A Decade of Pain. Presented by. Data Streams; 10/24/12. Opioid treatment and mortality in Minnesota,

Transcription

1 A Dcad of Pai Opioid tatmt ad motality i Misota, 2-21 Pstd by Rick Moldhau, MS, LADC, ICADC, LPCC Stat Opioid Tatmt Authoity, Alcohol ad Dug Abus Divisio, DHS P.O. Box 64977, St. Paul, MN Pho: (651) Richad.moldhau@stat.m.us Data Stams; DAANES Aual Rpots, Calda Yas 2-21 (tatmt ifo), i som cass wh otd MDH Vital Sta\s\cs Sc\o (motality data) 1

2 1/24/12 highlights I MN, btw Calda Ya (CY) 2-21 th w 1986 dath c\ficats issud with opioid as a pimay o cotibu\g caus of motality Plas mmb.. Numbs=Popl 2

3 Total opiat latd daths i MN, 2-21 total opiat daths 3 R a w u m b s total opiat daths 3

4 R a w u m b s Total opiat latd daths i MN, 2-21 by gd mal fmal All Tx Admissio fo Opiats, opiats Souc: DAANES, PMQI B y Total opiat latd tatmt admissios i MN, by pct, by gd p c t mal fmal

5 B y p c t Total opiat tx admissios MN, 2-26 by substac (at last 1-2x/.9 wk) opiats hoi o- x mthado B y p c t Us of opiat, tx admissios MN, by substac (us i last 1 to 1 days) opiats hoi o- x mthado 5

6 Pimay us of opiat, tx admissios MN, by pct, opioid 7 B y 6 5 p c t opiats hoi o- x mthado

7 Total opiat latd daths i MN, 2-21 by fou lagst ac catgois 25 R a w u m b s whit black Idia Asai 8 Total opiat latd tatmt i MN, 2-21 by pct; fou lagst ac catgois R a w u m b s whit black Idia Asai

8 Opiats by ag goup, > < Souc: DAANES, PMQI Pgacy status at admissio 2-29, opiats Souc: DAANES, PMQI 21 pgat 23 R a w u m b s Total opiat latd daths i MN, 2-21 by slct ag catgois total 41.9 avg. ag of dath of opiats total

9 4 35 Total opiat tatmt admissios i MN, by pct, slct ag catgois B y p c t ud B 34 y p c t Total opiat tatmt admissios i MN, by pct, avag ag Av ag 27 CY 28 CY 29 CY 21 Av ag Hoi vs. oth opiat admissio Souc: DAANES, PMQI, MN DHS 21 9

10 Top cou\s fo opioid motality i MN, 2-21 Hpi Ramsy..215 Aoka..16 Dakota. 128 St Louis 88 1

11 R a w u m b s Total opiat latd daths i MN, 2-21 by moths total Ja Fb Ma Ap May Ju Jul Aug Spt Oct Nov Dc total Total opiat latd tatmt admissio i MN, 27-21, by pct, by moths 16 B y p c t Ja Fb Ma Ap May Ju Jul Aug Spt Oct Nov Dc Opiat itoxicatio Dictly latd to volum ad stgth cosumd 33 11

12 miosis Costictig of th pupil, 2-3mm 34 Iability to uciat wods, bok stc stuctu ad vocabulay choic Slud spch 35 That stat, followig a piod of mtal o bodily activity, chaactizd by a lssd capacity fo wok ad ducd fficicy of accomplishmt, usually accompaid by a flig of waiss, slpiss, o iitability. fatigu 36 12

13 Th patial o aly complt ucosciousss, maifstd by th subjct's spodig oly to vigoous stimulatio Stupo o coma 37 Impaimt i atttio Iability to focus o objctios o discussios,.g. ca t tack 38 Impaimt i mmoy Iability to call shot o log tm mmoy, may also hav difficulty with cogitio 39 13

14 Raly lif thatig Looks lik bad cas of th flu Opioid withdawal 4 Widig of th pupil, 7-8mm, slow ad sluggish to spod mydiasis 41 Watig of th ys, shddig tas lacimatio 42 14

15 hioha Flowig, asal dischag 43 Pspiatio, spcially pofus pspiatio,.g. swatig diaphosis 44 Upst stomach ad vomitig Nausa/msis 45 15

16 A mobidly fqut ad pofus dischag of loos o fluid vacuatios fom th itstis.g. th shits, th hshy squits, th g appl two-stp diaha 46 Buig pai i th muscl body Muscl achs 47 A is i body tmpatu abov omal usually as a atual spos to ifctio. Typically a oal tmpatu gat tha 1.4 dgs Fahhit costituts a fv. fv 48 16

17 Ectio of th hai,.g. hai stadig o d piloctio 49 17