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Brain Injury and Opioid Epidemic

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Presentation on theme: "Brain Injury and Opioid Epidemic"— Presentation transcript:

1 Brain Injury and Opioid Epidemic
2018 Brain Injury Summit: Brain Injury and Opioid Epidemic Dana Quesinberry Shannon Beaven Numbers Don’t Lie: Kentucky’s Sobering Statistics March 2, 2018

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8 2016 Opioid-Related Disorder Inpatient Hospitalizations
Hospital Type Acute Care Psychiatric Rehab Total Opioid Related Disorder 14,863 3,867 75 18,805 Opioid Dependence 10,560 2,998 47 13,605 Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health, February Data source: Kentucky Inpatient Hospitalization Claims Files; Cabinet for Health and Family Services, Office of Health Policy. Data are provision and subject to change. Counts represent encounters of care and could be greater than the number of individual patients treated.

9 2016 Opioid-Related Overdose Inpatient Hospitalizations
 Hospital Type Acute Care Psychiatric Rehab Total Opioid Related Overdose 1,838 <5 1,845 Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health, February Data source: Kentucky Inpatient Hospitalization Claims Files; Cabinet for Health and Family Services, Office of Health Policy. Data are provision and subject to change. Counts represent encounters of care and could be greater than the number of individual patients treated.

10 2016 Inpatient Hospitalizations for Targeted Brain Injuries
Brain Injury Types All Patients (n=562,952; %) Opioid Related Disorder (n=18,805; %) Opioid Related Overdose (n=1,845; %) Toxic Enchephalopathy 5,732 (1.0) 332 (1.8) 387 (21.0) Hypoxia 10,376 (1.8) 182 (1.0) 63 (3.4) Anoxic Brain Damage, NEC 1,831 (0.3) 118 (0.6) 123 (6.7) Acute Resp Failure w/Hypoxia or Hypercapnia 34,349 (6.1) 1,155 (6.1) 708 (38.4) Total^ 52,288 (9.3) 1,787 (9.5) 1,281 (69.4) ^Total may include multiple diagnoses, ie one patient may be diagnosed with more than one of the above codes. Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health, February Data source: Kentucky Inpatient Hospitalization Claims Files; Cabinet for Health and Family Services, Office of Health Policy. Data are provision and subject to change. Counts represent encounters of care and could be greater than the number of individual patients treated.

11 2016 Inpatient Hospitalizations for Target Brain Injuries and Opioid-Related Disorders by Gender
All Opioid Disorders (Rate/100,00 persons) Opioid Disorders w/Target BI (Rate/100,000 persons) Male 8,892 (406.7) 720 (32.9) Female 9,913 (440.5) 846 (37.6) Total 18,805 (423.8) 1,566 (35.3) Rates per 100,000 Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health, February Data source: Kentucky Inpatient Hospitalization Claims Files; Cabinet for Health and Family Services, Office of Health Policy. Data are provision and subject to change. Counts represent encounters of care and could be greater than the number of individual patients treated.

12 2016 Inpatient Hospitalizations for Target Brain Injuries and Opioid-Related Disorders by Age
Age Group All Opioid Disorders (Rate/100,000 persons) Opioid Disorders w/Target BI (Rate/100,000 persons) 0-4 21 (7.6) 8 (2.9) 5-14 22 (3.9) 0 (0.0) 15-24 2,048 (345.0) 85 (14.3) 25-44 10,167 (901.1) 556 (49.3) 45-64 5,105 (430.0) 679 (57.2) 65+ 1,442 (208.8) 238 (34.5) Total 18805 (423.8) 1,566 (35.3) Rate per 100,000 Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health, February Data source: Kentucky Inpatient Hospitalization Claims Files; Cabinet for Health and Family Services, Office of Health Policy. Data are provision and subject to change. Counts represent encounters of care and could be greater than the number of individual patients treated.

13 2016 Inpatient Hospitalizations for Target Brain Injuries and Opioid-Related Disorders by Length of Stay Length of Stay All Opioid Disorders (%) Opioid Disorders w/Target BI (%) 1 day 2032 (10.8) 171 (10.9) More than one day but less than 1 week 12,824 (68.2) 825 (52.7) 1 week to less than 2 weeks 2,509 (13.3) 314 (20.1) 2 weeks to less than 3 weeks 596 (3.2) 114 (7.3) 3 weeks to less than 4 weeks 349 (1.9) 62 (4.0) 4 weeks or more 495 (2.6) 80 (5.1) Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health, February Data source: Kentucky Inpatient Hospitalization Claims Files; Cabinet for Health and Family Services, Office of Health Policy. Data are provision and subject to change. Counts represent encounters of care and could be greater than the number of individual patients treated.

14 2016 Inpatient Hospitalizations for Target Brain Injuries and Opioid-Related Disorders by Discharge Status Discharge Status All Opioid Disorders (%) Opioid Disorders w/Target BI (%) Routine 13,752 (73.1) 839 (53.6) Inpatient - other short term hospital 309 (1.6) 55 (3.5) Skilled Nursing Facility 385 (2.0) 77 (4.9) Home Health 854 (4.5) 147 (9.4) Left AMA 1,573 (8.4) 121 (7.7) Hospice 113 (0.6) 37 (2.4) Discharge to Rehab Facility 289 (1.5) 68 (4.3) Discharge to Psych Hospital 285 (1.5) 35 (2.2) Other 1,058 (5.6) 64 (4.1) Died 187 (1.0) 123 (7.9) Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health, February Data source: Kentucky Inpatient Hospitalization Claims Files; Cabinet for Health and Family Services, Office of Health Policy. Data are provision and subject to change. County represent encounters of care and could be greater than the number of individual patients treated.

