A description of Medical Examiner prescription-related deaths and prescription drug monitoring program data

The American Journal of Emergency Medicine
Roneet LevEdward M Castillo

Abstract

The Centers of Disease Control and Prevention have declared prescription drug abuse an epidemic in the United States. However, demographic data correlating prescription-related deaths with actual prescriptions written is not well described. The purpose of this study is to compare toxicology reports on autopsy for prescription-related deaths with Prescription Drug Monitor Program (PDMP) data. This is a retrospective analysis comparing 2013 San Diego Medical Examiner data on 254 unintentional prescription-related deaths obtained for 12 months before death with data from the California PDMP. Data were analyzed on age, sex, whether there was information on the PDMP, types and quantities of prescribed medications, number of pharmacies and providers involved, and whether there was a match between the Medical Examiner toxicology report and data from the PDMP. In 2013, there were 254 unintentional prescription-related deaths; 186 patients (73%) had PDMP data 12 months before death. Ingesting prescription medications with illicit drugs, alcohol, and/or over-the-counter medications accounted for 40% of the unintentional deaths. Opioids were responsible for the majority of single medication deaths (36; 70.6%). The average number of prescr...Continue Reading

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Citations

Dec 29, 2016·Suicide & Life-threatening Behavior·Mark A RegerNigel Bush
Aug 11, 2018·Science·Jason N DoctorMichael Menchine
Oct 3, 2019·Public Health Reports·Alexander Y WalleyThomas Land
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Mar 25, 2021·The American Journal on Addictions·Mitchell CrawfordGrace Chang
Aug 19, 2020·Journal of Public Health Management and Practice : JPHMP·Jacob ShrefflerMartin Huecker

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