A Prospective Study of Non-Fatal Heroin Overdose

We aimed to study the prevalence, characteristics and outcomes of patients presenting with non-fatal heroin overdose. Two hundred and forty nine overdoses in 224 patients (61% male, range 15-49 years). Mean reported age of first heroin use was 18.8 years (range 10-45). forty-two percent reported a p...

Full description

Bibliographic Details
Main Authors: Fatovich, D., Bartu, Anne, Daly, F.
Format: Journal Article
Published: Informa Healthcare 2008
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/44330
_version_ 1848756969853157376
author Fatovich, D.
Bartu, Anne
Daly, F.
author_facet Fatovich, D.
Bartu, Anne
Daly, F.
author_sort Fatovich, D.
building Curtin Institutional Repository
collection Online Access
description We aimed to study the prevalence, characteristics and outcomes of patients presenting with non-fatal heroin overdose. Two hundred and forty nine overdoses in 224 patients (61% male, range 15-49 years). Mean reported age of first heroin use was 18.8 years (range 10-45). forty-two percent reported a previous heroin overdose requiring hospital intervention. Co-ingestants incluxded benzodiazepines (61, 27.2%), alcohol (35, 15.6%), cannabis (25,11.1%), amphetamines (13, 5.8%) and hallucinogens (3, 1.3%). Most patients experienced a benign course; 81 of 115 ambulance presentations (70.4%) received prehospital naloxone and 23(9.2%) received naloxone in the ED; 67.9% had no investigations and complications were uncommon (two aspiration, one hypoxic brain injury). Median length of stay was 180min (15 min to 48h). Only 29 (11.6%) presentations required admission. There were 15 individuals (6.7%) who had 40 (16.1% of the total) repeat presentations. Heroin overdose tends to occur in experienced users who commonly co-ingest other drugs. There is a trend of overdose occurring with increasing frequency in teenage females. Repeat overdosing is common. However, while morbidity is low, these patients require considerable resourses
first_indexed 2025-11-14T09:20:39Z
format Journal Article
id curtin-20.500.11937-44330
institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T09:20:39Z
publishDate 2008
publisher Informa Healthcare
recordtype eprints
repository_type Digital Repository
spelling curtin-20.500.11937-443302018-10-03T05:51:40Z A Prospective Study of Non-Fatal Heroin Overdose Fatovich, D. Bartu, Anne Daly, F. naloxone emergency department Heroin overdose We aimed to study the prevalence, characteristics and outcomes of patients presenting with non-fatal heroin overdose. Two hundred and forty nine overdoses in 224 patients (61% male, range 15-49 years). Mean reported age of first heroin use was 18.8 years (range 10-45). forty-two percent reported a previous heroin overdose requiring hospital intervention. Co-ingestants incluxded benzodiazepines (61, 27.2%), alcohol (35, 15.6%), cannabis (25,11.1%), amphetamines (13, 5.8%) and hallucinogens (3, 1.3%). Most patients experienced a benign course; 81 of 115 ambulance presentations (70.4%) received prehospital naloxone and 23(9.2%) received naloxone in the ED; 67.9% had no investigations and complications were uncommon (two aspiration, one hypoxic brain injury). Median length of stay was 180min (15 min to 48h). Only 29 (11.6%) presentations required admission. There were 15 individuals (6.7%) who had 40 (16.1% of the total) repeat presentations. Heroin overdose tends to occur in experienced users who commonly co-ingest other drugs. There is a trend of overdose occurring with increasing frequency in teenage females. Repeat overdosing is common. However, while morbidity is low, these patients require considerable resourses 2008 Journal Article http://hdl.handle.net/20.500.11937/44330 10.1080/14659890802040773 Informa Healthcare restricted
spellingShingle naloxone
emergency department
Heroin overdose
Fatovich, D.
Bartu, Anne
Daly, F.
A Prospective Study of Non-Fatal Heroin Overdose
title A Prospective Study of Non-Fatal Heroin Overdose
title_full A Prospective Study of Non-Fatal Heroin Overdose
title_fullStr A Prospective Study of Non-Fatal Heroin Overdose
title_full_unstemmed A Prospective Study of Non-Fatal Heroin Overdose
title_short A Prospective Study of Non-Fatal Heroin Overdose
title_sort prospective study of non-fatal heroin overdose
topic naloxone
emergency department
Heroin overdose
url http://hdl.handle.net/20.500.11937/44330