TY  - JOUR
PY  - 2017//
TI  - Epidemiology of overdose episodes from the period prior to hospitalization for drug poisoning until discharge in Japan: an exploratory descriptive study using a nationwide claims database
JO  - Journal of epidemiology
A1  - Okumura, Yasuyuki
A1  - Sakata, Nobuo
A1  - Takahashi, Kunihiko
A1  - Nishi, Daisuke
A1  - Tachimori, Hisateru
SP  - 373
EP  - 380
VL  - 27
IS  - 8
N2  - BACKGROUND: Little is known about the nationwide epidemiology of the annual rate, causative substance, and clinical course of overdose-related admission. We aimed to describe the epidemiology of overdose episodes from the period prior to hospitalization for drug poisoning until discharge to home. <br><br>METHODS: We assessed all cases of admission due to overdose (21,663 episodes) in Japan from October 2012 through September 2013 using the National Database of Health Insurance Claims and Specific Health Checkups of Japan. <br><br>RESULTS: The annual rate of overdose admission was 17.0 per 100,000 population. Women exhibited two peaks in admission rates at 19-34 years (40.9 per 100,000) and ≥75 years (27.8 per 100,000). Men exhibited one peak in the admission rate at ≥75 years (23.7 per 100,000). Within 90 days prior to overdose, ≥60% and ≥9% of patients aged 19-49 years received a prescription for benzodiazepines and barbiturates, respectively. In addition, 59% of patients aged ≥75 years received a prescription for benzodiazepines prior to overdose, 47% had a history of congestive heart failure, and 24% had a diagnosis of poisoning by cardiovascular drugs. The proportion of patients with recent psychiatric treatments decreased with age (65.1% in those aged 35-49 years and 13.9% in those aged ≥75 years). <br><br>CONCLUSIONS: The findings emphasize the need for overdose prevention programs that focus on psychiatric patients aged 19-49 years who are prescribed benzodiazepines or barbiturates and on non-psychiatric patients aged ≥75 years who are prescribed benzodiazepines or digitalis.<br><br>Copyright © 2017 The Authors. Production and hosting by Elsevier B.V. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0917-5040
UR  - http://dx.doi.org/10.1016/j.je.2016.08.010
ID  - ref1
ER  -