Table 1

Characteristics of patients admitted to hospital for accidental opioid overdose, 2006–2015

CharacteristicAdmission
n (%)
Readmission
n (%)
Hospitalisations2433121
Type of opioid overdose
 Opium8 (0.3)0
 Heroin419 (17.2)15 (12.4)
 Methadone401 (16.5)26 (21.5)
 Synthetic opioids*123 (5.1)7 (5.8)
 Other opioids†1101 (45.3)46 (38.0)
 Unspecified/other opioids515 (21.2)34 (28.1)
Sex
 Female1134 (46.6)54 (44.6)
 Male1299 (53.4)67 (55.4)
Age (years)
 <1036 (1.5)0
 10–1980 (3.3)<5
 20–29371 (15.2)16 (13.2)
 30–39411 (16.9)19 (15.7)
 40–49415 (17.1)15 (12.4)
 50–59477 (19.6)21 (17.4)
 60–69329 (13.5)36 (29.8)
 70–79186 (7.6)10 (8.3)
 ≥80128 (5.3)<5
Low income719 (29.6)35 (28.9)
Rural residence325 (13.4)17 (14.1)
Substance use disorders
 Opioids192 (7.9)25 (20.7)
 Sedatives and hypnotics22 (0.9)<5
 Stimulants112 (4.6)9 (7.4)
 Other395 (16.2)35 (28.9)
Romano comorbidity score
 01380 (56.7)54 (44.6)
 1–2723 (29.7)40 (33.1)
 ≥3330 (13.6)27 (22.3)
Other medical history
 Psychiatric illness931 (38.3)58 (47.9)
 Pneumonia224 (9.2)27 (22.3)
 Other respiratory illness473 (19.4)35 (28.9)
 HIV42 (1.7)<5
 Hepatitis C33 (1.4)<5
 Cancer172 (7.1)11 (9.1)
Opioid prescription history§
 Methadone29 (1.2)<5
 Buprenorphine/naloxone30 (1.2)<5
 High-dose opioid for pain569 (23.4)33 (27.3)
 No use of opioids for pain1097 (45.1)50 (41.3)
Other prescription history§
 Sedatives and hypnotics571 (23.5)37 (30.6)
 Stimulants63 (2.6)<5
  • Types of opioid overdose correspond to ICD-10 T40.0-T40.4 and T40.6 (some overdoses appear in >1 category). Readmissions are defined as additional accidental opioid overdose admissions within 365 days of prior admission.

  • *Includes buprenorphine, fentanyl, pethidine and tramadol.

  • †Includes codeine, hydromorphone, morphine and oxycodone.

  • ‡Based on diagnoses at a physician or hospital visit in the 365 days before opioid overdose.

  • §Based on dispensings in the 180 days prior to opioid overdose. High-dose opioid use is defined by a dispensing of opioid pain medication of >90 oral morphine equivalents per day. Small cell sizes are denoted as '<5' or 0 as applicable.