ohio opiate trends the poison center perspective alfred aleguas, bs pharm, pharmd, d.abat director,...
Post on 16-Dec-2015
214 Views
Preview:
TRANSCRIPT
Ohio Opiate TrendsThe poison center perspective
Alfred Aleguas, BS Pharm, PharmD, D.ABATDirector, Northern Ohio Poison Center
Cleveland, OH
Ohio Poison Center Collaborative• 3 Ohio poison centers serving 11.5 million
– Northern Ohio Poison Center (NOPC), Cleveland– Central Ohio Poison Center (COPC), Columbus– Cincinnati Drug and Poison Information Center
(DPIC)
All 3 are certified by the American Association of Poison Control Centers (AAPCC); there are 57 such centers
All data is transmitted into the National Poison Data System, in near real-time.
Stats
Analyzed all opiate exposures from 2005-2012 (extrap) for all of Ohio
• Looked at the numbers with an outcome of moderate, severe or death
• Compared the age ranges involved
Drugs
• Hydrocodone/APAP• Oxycodone(+/- APAP)• Methadone• Morphine
• Tramadol• Buprenorphine• Oxymorphone• Fentanyl
1369 1343
1,500
1599
1821
1693 16811619
0
200
400
600
800
1000
1200
1400
1600
1800
2000
2005 2006 2007 2008 2009 2010 2011 2012
Year
Ohio Exposures
303
350
393
546
445 438
533 524
0
100
200
300
400
500
600
2005 2006 2007 2008 2009 2010 2011 2012Year
HCF Severity
Exposures
361 371
343
490
548
449
160
135
0
100
200
300
400
500
600
2005 2006 2007 2008 2009 2010 2011 2012Year
Hydrocodone/APAP
Exposures
263274
302308
341328
258
300
0
50
100
150
200
250
300
350
2005 2006 2007 2008 2009 2010 2011 2012
Year
Oxycodone
Oxycodone
168 168174
145149
141
108
83
0
20
40
60
80
100
120
140
160
180
2005 2006 2007 2008 2009 2010 2011 2012Year
Methadone
126
84
128
111114
108
91
83
0
20
40
60
80
100
120
140
2005 2006 2007 2008 2009 2010 2011 2012Year
Morphine
290
332349
446
506
472
521497
0
100
200
300
400
500
600
2005 2006 2007 2008 2009 2010 2011 2012
Year
Tramadol
Tramadol
42
23
184
90
194
86
0
50
100
150
200
250
300
2010 2011 2012Year
Buprenorphine
Buprenorphine<5 yo
Buprenorphine total
2010
2011
2012
Oxymorphone
Fentanyl
12
74
45
8
46
41
0
10
20
30
40
50
60
70
80
Year
Oxymorphone and Fentanyl
Oxymorphone
Fentanyl
0
10
20
30
40
50
60
70
80
Percent
1 2Year
Ped vs Adult 2005,2010
Peds
Adults
0
5
10
15
20
25
30
35
40
Percent
<19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 >90
Age group % 2005, 2010
2005
2010
12048
14378
21104
28606
25130
17140
15638
11851
0
5000
10000
15000
20000
25000
30000
2005 2006 2007 2008 2009 2010 2011 2012Year
Hydrocodone/APAP
4833
9829
15086
17634
11335
10683
8968
6525
0
2000
4000
6000
8000
10000
12000
14000
16000
18000
2005 2006 2007 2008 2009 2010 2011 2012Year
Oxycodone
Oxycodone
8831
10903
17525
20866
19970
15556
14594
10028
0
5000
10000
15000
20000
25000
2005 2006 2007 2008 2009 2010 2011 2012Year
Oxycodone/APAP
Oxycodone/APAP
1561
3178
3419
3760
2344
1824
1440 1415
0
500
1000
1500
2000
2500
3000
3500
4000
2005 2006 2007 2008 2009 2010 2011 2012Year
Methadone
Methadone
2533
3003
4014
5177
4385
2758
2209
1733
0
1000
2000
3000
4000
5000
6000
2005 2006 2007 2008 2009 2010 2011 2012Year
Morphine
Morphine
2952
4110
5328
6730
4601
3207
2935
2391
0
1000
2000
3000
4000
5000
6000
7000
2005 2006 2007 2008 2009 2010 2011 2012Year
Tramadol
Tramadol
top related