These results suggest socioeconomic status should be the focus of prevention and treatment efforts to reduce opioid-related visits in future pandemics. Healthcare organizations can use these results to target their prevention and treatment efforts during future pandemics.
摘要：
■该研究的目的是调查社区水平变量与COVID-19之前和期间急诊科（ED）就诊率之间的关系。重点是与阿片类药物相关的ED访问。尽管在COVID-19期间，整体ED就诊人数大幅下降，但与阿片类药物相关的就诊人数有所增加。虽然对可避免条件的访问减少了，与阿片类药物相关的访视则相反.
■我们将佛罗里达州ED的数据与2020年美国社区调查的社区级变量相结合。该研究的结果指标是季度邮政编码列表-阿片类药物相关ED就诊的地区水平ED就诊率以及所有其他原因的就诊率。在COVID-19之前和期间，估计了与阿片类药物相关的就诊率的关联。
■社区水平变量与阿片类药物相关就诊率之间的关联与分析总体ED就诊率时发现的关联不匹配。在COVID-19期间，与阿片类药物相关的访问增加并不是种族/族裔少数群体比例较大的地区所独有的，也不是更普遍的。然而,社会经济地位很重要,作为失业率较高的地区，收入较低,较低的房屋所有权，在大流行期间,未参保的患者总体ED就诊率和阿片类药物就诊率较高.此外,在大流行期间，与收入的负相关增加了。
■这些结果表明，社会经济地位应成为预防和治疗工作的重点，以减少未来大流行中与阿片类药物相关的访问。医疗保健组织可以利用这些结果来针对未来大流行期间的预防和治疗工作。
■我们将佛罗里达州ED的数据与2020年美国社区调查的社区级变量相结合。该研究的结果指标是季度邮政编码列表-阿片类药物相关ED就诊的地区水平ED就诊率以及所有其他原因的就诊率。在COVID-19之前和期间，估计了与阿片类药物相关的就诊率的关联。
■社区水平变量与阿片类药物相关就诊率之间的关联与分析总体ED就诊率时发现的关联不匹配。在COVID-19期间，与阿片类药物相关的访问增加并不是种族/族裔少数群体比例较大的地区所独有的，也不是更普遍的。然而,社会经济地位很重要,作为失业率较高的地区，收入较低,较低的房屋所有权，在大流行期间,未参保的患者总体ED就诊率和阿片类药物就诊率较高.此外,在大流行期间，与收入的负相关增加了。
■这些结果表明，社会经济地位应成为预防和治疗工作的重点，以减少未来大流行中与阿片类药物相关的访问。医疗保健组织可以利用这些结果来针对未来大流行期间的预防和治疗工作。
