Characteristics of Opioid Overdose Hospitalizations Among Patients <65 Years of Age
1998 | 1999 | 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Payer Type (Discharges) | ||||||||||||||||
Non-Medicare | 16,565 | 17,981 | 20,317 | 22,846 | 25,953 | 28,751 | 32,522 | 32,049 | 36,232 | 38,513 | 44,542 | 45,071 | 50,672 | 51,664 | 51,905 | 51,070 |
Medicare | 2,197 | 2,772 | 3,108 | 4,256 | 4,790 | 5,735 | 6,774 | 7,473 | 8,859 | 9,859 | 12,039 | 12,521 | 14,469 | 15,648 | 17,155 | 16,610 |
Payer Type (%) | ||||||||||||||||
Non-Medicare | 88.3% | 86.6% | 86.7% | 84.3% | 84.4% | 83.4% | 82.8% | 81.1% | 80.4% | 79.6% | 78.7% | 78.3% | 77.8% | 76.8% | 75.2% | 75.5% |
Medicare | 11.7% | 13.4% | 13.3% | 15.7% | 15.6% | 16.6% | 17.2% | 18.9% | 19.6% | 20.4% | 21.3% | 21.7% | 22.2% | 23.2% | 24.8% | 24.5% |
Sex (Discharges) | ||||||||||||||||
Non-Medicare | ||||||||||||||||
Male | 8,688 | 9,097 | 10,664 | 11,197 | 13,090 | 14,192 | 16,127 | 16,170 | 18,903 | 19,159 | 23,139 | 22,898 | 25,687 | 25,813 | 26,225 | 26,230 |
Female | 7,877 | 8,883 | 9,649 | 11,649 | 12,859 | 14,520 | 16,386 | 15,846 | 17,302 | 19,311 | 21,398 | 22,154 | 24,945 | 25,836 | 25,680 | 24,810 |
Medicare | ||||||||||||||||
Male | 1,205 | 1,461 | 1,622 | 2,109 | 2,476 | 2,760 | 3,142 | 3,343 | 4,013 | 4,634 | 5,631 | 5,773 | 6,397 | 6,864 | 7,370 | 7,120 |
Female | 993 | 1,311 | 1,486 | 2,147 | 2,314 | 2,975 | 3,632 | 4,129 | 4,847 | 5,225 | 6,408 | 6,748 | 8,073 | 8,784 | 9,780 | 9,485 |
Sex (%) | ||||||||||||||||
Non-Medicare | ||||||||||||||||
Male | 52.4% | 50.6% | 52.5% | 49.0% | 50.4% | 49.4% | 49.6% | 50.5% | 52.2% | 49.8% | 52.0% | 50.8% | 50.7% | 50.0% | 50.5% | 51.4% |
Female | 47.6% | 49.4% | 47.5% | 51.0% | 49.6% | 50.6% | 50.4% | 49.5% | 47.8% | 50.2% | 48.0% | 49.2% | 49.3% | 50.0% | 49.5% | 48.6% |
Medicare | ||||||||||||||||
Male | 54.8% | 52.7% | 52.2% | 49.6% | 51.7% | 48.1% | 46.4% | 44.7% | 45.3% | 47.0% | 46.8% | 46.1% | 44.2% | 43.9% | 43.0% | 42.9% |
Female | 45.2% | 47.3% | 47.8% | 50.4% | 48.3% | 51.9% | 53.6% | 55.3% | 54.7% | 53.0% | 53.2% | 53.9% | 55.8% | 56.1% | 57.0% | 57.1% |
Age (Discharges) | ||||||||||||||||
Non-Medicare | ||||||||||||||||
0–17 | 1,061 | 1,200 | 1,303 | 1,153 | 1,327 | 1,503 | 1,641 | 1,703 | 1,418 | 1,514 | 1,705 | 1,709 | 2,297 | 1,638 | 1,955 | 1,675 |
18–29 | 4,108 | 4,360 | 4,671 | 5,280 | 6,175 | 7,037 | 8,095 | 7,888 | 8,689 | 9,817 | 11,103 | 11,389 | 12,549 | 13,524 | 12,910 | 12,985 |
