{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:42:23Z","timestamp":1777898543909,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2017,7,1]],"date-time":"2017-07-01T00:00:00Z","timestamp":1498867200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Opioid-related overdoses and deaths in New Hampshire have increased substantially in recent years, similar to increases observed across the United States. We queried emergency department (ED) data in New Hampshire to monitor opioid-related ED encounters as part of the public health response to this health problem.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We obtained data on opioid-related ED encounters for the period January 1, 2011, through December 31, 2015, from New Hampshire\u2019s syndromic surveillance ED data system by querying for (1) chief complaint text related to the words \u201cfentanyl,\u201d \u201cheroin,\u201d \u201copiate,\u201d and \u201copioid\u201d and (2) opioid-related International Classification of Diseases ( ICD) codes. We then analyzed the data to calculate frequencies of opioid-related ED encounters by age, sex, residence, chief complaint text values, and ICD codes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Opioid-related ED encounters increased by 70% during the study period, from 3300 in 2011 to 5603 in 2015; the largest increases occurred in adults aged 18-29 and in males. Of 20\u2009994 total opioid-related ED visits, we identified 18\u2009554 (88%) using ICD code alone, 690 (3%) using chief complaint text alone, and 1750 (8%) using both chief complaint text and ICD code. For those encounters identified by ICD code only, the corresponding chief complaint text included varied and nonspecific words, with the most common being \u201cpain\u201d (n = 3335, 18%), \u201coverdose\u201d (n = 1555, 8%), \u201csuicidal\u201d (n = 816, 4%), \u201cdrug\u201d (n = 803, 4%), and \u201cdetox\u201d (n = 750, 4%). Heroin-specific encounters increased by 827%, from 4% of opioid-related encounters in 2011 to 24% of encounters in 2015.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Opioid-related ED encounters in New Hampshire increased substantially from 2011 to 2015. Data from New Hampshire\u2019s ED syndromic surveillance system provided timely situational awareness to public health partners to support the overall response to the opioid epidemic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0033354917707934","type":"journal-article","created":{"date-parts":[[2017,11,7]],"date-time":"2017-11-07T09:35:48Z","timestamp":1510047348000},"page":"73S-79S","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Use of Emergency Department Data to Monitor and Respond to an Increase in Opioid Overdoses in New Hampshire, 2011-2015"],"prefix":"10.1177","volume":"132","author":[{"given":"Elizabeth R.","family":"Daly","sequence":"first","affiliation":[{"name":"New Hampshire Department of Health and Human Services, Concord, NH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth","family":"Dufault","sequence":"additional","affiliation":[{"name":"New Hampshire Department of Health and Human Services, Concord, NH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David J.","family":"Swenson","sequence":"additional","affiliation":[{"name":"New Hampshire Department of Health and Human Services, Concord, NH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Lakevicius","sequence":"additional","affiliation":[{"name":"New Hampshire Department of Health and Human Services, Concord, NH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin","family":"Metcalf","sequence":"additional","affiliation":[{"name":"New Hampshire Department of Health and Human Services, Concord, NH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin P.","family":"Chan","sequence":"additional","affiliation":[{"name":"New Hampshire Department of Health and Human Services, Concord, NH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,7,10]]},"reference":[{"key":"bibr1-0033354917707934","first-page":"5","volume":"53","author":"Henning KJ","year":"2004","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bibr2-0033354917707934","doi-asserted-by":"publisher","DOI":"10.3201\/eid1005.030646"},{"issue":"5","key":"bibr3-0033354917707934","first-page":"1","volume":"53","author":"Bueller JW","year":"2004","journal-title":"MMWR Recomm Rep"},{"key":"bibr4-0033354917707934","doi-asserted-by":"publisher","DOI":"10.1016\/j.jegh.2012.12.005"},{"issue":"50","key":"bibr5-0033354917707934","first-page":"1195","volume":"63","author":"Ridpath A","year":"2014","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bibr6-0033354917707934","doi-asserted-by":"publisher","DOI":"10.3201\/eid1604.090688"},{"key":"bibr7-0033354917707934","doi-asserted-by":"publisher","DOI":"10.1136\/injuryprev-2015-041821"},{"key":"bibr8-0033354917707934","unstructured":"NH Code Admin R He-P 301 Communicable Diseases. 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International classification of diseases, ninth revision, clinical modification (ICD-9-CM). https:\/\/www.cdc.gov\/nchs\/icd\/icd9\u2009cm.htm. Accessed March 31, 2017."},{"key":"bibr13-0033354917707934","unstructured":"Centers for Disease Control and Prevention. International classification of diseases, tenth revision, clinical modification (ICD-10-CM). https:\/\/www.cdc.gov\/nchs\/icd\/icd10\u2009cm.htm. Accessed March 31, 2017."},{"key":"bibr14-0033354917707934","unstructured":"The Safe States Alliance. Consensus recommendations for national and state poisoning surveillance: report from the Injury Surveillance Workgroup (ISW7). http:\/\/c.ymcdn.com\/sites\/www.safestates.org\/resource\/resmgr\/imported\/ISW7%20Full%20Report_3.pdf. Published 2012. Accessed March 31, 2017."},{"key":"bibr15-0033354917707934","unstructured":"International Society for Disease Surveillance. ICD-10-CM master mapping reference table. http:\/\/www.syndromic.org\/resources\/icd-10-conversion\/icd-10-mmrt . 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