ADDRESSING THE HIGH RISK OF OPIOID OVERDOSE AMONG OLDER ADULTS: A RETROSPECTIVE CHART REVIEW
2024

Opioid Overdose Risks in Older Adults

Sample size: 49 publication Evidence: moderate

Author Information

Author(s): Kleykamp Bethea, Lynch Erin, Smith Hannah

Primary Institution: University of Maryland School of Medicine

Hypothesis

How do treatment outcomes differ between older and younger adults in outpatient opioid treatment?

Conclusion

Older adults showed less polysubstance use and longer retention in care, but continued use of fentanyl and benzodiazepines poses overdose risks.

Supporting Evidence

  • Older adults had longer histories of opioid use (30 years) compared to younger adults (9 years).
  • Older adults were less likely to test positive for cocaine (26% vs. 77%) while in treatment.
  • Older adults remained in treatment longer (186 days) compared to younger adults (105 days).
  • Older adults had higher retention rates in treatment (21% vs. 0%).

Takeaway

This study looked at older and younger adults getting help for opioid use. It found that older adults stayed in treatment longer and used fewer drugs at the same time.

Methodology

Retrospective chart review comparing intake characteristics and treatment outcomes between older and younger adults using ANOVA and χ2 statistics.

Participant Demographics

54% male; older adults (ages 55-70) and younger adults (ages 23-35); 68% of older adults were Black/African American.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1093/geroni/igae098.4375

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication