Drug-caused deaths in Australian medical practitioners and health-care professionals.
Identifieur interne : 000120 ( Main/Exploration ); précédent : 000119; suivant : 000121Drug-caused deaths in Australian medical practitioners and health-care professionals.
Auteurs : Jennifer L. Pilgrim [Australie] ; Rhyse Dorward [Australie] ; Olaf H. Drummer [Australie]Source :
- Addiction (Abingdon, England) [ 1360-0443 ] ; 2017.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Australie (épidémiologie), Facteurs sexuels (MeSH), Femelle (MeSH), Humains (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Personnel de santé (statistiques et données numériques), Sujet âgé (MeSH), Troubles liés à une substance (mortalité), Études de cohortes (MeSH), Études rétrospectives (MeSH).
- MESH :
- mortalité : Troubles liés à une substance.
- statistiques et données numériques : Personnel de santé.
- épidémiologie : Australie.
- Adolescent, Adulte, Adulte d'âge moyen, Facteurs sexuels, Femelle, Humains, Jeune adulte, Mâle, Sujet âgé, Études de cohortes, Études rétrospectives.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Australia (epidemiology), Cohort Studies (MeSH), Female (MeSH), Health Personnel (statistics & numerical data), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Retrospective Studies (MeSH), Sex Factors (MeSH), Substance-Related Disorders (mortality), Young Adult (MeSH).
- MESH :
- epidemiology : Australia.
- mortality : Substance-Related Disorders.
- statistics & numerical data : Health Personnel.
- Adolescent, Adult, Aged, Cohort Studies, Female, Humans, Male, Middle Aged, Retrospective Studies, Sex Factors, Young Adult.
Abstract
BACKGROUND AND AIMS
There are numerous factors putting health-care professionals (HCP) at a higher risk of substance abuse and premature death, including high-stress jobs, access to controlled substances, long hours of practice and constant contact with the critically ill. This study aimed to examine fatal drug toxicity in this high-risk cohort, in order to: (1) estimate the rate of drug-caused deaths of Australian HCPs; (2) describe the key characteristics of the cohort; and (3) examine the relationship between HCP occupation and drug type, or intent.
DESIGN
Retrospective cohort study.
SETTING
The National Coronial Information System (NCIS), a database of cases reported to an Australian coroner.
PARTICIPANTS
A total of 404 drug-caused deaths reported to an Australian coroner between 2003 and 2013 involving HCPs (including medical practitioners, paramedics, nurses, dentists, psychologists, pharmacists and veterinarians).
MEASURES
χ
FINDINGS
Females comprised nearly two-thirds of the cohort. The highest number of cases involved nurses (62.87%) and medical practitioners (18.07%). The mortality rate was highest among the veterinary group [confidence interval (CI) = 42.21-58.79]. Most were intentional self-harm deaths (50.25%), followed by unintentional deaths (37.62%) (CI = 92.15-109.85). Mental illness was common, diagnosed in almost half of cases (46.04%), with the majority involving depression (CI = 33.48-44.12). Specific drugs were associated significantly with certain professions, such as intravenous barbiturates among veterinarians (χ
CONCLUSIONS
Between 2003 and 2013, Australian health-care professionals averaged 37 deaths per year attributed to drug toxicity, with a mortality rate of nearly five deaths per 1000 employed HCPs. Drug-caused deaths among HCPs in Australia commonly involve females in their mid-40s, with a diagnosis of mental illness, personal and professional stress and the intent to self-harm.
