Development and Characteristics of the Provincial Overdose Cohort in British Columbia, Canada
Introduction British Columbia has the highest rate of opioid overdose in Canada, driven by the use of illegal opioids such as fentanyl. In addition to ongoing surveillance, there is a need for more comprehensive data to identify risk factors, inform the development of interventions, and evaluate the...
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ftdoajarticles:oai:doaj.org/article:146dd2806a874064b27d8aa07eec141d 2023-05-15T16:17:03+02:00 Development and Characteristics of the Provincial Overdose Cohort in British Columbia, Canada Laura MacDougall Kate Smolina Michael Otterstatter Margot Ko David Godfrey Bin Zhao Jing Cheng 2018-09-01T00:00:00Z https://doi.org/10.23889/ijpds.v3i4.1033 https://doaj.org/article/146dd2806a874064b27d8aa07eec141d EN eng Swansea University https://ijpds.org/article/view/1033 https://doaj.org/toc/2399-4908 2399-4908 doi:10.23889/ijpds.v3i4.1033 https://doaj.org/article/146dd2806a874064b27d8aa07eec141d International Journal of Population Data Science, Vol 3, Iss 4 (2018) Demography. Population. Vital events HB848-3697 article 2018 ftdoajarticles https://doi.org/10.23889/ijpds.v3i4.1033 2022-12-31T02:41:06Z Introduction British Columbia has the highest rate of opioid overdose in Canada, driven by the use of illegal opioids such as fentanyl. In addition to ongoing surveillance, there is a need for more comprehensive data to identify risk factors, inform the development of interventions, and evaluate the public health emergency response. Objectives and Approach The Provincial Overdose Cohort is a linked administrative dataset based on information from hospital admissions, physician visits, prescription dispensations, poison centre calls, ambulance, emergency department, coroner’s data, and First Nations Client File. Overdoses in the province were identified for the period January 2015-November 2016. Overdoses occurring within a 24 hour period across data sources were grouped as a single episode. For identified cases and for a control population (a 20% random sample of the BC residents), health care and prescribing history was appended dating back to 2010. Initial analyses were conducted based on a prioritization process with knowledge users. Results Integration of distinct data sources about overdose events provided a more complete understanding of the extent of the opioid crisis than use of a single dataset alone. Between January 1, 2015 and November 30, 2016 10,456 overdoses occurred in BC. Overdose deaths represented only 13% of individuals overdosing; 54% of all overdoses were captured through ambulance records and 46\% through emergency and hospital records, with some overlap between the datasets. Most cases had contact with the health care system in the year before overdose suggesting opportunities for intervention. Some demographic differences were noted when comparing fatal and non-fatal overdoses, but few differences in health or prescribing histories were identifiable using administrative data. Conclusion/Implications The Provincial Overdose Cohort is a uniquely comprehensive dataset in a jurisdiction at the forefront of the opioid overdose response. Jurisdictions developing surveillance systems should ... Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles Canada British Columbia ENVELOPE(-125.003,-125.003,54.000,54.000) International Journal of Population Data Science 3 4 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Demography. Population. Vital events HB848-3697 |
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Demography. Population. Vital events HB848-3697 Laura MacDougall Kate Smolina Michael Otterstatter Margot Ko David Godfrey Bin Zhao Jing Cheng Development and Characteristics of the Provincial Overdose Cohort in British Columbia, Canada |
topic_facet |
Demography. Population. Vital events HB848-3697 |
description |
Introduction British Columbia has the highest rate of opioid overdose in Canada, driven by the use of illegal opioids such as fentanyl. In addition to ongoing surveillance, there is a need for more comprehensive data to identify risk factors, inform the development of interventions, and evaluate the public health emergency response. Objectives and Approach The Provincial Overdose Cohort is a linked administrative dataset based on information from hospital admissions, physician visits, prescription dispensations, poison centre calls, ambulance, emergency department, coroner’s data, and First Nations Client File. Overdoses in the province were identified for the period January 2015-November 2016. Overdoses occurring within a 24 hour period across data sources were grouped as a single episode. For identified cases and for a control population (a 20% random sample of the BC residents), health care and prescribing history was appended dating back to 2010. Initial analyses were conducted based on a prioritization process with knowledge users. Results Integration of distinct data sources about overdose events provided a more complete understanding of the extent of the opioid crisis than use of a single dataset alone. Between January 1, 2015 and November 30, 2016 10,456 overdoses occurred in BC. Overdose deaths represented only 13% of individuals overdosing; 54% of all overdoses were captured through ambulance records and 46\% through emergency and hospital records, with some overlap between the datasets. Most cases had contact with the health care system in the year before overdose suggesting opportunities for intervention. Some demographic differences were noted when comparing fatal and non-fatal overdoses, but few differences in health or prescribing histories were identifiable using administrative data. Conclusion/Implications The Provincial Overdose Cohort is a uniquely comprehensive dataset in a jurisdiction at the forefront of the opioid overdose response. Jurisdictions developing surveillance systems should ... |
format |
Article in Journal/Newspaper |
author |
Laura MacDougall Kate Smolina Michael Otterstatter Margot Ko David Godfrey Bin Zhao Jing Cheng |
author_facet |
Laura MacDougall Kate Smolina Michael Otterstatter Margot Ko David Godfrey Bin Zhao Jing Cheng |
author_sort |
Laura MacDougall |
title |
Development and Characteristics of the Provincial Overdose Cohort in British Columbia, Canada |
title_short |
Development and Characteristics of the Provincial Overdose Cohort in British Columbia, Canada |
title_full |
Development and Characteristics of the Provincial Overdose Cohort in British Columbia, Canada |
title_fullStr |
Development and Characteristics of the Provincial Overdose Cohort in British Columbia, Canada |
title_full_unstemmed |
Development and Characteristics of the Provincial Overdose Cohort in British Columbia, Canada |
title_sort |
development and characteristics of the provincial overdose cohort in british columbia, canada |
publisher |
Swansea University |
publishDate |
2018 |
url |
https://doi.org/10.23889/ijpds.v3i4.1033 https://doaj.org/article/146dd2806a874064b27d8aa07eec141d |
long_lat |
ENVELOPE(-125.003,-125.003,54.000,54.000) |
geographic |
Canada British Columbia |
geographic_facet |
Canada British Columbia |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
International Journal of Population Data Science, Vol 3, Iss 4 (2018) |
op_relation |
https://ijpds.org/article/view/1033 https://doaj.org/toc/2399-4908 2399-4908 doi:10.23889/ijpds.v3i4.1033 https://doaj.org/article/146dd2806a874064b27d8aa07eec141d |
op_doi |
https://doi.org/10.23889/ijpds.v3i4.1033 |
container_title |
International Journal of Population Data Science |
container_volume |
3 |
container_issue |
4 |
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1766002904539332608 |