Emergency Department Visits for Substance Abuse - CDC

Emergency Department Visits for Substance Abuse

Emergency Department Vis for Substance Abuse

The National Hospital Care Survey (NHCS) collects information on emergency department (ED) visits in the United States, including those resulting from substance misuse or abuse, adverse reactions to medications taken as prescribed or directed, accidental ingestion of drugs, and drug-related suicide attempts. These data are used in many ways such as to help guide the development of substance abuse policy and the evaluation of programs targeted at the prevention, intervention, and treatment of substance use and abuse. The charts The National Hospital Care Survey (NHCS) collects information on emergency department (ED) visits in the United State shown below use dataresulting from the Substance Abuse Healthreactions Services Abuse or directed, accid those from substance misuse and or aMental buse, adverse to Administration’s medications taken Drug as prescribed ingestion of dwhich rugs, ahas nd dbeen rug-‐related suicide into attempts. These These data are used in many w ays such as to hyour elp guide the deve Warning Network (DAWN) integrated the NHCS. data illustrate ways in which substance a buse p olicy a nd t he e valuation o f p rograms t argeted a t t he p revention, i ntervention, a nd treatment of subs hospital’s participation in the NHCS can help impact policy and improve public health.

All Drugs

and abuse. The charts shown below use data from the Substance Abuse and Mental Health Services Administration’s Dr Warning Network (DAWN) which has been integrated into the NHCS. These data illustrate ways in which your hospital’s participation in the NHCS can help impact policy and improve public health.

Trends in Drug-‐related mergency DEmergency epartment Visits by Visits Type: nited States, 2004-‐2011 Trends inEDrug-related Department byUType: United States, 2004–2011

Number of of ED ED Visits Visits Number

ED visits involving misuse or abuse of pharmaceuticals more than doubled from 2004 through 2011, while ED visits involving adverse reactions remained level during the past few years after increasing about 80 percent from 2005 through 2009. ED visits involving use of illicit drugs were relatively stable from 2004 through 2009, but increased about 25 percent from 2009 through 2011.

2,500,000

Adverse Reactions

2,000,000

Misuse o r Abuse of Pharmaceuticals Illicit Drug Use

1,526,010 1,250,377 991,640

1,000,000

958,866

922,018 765,314

2,301,059 2,329,221

1,908,928

1,500,000

1,126,403

974,852

1,428,145

1,344,393

1,172,276

984,749

859,136

1,243,606

1,252,500

974,392

994,583

626,470

500,000

Source: Substance Abuse and Mental Health Services Administration, Drug Abuse Warning Network, 2004-2011

2,287,271

2,157,128

0

2004

National Hospital Care Survey

2005

2006

2007

2008

2009

2010

2011

Emergency Department Visits for Sub

Source: Substance Abuse and Mental Health Services Administration, Drug Abuse Warning Network, 200

Heroin

ED Visits per 100,000 Population

ED visits involving misuse or abuse of pharmaceuticals more than doubled from 2004 through 2011, while ED visits invo reactions remained level during the past few years after increasing about 80 percent from 2005 through 2009. ED visits Heroin-‐related E mergency D epartment Visit Visit Raates b2y ge: States, 2011 Heroin-related Department Rates Age:United Heroin-related ED visit rates dwere of illicit rugs most were relatively stable from 2004 tEmergency hrough 2009, but increased bout 5 by pAercent from 2009 through 2011. United States, 2011 commonly made by young adults aged 21-24 years. Rates peakedTrends among this in Methamphetamine-‐related Emergency Department Visits by Sex: United States, 200 age group and declined steadily for older age groups. Total Male Female 140,000

132,576

Num ber of ED Visits

120,000


100,000

109,655

85,641

40,000 20,000

79,924 71,842

80,000 60,000

102,961 94,929

67,954

66,308

64,117

46,930

44,008

37,760 27,482

63,092

55,249

52,438

23,942

39,210 27,095

Age in Years

40,222

39,544

39,869

23,890

Source: Substance Abuse and Mental Health Services Administration, Drug Abuse Warning Network, 20 0

2004 2005 2006 2007 2008 2009 2010 2011 For more informationHeroin-‐related on the National Care Survey visit:and http://www.cdc.gov/nchs/nhcs.htm ED vHospital isit rates w ere m ost commonly mMade by oung adults Aadministration, ged 21-‐24 years. eaked mong this a Source: Substance Abuse ental Hyealth Services Drug RAates buse pW arning aN etwork, 200

declined steadily for older age groups. From 2004 through 2009, methamphetamine-‐related ED visits declined 52 percent overall, with a 53 percent decrease f

National Hospital Care Survey

2004

2005

2006

2007

2008

2009 2010Department 2011 Emergency Visits for Subs


National Hospital CareED Survey Emergency Department Visits Substance Abuse visits involving misuse or abuse of pharmaceuticals more than doubled from 2004 for through 2011, while ED visits invo

reactions remained level during the past few years after increasing about 80 percent from 2005 through 2009. ED visits Heroin-‐related Emergency Department Visit Rates by Age: United States, 2011 Methamphetamine of illicit drugs were relatively stable from 2004 through 2009, but increased about 25 percent from 2009 through 2011.

Number of ED ED Visits Visits Num ber of

Emergency Department isits by Sex: United States, 200 Trends in Methamphetamine-related EmergencyVDepartment From 2004 through 2009,Trends in Methamphetamine-‐related Visits by Sex: United States, 2004–2011 methamphetamine-related ED visits declined 52 percent overall, with a 53 Total Male Female 132,576 140,000 percent decrease for males and a 49 percent decrease for females. From 120,000 109,655 102,961 2009 through 2011, methamphetamine94,929 100,000 related visits increased 61 percent 85,641 79,924 overall, with a 57 percent increase 71,842 80,000 67,954 66,308 64,117 63,092 for males and a 67 percent increase 55,249 52,438 60,000 for females. 46,930 44,008 39,210

37,760

40,000

27,482

23,942

27,095

40,222

39,544

39,869

23,890

20,000

Source: Substance Abuse and Mental Health Services Administration, Drug Abuse Warning Network, 2004-2011

0 Source: Substance Abuse and Mental Health Services Administration, Drug Abuse Warning Network, 201 2004

Marijuana

2005

2006

2007

2008

2009

2010

2011

Source: Substance Abuse and Mental Health Services Administration, Drug Abuse Warning Network, 20 Heroin-‐related ED visit rates were most commonly made by young adults aged 21-‐24 years. Rates peaked among this ag declined steadily for older age groups. From 2004 through 2009, methamphetamine-‐related ED visits declined 52 percent overall, with a 53 percent decrease f a 49 percent decrease for females. From 2009 through 2011, methamphetamine-‐related visits increased 61 percent ov 57 percent increase for males and a 67 percent increase for females.

Number of ED Visits

Marijuana-‐related mergency Department Visits among Adolescents Aged 15-‐17 Years by http://www.cdc.gov/nchs/nhcs.htm For more information on the ENational Hospital Care Survey visit: The number of marijuana-related Marijuana-related Emergency Department Visits among Adolescents United States, 2005 and 2011 Aged 15–17 Years by Sex: United States, 2005 and 2011 ED visits for adolescents aged 15–17 years was 61% higher in 2011 than in 2005. Visits among males increased 65 percent, while visits among females increased 53 percent. In both 2005 and 2011, the number of marijuana-related ED visits made by males was higher than those made by females.

S ource: Substance Abuse and Mental Health Services Administration, Drug Abuse Warning Network, 2005 and 2011

Male

Female


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The number of marijuana-‐related ED visits for adolescents aged 15 to 17 years increased 61 percent from 2005 through among males increased 65 percent, while visits among females increased 53 percent. In both 2005 and 2011, the numb marijuana-‐related ED visits made by males was higher than those made by females.

For more information on the National Hospital Care Survey visit: http://www.cdc.gov/nchs/nhcs.htm

For more information on the National Hospital Care Survey, visit: http://www.cdc.gov/nchs/nhcs.htm