15 2016 Inpatient Hospitalizations for Target Brain Injuries and Opioid-Related Overdoses by Gender
All Opioid Overdoses (Rate/100,000 persons) Opioid Overdoses w/Target BI (Rate/100,000 persons) Male 896 (41.0) 532 (24.3) Female 949 (42.2) 467 (20.8) Total 1845 (41.6) 999 (22.5) Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health, February Data source: Kentucky Inpatient Hospitalization Claims Files; Cabinet for Health and Family Services, Office of Health Policy. Data are provision and subject to change. Counts represent encounters of care and could be greater than the number of individual patients treated.

16 2016 Inpatient Hospitalizations for Target Brain Injuries and Opioid-Related Overdoses by Age
Age Group All Opioid Overdoses (Rate/100,000 persons) Opioid Overdoses w/Target BI (Rate/100,000 persons) 0-4 6 (2.2) <5 (<1.0) 5-14 15-24 147 (24.8) 81 (13.6) 25-44 684 (60.6) 373 (33.1) 45-64 751 (63.3) 410 (34.5) 65+ 254 (36.8) 133 (19.3) Total 1845 (41.6) 999 (22.5) Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health, February Data source: Kentucky Inpatient Hospitalization Claims Files; Cabinet for Health and Family Services, Office of Health Policy. Data are provision and subject to change. Counts represent encounters of care and could be greater than the number of individual patients treated.

17 2016 Inpatient Hospitalizations for Target Brain Injuries and Opioid-Related Overdoses by Length of Stay Length of Stay All Opioid Overdoses (%) Opioid Overdoses w/Target BI (%) 1 day 472 (25.6) 211 (21.1) More than one day but less than 1 week 1,050 (56.9) 577 (57.8) 1 week to less than 2 weeks 222 (12.0) 140 (1.4) 2 weeks to less than 3 weeks 53 (2.9) 36 (3.6) 3 weeks to less than 4 weeks 27 (1.5) 20 (2.0) 4 weeks or more 21 (1.1) 15 (1.5) Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health, February Data source: Kentucky Inpatient Hospitalization Claims Files; Cabinet for Health and Family Services, Office of Health Policy. Data are provision and subject to change. Counts represent encounters of care and could be greater than the number of individual patients treated.

18 2016 Inpatient Hospitalizations for Target Brain Injuries and Opioid-Related Overdoses by Discharge Status Discharge Status All Opioid Overdoses (%) Opioid Overdoses w/Target BI (%) Routine 1,072 (58.1) 543 (54.4) Inpatient - other short term hospital 48 (2.6) 13 (1.3) Skilled Nursing Facility 50 (2.7) 31 (3.1) Home Health 130 (7.0) 78 (7.8) Left AMA 198 (10.7) 102 (10.2) Hospice 16 (0.9) 12 (1.2) Discharge to Rehab Facility 63 (3.4) 44 (4.4) Discharge to Psych Hospital 97 (5.3) 48 (4.8) Other 66 (3.6) 34 (3.4) Died 105 (5.7) 94 (9.4) Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health, February Data source: Kentucky Inpatient Hospitalization Claims Files; Cabinet for Health and Family Services, Office of Health Policy. Data are provision and subject to change. Counts represent encounters of care and could be greater than the number of individual patients treated.

19 Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health, February Data source: Kentucky Inpatient Hospitalization Claims Files; Cabinet for Health and Family Services, Office of Health Policy. Data are provision and subject to change. Counts represent encounters of care and could be greater than the number of individual patients treated.

20 Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health, February Data source: Kentucky Inpatient Hospitalization Claims Files; Cabinet for Health and Family Services, Office of Health Policy. Data are provision and subject to change. Counts represent encounters of care and could be greater than the number of individual patients treated.

21 Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health, February Data source: Kentucky Inpatient Hospitalization Claims Files; Cabinet for Health and Family Services, Office of Health Policy. Data are provision and subject to change. Counts represent encounters of care and could be greater than the number of individual patients treated.

22 Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health, February Data source: Kentucky Inpatient Hospitalization Claims Files; Cabinet for Health and Family Services, Office of Health Policy. Data are provision and subject to change. Counts represent encounters of care and could be greater than the number of individual patients treated.

23 Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health, February Data source: Kentucky Inpatient Hospitalization Claims Files; Cabinet for Health and Family Services, Office of Health Policy. Data are provision and subject to change. Counts represent encounters of care and could be greater than the number of individual patients treated.

24 Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health, February Data source: Kentucky Inpatient Hospitalization Claims Files; Cabinet for Health and Family Services, Office of Health Policy. Data are provision and subject to change. Counts represent encounters of care and could be greater than the number of individual patients treated.

25 Actionable Data Over one-half (54.2%) of all opioid related overdose in patient hospitalizations were diagnosed with a brain injury Inpatient hospitalizations with diagnoses of opioid overdose and brain injury were charged double that of inpatient hospitalizations with only opioid overdoses Which came first: brain injury or opioid use?

26 Dana Quesinberry, JD dana.quesinberry@uky.edu 859-218-4919

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