Titre : | Effectiveness of Scotland's National Naloxone Programme for reducing opioid-related deaths: a before (2006-10) versus after (2011-13) comparison (2016) |
Auteurs : | S. M. BIRD ; A. McAULEY ; S. PERRY ; C. HUNTER |
Type de document : | Article : Périodique |
Dans : | Addiction (Vol.111, n°5, May 2016) |
Article en page(s) : | 883-891 |
Langues: | Anglais |
Discipline : | SAN (Santé publique / Public health) |
Mots-clés : |
Thésaurus géographique ECOSSE ; ROYAUME-UNIThésaurus mots-clés NALOXONE ; PROGRAMME ; EFFICACITE ; EVALUATION ; PRISON ; OPIACES ; COMPARAISON ; MORTALITE ; MODELE STATISTIQUE ; REDUCTION DES RISQUES ET DES DOMMAGES |
Résumé : |
Aims: To assess the effectiveness for Scotland's National Naloxone Programme (NNP) by comparison between 2006-10 (before) and 2011-13 (after NNP started in January 2011) and to assess cost-effectiveness.
Design: This was a pre-post evaluation of a national policy. Cost-effectiveness was assessed by prescription costs against life-years gained per opioid-related death (ORD) averted. Setting: Scotland, in community settings and all prisons. Intervention: Brief training and standardized naloxone supply became available to individuals at risk of opioid overdose. Measurements: ORDs as identified by National Records of Scotland. Look-back determined the proportion of ORDs who, in the 4 weeks before ORD, had been (i) released from prison (primary outcome) and (ii) released from prison or discharged from hospital (secondary). We report 95% confidence intervals for effectiveness in reducing the primary (and secondary) outcome in 2011-13 versus 2006-10. Prescription costs were assessed against 1 or 10 life-years gained per averted ORD. Findings: In 2006-10, 9.8% of ORDs (193 of 1970) were in people released from prison within 4 weeks of death, whereas only 6.3% of ORDs in 2011-13 followed prison release (76 of 1212, P Conclusions: Scotland's National Naloxone Programme, which started in 2011, was associated with a 36% reduction in the proportion of opioid-related deaths that occurred in the 4 weeks following release from prison. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 45 |
Affiliation : | MRC Biostatistics Unit, Cambridge, UK |
Cote : | Abonnement |
Lien : | http://dx.doi.org/10.1111/add.13265 |
Accueil