30–39 | 4,842 | 5,117 | 5,986 | 6,445 | 6,545 | 7,022 | 7,589 | 6,894 | 7,884 | 8,137 | 9,203 | 9,385 | 10,670 | 11,088 | 11,250 | 10,690 |
40–49 | 4,391 | 4,966 | 5,475 | 6,331 | 7,347 | 7,835 | 8,773 | 8,538 | 9,722 | 9,315 | 10,571 | 10,029 | 10,983 | 10,759 | 10,665 | 10,220 |
50–59 | 1,712 | 1,875 | 2,422 | 3,009 | 3,857 | 4,393 | 5,347 | 5,829 | 6,874 | 8,084 | 9,749 | 10,095 | 11,246 | 11,428 | 11,930 | 12,050 |
60–64 | 450 | 453 | 454 | 629 | 701 | 942 | 1,068 | 1,189 | 1,635 | 1,641 | 2,207 | 2,460 | 2,899 | 3,222 | 3,185 | 3,445 |
Medicare | ||||||||||||||||
0–17 | * | * | * | * | * | * | * | * | * | * | * | * | * | * | * | * |
18–29 | * | 106 | 114 | 112 | 180 | 185 | 300 | 265 | 290 | 360 | 401 | 393 | 580 | 511 | 645 | 560 |
30–39 | 558 | 665 | 661 | 872 | 902 | 975 | 1,004 | 1,040 | 1,134 | 1,285 | 1,239 | 1,337 | 1,799 | 1,611 | 1,800 | 1,795 |
40–49 | 837 | 1,082 | 1,170 | 1,534 | 1,772 | 2,169 | 2,423 | 2,622 | 2,738 | 3,062 | 3,731 | 3,414 | 3,713 | 3,864 | 3,820 | 3,615 |
50–59 | 478 | 668 | 871 | 1,353 | 1,469 | 1,742 | 2,253 | 2,671 | 3,532 | 3,705 | 4,786 | 5,311 | 6,017 | 6,729 | 7,615 | 7,400 |
60–64 | 230 | 251 | 288 | 385 | 468 | 658 | 789 | 871 | 1,160 | 1,438 | 1,878 | 2,066 | 2,361 | 2,933 | 3,265 | 3,225 |
Age (%) | ||||||||||||||||
Non-Medicare | ||||||||||||||||
0–17 | 6.4% | 6.7% | 6.4% | 5.0% | 5.1% | 5.2% | 5.0% | 5.3% | 3.9% | 3.9% | 3.8% | 3.8% | 4.5% | 3.2% | 3.8% | 3.3% |
18–29 | 24.8% | 24.3% | 23.0% | 23.1% | 23.8% | 24.5% | 24.9% | 24.6% | 24.0% | 25.5% | 24.9% | 25.3% | 24.8% | 26.2% | 24.9% | 25.4% |
30–39 | 29.2% | 28.5% | 29.5% | 28.2% | 25.2% | 24.4% | 23.3% | 21.5% | 21.8% | 21.1% | 20.7% | 20.8% | 21.1% | 21.5% | 21.7% | 20.9% |
40–49 | 26.5% | 27.6% | 27.0% | 27.7% | 28.3% | 27.3% | 27.0% | 26.6% | 26.8% | 24.2% | 23.7% | 22.3% | 21.7% | 20.8% | 20.6% | 20.0% |
50–59 | 10.3% | 10.4% | 11.9% | 13.2% | 14.9% | 15.3% | 16.4% | 18.2% | 19.0% | 21.0% | 21.9% | 22.4% | 22.2% | 22.1% | 23.0% | 23.6% |
60–64 | 2.7% | 2.5% | 2.2% | 2.8% | 2.7% | 3.3% | 3.3% | 3.7% | 4.5% | 4.3% | 5.0% | 5.5% | 5.7% | 6.2% | 6.1% | 6.7% |
Medicare | ||||||||||||||||
0–17 | * | * | * | * | * | * | * | * | * | * | * | * | * | * | * | * |
18–29 | * | 3.8% | 3.7% | 2.6% | 3.8% | 3.2% | 4.4% | 3.5% | 3.3% | 3.7% | 3.3% | 3.1% | 4.0% | 3.3% | 3.8% | 3.4% |
30–39 | 25.4% | 24.0% | 21.3% | 20.5% | 18.8% | 17.0% | 14.8% | 13.9% | 12.8% | 13.0% | 10.3% | 10.7% | 12.4% | 10.3% | 10.5% | 10.8% |
40–49 | 38.1% | 39.0% | 37.6% | 36.0% | 37.0% | 37.8% | 35.8% | 35.1% | 30.9% | 31.1% | 31.0% | 27.3% | 25.7% | 24.7% | 22.3% | 21.8% |
50–59 | 21.8% | 24.1% | 28.0% | 31.8% | 30.7% | 30.4% | 33.3% | 35.7% | 39.9% | 37.6% | 39.8% | 42.4% | 41.6% | 43.0% | 44.4% | 44.6% |
60–64 | 10.4% | 9.0% | 9.3% | 9.1% | 9.8% | 11.5% | 11.7% | 11.7% | 13.1% | 14.6% | 15.6% | 16.5% | 16.3% | 18.7% | 19.0% | 19.4% |
Race (Discharges) | ||||||||||||||||
Non-Medicare | ||||||||||||||||
White | 9264 | 10324 | 11943 | 12984 | 14419 | 16821 | 18467 | 19306 | 20463 | 22099 | 28001 | 30882 | 34788 | 37041 | 38680 | 37670 |
Black | 2046 | 2049 | 1909 | 1989 | 2378 | 2096 | 2350 | 1772 | 2426 | 2462 | 2603 | 3027 | 4158 | 3940 | 4270 | 4525 |
Hispanic | 1258 | 1208 | 1657 | 1449 | 1667 | 1763 | 1886 | 1690 | 2274 | 2059 | 2153 | 2678 | 3256 | 3540 | 3800 | 3835 |
Asian or Pacific Islander | * | * | 103 | 125 | 150 | 141 | 209 | 157 | 163 | 218 | 239 | 316 | 336 | 327 | 325 | 305 |
Native American | * | * | * | * | * | * | 202 | 183 | 261 | 242 | 287 | 456 | 421 | 466 | 450 | 360 |
Other | 307 | 464 | 387 | 297 | 588 | 569 | 503 | 726 | 576 | 654 | 1103 | 1408 | 1026 | 1334 | 1265 | 1090 |
Medicare | ||||||||||||||||
White | 1441 | 1939 | 2150 | 2785 | 3035 | 3650 | 4301 | 4908 | 5470 | 6171 | 8198 | 8959 | 10403 | 11839 | 13395 | 13060 |
Black | 202 | 260 | 243 | 276 | 343 | 344 | 436 | 437 | 607 | 721 | 761 | 959 | 1367 | 1394 | 1585 | 1490 |
Hispanic | 89 | 77 | 146 | 143 | 178 | 246 | 208 | 287 | 306 | 341 | 470 | 500 | 612 | 720 | 825 | 795 |
Asian or Pacific Islander | * | * | * | * | * | * | * | * | * | * | * | * | * | * | * | * |
Native American | * | * | * | * | * | * | * | * | 119 | * | * | * | 161 | 118 | 145 | * |
Other | * | * | * | * | * | * | * | * | * | * | 176 | 161 | 218 | 224 | 340 | 145 |
Race (%) | ||||||||||||||||
Non-Medicare | ||||||||||||||||
White | 71.2% | 72.7% | 74.4% | 76.8% | 74.9% | 78.5% | 78.2% | 81.0% | 78.2% | 79.7% | 81.4% | 79.7% | 79.1% | 79.4% | 79.3% | 78.8% |
Black | 15.7% | 14.4% | 11.9% | 11.8% | 12.4% | 9.8% | 10.0% | 7.4% | 9.3% | 8.9% | 7.6% | 7.8% | 9.5% | 8.4% | 8.8% | 9.5% |
Hispanic | 9.7% | 8.5% | 10.3% | 8.6% | 8.7% | 8.2% | 8.0% | 7.1% | 8.7% | 7.4% | 6.3% | 6.9% | 7.4% | 7.6% | 7.8% | 8.0% |
Asian or Pacific Islander | * | * | 0.6% | 0.7% | 0.8% | 0.7% | 0.9% | 0.7% | 0.6% | 0.8% | 0.7% | 0.8% | 0.8% | 0.7% | 0.7% | 0.6% |
Native American | * | * | * | * | * | * | 0.9% | 0.8% | 1.0% | 0.9% | 0.8% | 1.2% | 1.0% | 1.0% | 0.9% | 0.8% |
