Deaths of clients in methadone treatment in Texas: 1994-2002.

Abstract:

:This study analyzes causes of deaths of 766 patients who died while in methadone treatment in Texas between 1994 and 2002. Compared with deaths in the general population of Texas, deaths of clients in methadone treatment were 4.6 times more likely to be from a drug overdose, 3.4 times more likely to be from liver disease, 1.7 times more likely to be from a respiratory disease, 1.5 times more likely to be from a homicide and 1.4 times more likely to be from AIDS, but less likely to be from suicide, motor vehicle accidents, cardiovascular diseases or cancer. Of the clients, 20% died of liver disease, 18% of cardiovascular disease and 14% of drug overdose. An older cohort had been in treatment longer, had more take-homes, were on higher doses and tended to die of chronic diseases. A younger cohort tended to die from traumas, including drug overdose. Time in treatment was 43.3 months; mean daily dose was 77.3mg; number of days/month dosed in the clinic was 13.9. Given these rates, the scope of services should include on-site treatment for other medical conditions and staff should be educated about and counsel about the risk of death for new patients.

journal_name

Drug Alcohol Depend

authors

Maxwell JC,Pullum TW,Tannert K

doi

10.1016/j.drugalcdep.2004.09.006

keywords:

subject

Has Abstract

pub_date

2005-04-04 00:00:00

pages

73-81

issue

1

eissn

0376-8716

issn

1879-0046

pii

S0376-8716(04)00284-4

journal_volume

78

pub_type

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