DOI: 10.1111/add.13619
PubMed: 27866392
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Pilgrim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Forensic Medicine, Monash University, Southbank, VIC, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Forensic Medicine, Monash University, Southbank, VIC</wicri:regionArea><wicri:noRegion>VIC</wicri:noRegion></affiliation></author><author><name sortKey="Dorward, Rhyse" sort="Dorward, Rhyse" uniqKey="Dorward R" first="Rhyse" last="Dorward">Rhyse Dorward</name><affiliation wicri:level="1"><nlm:affiliation>Department of Forensic Medicine, Monash University, Southbank, VIC, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Forensic Medicine, Monash University, Southbank, VIC</wicri:regionArea><wicri:noRegion>VIC</wicri:noRegion></affiliation></author><author><name sortKey="Drummer, Olaf H" sort="Drummer, Olaf H" uniqKey="Drummer O" first="Olaf H" last="Drummer">Olaf H. 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Pilgrim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Forensic Medicine, Monash University, Southbank, VIC, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Forensic Medicine, Monash University, Southbank, VIC</wicri:regionArea><wicri:noRegion>VIC</wicri:noRegion></affiliation></author><author><name sortKey="Dorward, Rhyse" sort="Dorward, Rhyse" uniqKey="Dorward R" first="Rhyse" last="Dorward">Rhyse Dorward</name><affiliation wicri:level="1"><nlm:affiliation>Department of Forensic Medicine, Monash University, Southbank, VIC, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Forensic Medicine, Monash University, Southbank, VIC</wicri:regionArea><wicri:noRegion>VIC</wicri:noRegion></affiliation></author><author><name sortKey="Drummer, Olaf H" sort="Drummer, Olaf H" uniqKey="Drummer O" first="Olaf H" last="Drummer">Olaf H. Drummer</name><affiliation wicri:level="1"><nlm:affiliation>Department of Forensic Medicine, Monash University, Southbank, VIC, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Forensic Medicine, Monash University, Southbank, VIC</wicri:regionArea><wicri:noRegion>VIC</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Victorian Institute of Forensic Medicine, Southbank, VIC, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Victorian Institute of Forensic Medicine, Southbank, VIC</wicri:regionArea><wicri:noRegion>VIC</wicri:noRegion></affiliation></author></analytic><series><title level="j">Addiction (Abingdon, England)</title><idno type="eISSN">1360-0443</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Australia (epidemiology)</term><term>Cohort Studies (MeSH)</term><term>Female (MeSH)</term><term>Health Personnel (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>Sex Factors (MeSH)</term><term>Substance-Related Disorders (mortality)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Australie (épidémiologie)</term><term>Facteurs sexuels (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Personnel de santé (statistiques et données numériques)</term><term>Sujet âgé (MeSH)</term><term>Troubles liés à une substance (mortalité)</term><term>Études de cohortes (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Australia</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Substance-Related Disorders</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Troubles liés à une substance</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Health Personnel</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Personnel de santé</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Australie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Cohort Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Sex Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Facteurs sexuels</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Sujet âgé</term><term>Études de cohortes</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND AND AIMS</b></p><p>There are numerous factors putting health-care professionals (HCP) at a higher risk of substance abuse and premature death, including high-stress jobs, access to controlled substances, long hours of practice and constant contact with the critically ill. This study aimed to examine fatal drug toxicity in this high-risk cohort, in order to: (1) estimate the rate of drug-caused deaths of Australian HCPs; (2) describe the key characteristics of the cohort; and (3) examine the relationship between HCP occupation and drug type, or intent.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Retrospective cohort study.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>The National Coronial Information System (NCIS), a database of cases reported to an Australian coroner.</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>A total of 404 drug-caused deaths reported to an Australian coroner between 2003 and 2013 involving HCPs (including medical practitioners, paramedics, nurses, dentists, psychologists, pharmacists and veterinarians).</p></div><div type="abstract" xml:lang="en"><p><b>MEASURES</b></p><p>χ</p></div><div type="abstract" xml:lang="en"><p><b>FINDINGS</b></p><p>Females comprised nearly two-thirds of the cohort. The highest number of cases involved nurses (62.87%) and medical practitioners (18.07%). The mortality rate was highest among the veterinary group [confidence interval (CI) = 42.21-58.79]. Most were intentional self-harm deaths (50.25%), followed by unintentional deaths (37.62%) (CI = 92.15-109.85). Mental illness was common, diagnosed in almost half of cases (46.04%), with the majority involving depression (CI = 33.48-44.12). Specific drugs were associated significantly with certain professions, such as intravenous barbiturates among veterinarians (χ</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Between 2003 and 2013, Australian health-care professionals averaged 37 deaths per year attributed to drug toxicity, with a mortality rate of nearly five deaths per 1000 employed HCPs. Drug-caused deaths among HCPs in Australia commonly involve females in their mid-40s, with a diagnosis of mental illness, personal and professional stress and the intent to self-harm.