Other | 2.4% | 3.3% | 2.4% | 1.8% | 3.1% | 2.7% | 2.1% | 3.0% | 2.2% | 2.4% | 3.2% | 3.6% | 2.3% | 2.9% | 2.6% | 2.3% |
Medicare | ||||||||||||||||
White | 81.9% | 83.4% | 83.6% | 85.3% | 84.4% | 84.6% | 84.4% | 85.8% | 82.9% | 83.5% | 84.9% | 83.7% | 81.2% | 82.5% | 81.9% | 83.3% |
Black | 11.5% | 11.2% | 9.5% | 8.5% | 9.5% | 8.0% | 8.6% | 7.6% | 9.2% | 9.8% | 7.9% | 9.0% | 10.7% | 9.7% | 9.7% | 9.5% |
Hispanic | 5.1% | 3.3% | 5.7% | 4.4% | 4.9% | 5.7% | 4.1% | 5.0% | 4.6% | 4.6% | 4.9% | 4.7% | 4.8% | 5.0% | 5.0% | 5.1% |
Asian or Pacific Islander | * | * | * | * | * | * | * | * | * | * | * | * | * | * | * | * |
Native American | * | * | * | * | * | * | * | * | 1.8% | * | * | * | 1.3% | 0.8% | 0.9% | * |
Other | * | * | * | * | * | * | * | * | * | * | 1.8% | 1.5% | 1.7% | 1.6% | 2.1% | 0.9% |
Overdose Type (Discharges) | ||||||||||||||||
Non-medicare | ||||||||||||||||
Prescription Opioid Only | 11476 | 12377 | 14957 | 18258 | 20472 | 23570 | 27655 | 27532 | 30111 | 33838 | 37542 | 38729 | 43937 | 44329 | 42500 | 39625 |
Both | 203 | 208 | 183 | 222 | 269 | 265 | 171 | 218 | 298 | 258 | 338 | 339 | 478 | 562 | 545 | 630 |
Heroin Only | 4886 | 5397 | 5177 | 4366 | 5212 | 4917 | 4696 | 4299 | 5823 | 4418 | 6662 | 6003 | 6256 | 6772 | 8860 | 10815 |
Medicare | ||||||||||||||||
Prescription Opioid Only | 1923 | 2385 | 2801 | 3932 | 4363 | 5382 | 6365 | 7126 | 8367 | 9455 | 11333 | 11968 | 13864 | 15091 | 16245 | 15600 |
Both | * | * | * | * | * | * | * | * | * | * | * | * | * | * | * | * |
Heroin Only | 269 | 362 | 292 | 305 | 414 | 314 | 390 | 328 | 451 | 372 | 655 | 519 | 545 | 517 | 845 | 925 |
Overdose Type (%) | ||||||||||||||||
Non-medicare | ||||||||||||||||
Prescription Opioid Only | 69.3% | 68.8% | 73.6% | 79.9% | 78.9% | 82.0% | 85.0% | 85.9% | 83.1% | 87.9% | 84.3% | 85.9% | 86.7% | 85.8% | 81.9% | 77.6% |
Both | 1.2% | 1.2% | 0.9% | 1.0% | 1.0% | 0.9% | 0.5% | 0.7% | 0.8% | 0.7% | 0.8% | 0.8% | 0.9% | 1.1% | 1.0% | 1.2% |
Heroin Only | 29.5% | 30.0% | 25.5% | 19.1% | 20.1% | 17.1% | 14.4% | 13.4% | 16.1% | 11.5% | 15.0% | 13.3% | 12.3% | 13.1% | 17.1% | 21.2% |
Medicare | ||||||||||||||||
Prescription Opioid Only | 87.5% | 86.0% | 90.1% | 92.4% | 91.1% | 93.8% | 94.0% | 95.4% | 94.4% | 95.9% | 94.1% | 95.6% | 95.8% | 96.4% | 94.7% | 93.9% |
Both | ** | * | * | * | * | * | * | * | * | * | * | * | * | * | * | * |
Heroin Only | 12.3% | 13.1% | 9.4% | 7.2% | 8.6% | 5.5% | 5.8% | 4.4% | 5.1% | 3.8% | 5.4% | 4.1% | 3.8% | 3.3% | 4.9% | 5.6% |