|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|
|Discipline :||SAN (Santé publique / Public health)|
Thésaurus GéographiqueECOSSE ; ROYAUME-UNI
Thésaurus TOXIBASENALOXONE ; PROGRAMME ; EFFICACITE ; EVALUATION ; PRISON ; OPIACES ; COMPARAISON ; MORTALITE ; MODELE STATISTIQUE ; REDUCTION DES RISQUES ET DES DOMMAGES
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|