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27866392</PMID><DateCompleted><Year>2018</Year><Month>02</Month><Day>28</Day></DateCompleted><DateRevised><Year>2018</Year><Month>10</Month><Day>29</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1360-0443</ISSN><JournalIssue CitedMedium="Internet"><Volume>112</Volume><Issue>3</Issue><PubDate><Year>2017</Year><Month>03</Month></PubDate></JournalIssue><Title>Addiction (Abingdon, England)</Title><ISOAbbreviation>Addiction</ISOAbbreviation></Journal><ArticleTitle>Drug-caused deaths in Australian medical practitioners and health-care professionals.</ArticleTitle><Pagination><MedlinePgn>486-493</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/add.13619</ELocationID><Abstract><AbstractText Label="BACKGROUND AND AIMS">There are numerous factors putting health-care professionals (HCP) at a higher risk of substance abuse and premature death, including high-stress jobs, access to controlled substances, long hours of practice and constant contact with the critically ill. This study aimed to examine fatal drug toxicity in this high-risk cohort, in order to: (1) estimate the rate of drug-caused deaths of Australian HCPs; (2) describe the key characteristics of the cohort; and (3) examine the relationship between HCP occupation and drug type, or intent.</AbstractText><AbstractText Label="DESIGN">Retrospective cohort study.</AbstractText><AbstractText Label="SETTING">The National Coronial Information System (NCIS), a database of cases reported to an Australian coroner.</AbstractText><AbstractText Label="PARTICIPANTS">A total of 404 drug-caused deaths reported to an Australian coroner between 2003 and 2013 involving HCPs (including medical practitioners, paramedics, nurses, dentists, psychologists, pharmacists and veterinarians).</AbstractText><AbstractText Label="MEASURES">χ<sup>2</sup> tests and descriptive statistics were used to examine relationships. The primary outcome measures were drug type and intent. Covariates included occupation type, mental illness and self-harm.</AbstractText><AbstractText Label="FINDINGS">Females comprised nearly two-thirds of the cohort. The highest number of cases involved nurses (62.87%) and medical practitioners (18.07%). The mortality rate was highest among the veterinary group [confidence interval (CI) = 42.21-58.79]. Most were intentional self-harm deaths (50.25%), followed by unintentional deaths (37.62%) (CI = 92.15-109.85). Mental illness was common, diagnosed in almost half of cases (46.04%), with the majority involving depression (CI = 33.48-44.12). Specific drugs were associated significantly with certain professions, such as intravenous barbiturates among veterinarians (χ<sup>2</sup><sub>(7)</sub> = 237.391). A number of cases reported additional stressors, such as relationship, work-place or financial issues, and drugs were diverted from the work-place in nearly a fifth of cases.</AbstractText><AbstractText Label="CONCLUSIONS">Between 2003 and 2013, Australian health-care professionals averaged 37 deaths per year attributed to drug toxicity, with a mortality rate of nearly five deaths per 1000 employed HCPs. Drug-caused deaths among HCPs in Australia commonly involve females in their mid-40s, with a diagnosis of mental illness, personal and professional stress and the intent to self-harm.</AbstractText><CopyrightInformation>© 2016 Society for the Study of Addiction.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Pilgrim</LastName><ForeName>Jennifer L</ForeName><Initials>JL</Initials><AffiliationInfo><Affiliation>Department of Forensic Medicine, Monash University, Southbank, VIC, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dorward</LastName><ForeName>Rhyse</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Forensic Medicine, Monash University, Southbank, VIC, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Drummer</LastName><ForeName>Olaf H</ForeName><Initials>OH</Initials><AffiliationInfo><Affiliation>Department of Forensic Medicine, Monash University, Southbank, VIC, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Victorian Institute of Forensic Medicine, Southbank, VIC, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>11</Month><Day>20</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Addiction</MedlineTA><NlmUniqueID>9304118</NlmUniqueID><ISSNLinking>0965-2140</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001315" MajorTopicYN="N">Australia</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006282" MajorTopicYN="N">Health Personnel</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012737" MajorTopicYN="N">Sex Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019966" MajorTopicYN="N">Substance-Related Disorders</DescriptorName><QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Drug abuse</Keyword><Keyword MajorTopicYN="Y">drug-caused impairment</Keyword><Keyword MajorTopicYN="Y">fatality</Keyword><Keyword MajorTopicYN="Y">health-care professional</Keyword><Keyword MajorTopicYN="Y">intentional self-harm</Keyword><Keyword MajorTopicYN="Y">medical practitioner</Keyword><Keyword MajorTopicYN="Y">suicide</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>06</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2016</Year><Month>08</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>09</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>11</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>3</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>11</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27866392</ArticleId><ArticleId IdType="doi">10.1111/add.13619</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li></country></list><tree><country name="Australie"><noRegion><name sortKey="Pilgrim, Jennifer L" sort="Pilgrim, Jennifer L" uniqKey="Pilgrim J" first="Jennifer L" last="Pilgrim">Jennifer L. Pilgrim</name></noRegion><name sortKey="Dorward, Rhyse" sort="Dorward, Rhyse" uniqKey="Dorward R" first="Rhyse" last="Dorward">Rhyse Dorward</name><name sortKey="Drummer, Olaf H" sort="Drummer, Olaf H" uniqKey="Drummer O" first="Olaf H" last="Drummer">Olaf H. Drummer</name><name sortKey="Drummer, Olaf H" sort="Drummer, Olaf H" uniqKey="Drummer O" first="Olaf H" last="Drummer">Olaf H. Drummer</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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