Transcript Emergency room data in Denmark

Henrik Saelan
For The Danish Health and Medicines Authority, November 2012
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In Denmark we base our knowledge of non-fatal
poisonings on contacts with emergency rooms
All emergencies are registered in the National
Patient Register
All poisonings have a specific action code and
cases get a ICD 10 code for the type of poisoning
In Denmark we have been publishing these data
since 1999
Data are not very specific, the next slides will
show the break down we can do
Poisonings admitted to Danish emergency rooms, 1999-2011.
Note: Change in classification in 2004.
800
700
600
Number
500
Opioids
Stimulants
400
Hallucinogenes
300
Mixtures&Unspec
200
100
0
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Stimulant poisonings admitted to Danish emergency rooms,
1999 - 2011
700
600
Number
500
Designer drug
Ecstasy
400
Amfe-tamin
300
Cocain
Other stimulant
200
Total
100
0
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Opioid poisonings admitted to Danish emergency rooms, 1999 2011
700
600
500
Number
Heroin
400
Other opioid (+morfin + codein)
Metadon
300
Opioids (acute poisoning as disease)
Total
200
100
0
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Contacts to hospital after intoxication and poisoning caused by the various illicit
drugs in 2011 broken down by different age groups
< 20
years
20-24
years
25-29
years
≥ 30 years
34
44
37
541
149
187
99
156
9
10
7
6
66
39
17
33
59
68
60
259
317
348
220
995
Opioids
Stimulants
Mushrooms and hallucinogens
Cannabis
Polydrug use and unspecified
Total
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We can see it in relation to what we know
about experimental use
We can se it as something prior to deaths due
to poisoning
Percentage of 16-34 year-olds who have used one or several illicit drugs
other than cannabis during the last month, last year and ever in 1994, 2000,
2005, 2008 and 2010.
1994
(n=1,648)
2000
(n=4,019)
2005
(n=2,470)
2008
(n=1,710)
2010
(n=3,287)
Last month
0.1
1.8
1.5
1.4
1.3
Last year (Last month included)
0.6
5.0
4.0
4.9
3.4
Ever
4.2
13.3
16.4
16.0
14.4
Used one or several of the illicit drugs
other than cannabis
Percentage of the 16-34-year-olds who have used amphetamine, cocaine or ecstasy
in the last year in 2000, 2005, 2008 and 2010
2000(n=3,980)
16-34 years
Amphetamine
tried within
the past year
Cocaine tried
within the
past year
Ecstasy tried
within the
past year
2005(n=2,456)
2008(n=1,709)
2010(n=3,260)
men
women
total
men
women
total
men
wome
n
total
men
women
total
5.3
1.4
3.2
3.4
1.2
2.2
5.3
1.4
3.1
3.6
0.9
2.0
3.4
1.0
2.1
5.4
1.0
2.9
5.8
1.5
3.4
4.7
0.8
2.5
1.7
0.8
1.2
1.8
0.2
0.9
1.9
0.6
1.1
1.3
0.4
0.8
Poisoning deaths among drug users in the year in question grouped by the assumed
main cause of death. The numbers in parenthesis are percentages
1991
1997
2004
2005
2006
2007
2008
2009
2010
2011
Heroin/morp
hine
94 (57)
153(71)
81 (38)
77 (37)
83 (37)
69 (34)
70(36)
75(36)
66(32)
53(24)
Methadone &
other drug
51 (31)
46 (21)
95 (44)
89 (43)
92 (42)
84 (41)
82(42)
96(47)
89(44)
114(52)
Other
9 (12)
17 (8)
38 (18)
40 (20)
46 (21)
52 (25)
43(22)
35(17)
48(24)
51(23)
Poisonings
total
154
(100)
216
(100)
214
(100)
206
(100)
221
(100)
205
(100)
195
(100)
206
(100)
203
(100)
218
(100)
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We think registers covering emergency
rooms give supplementary/confirming
information on what is going on
Data are not very good and likely gives an
underestimation of the size of the problem
Validating studies are needed
The equipment for analyzing blood samples
should be as good as possible (preferably gaschromotography) if new drugs are to be
discovered