TABLE 3.
Marginal adjusted costs and utilizations of the overdose and the non-overdose groups at 90 days before and up to 90 days after the index date (2020 US dollars).
| Types of costs | −90 to −61 days | −60 to −31 days | −30 to −1 days | 0–30 days | 31–60 days | 61–90 days |
|---|---|---|---|---|---|---|
| All costs ($), mean (95% CI) | 915 (299, 1531)** | 1241 (667, 1815)*** | 2908 (2171, 3645)*** | 16 890 (15 611, 18 169)*** | 3970 (3218, 4722)*** | 2784 (2067, 3502)*** |
| Inpatient categories ($), mean (95% CI) | ||||||
| Total inpatient costs | 611 (82, 1141)* | 856 (346, 1366)** | 1686 (1046, 2325)*** | 13 515 (12 378, 14 652)*** | 3118 (2399, 3837)*** | 2281 (1608, 2955)*** |
| Medical/surgical | 292 (−37, 622) | 509 (202, 817)** | 1215 (694, 1736)*** | 7522 (6594, 8450)*** | 589 (188, 989)** | 555 (155, 956)** |
| Psychiatry/mental health | 180 (−42, 402) | 108 (−94, 310) | 320 (99, 541)** | 2884 (2437, 3330)*** | 536 (253, 819)*** | 259 (32, 485)* |
| Substance use treatment | 69 (−34, 172) | −24 (−96, 47) | 17 (−79, 113) | 671 (482, 859)*** | 242 (110, 374)*** | 158 (51, 266)** |
| Mental health residential rehabilitation treatment Program | −89 (−225, 47) | −78 (−226, 70) | −242 (−341, −143)*** | 230 (52, 407)* | 681 (424, 938)*** | 591 (337, 844)*** |
| Other | 116 (−117, 350) | 164 (−79, 408) | 114 (−98, 325) | 1098 (673, 1524)*** | 766 (385, 1148)*** | 431 (118, 744)** |
| Outpatient categories ($), mean (95% CI) | ||||||
| Total outpatient costs | 240 (6, 475)* | 352 (122, 582)** | 1116 (815, 1418)*** | 3247 (2648, 3845)*** | 775 (535, 1015)*** | 454 (226, 682)*** |
| Medical/surgical | 72 (−16, 160) | 106 (35, 178)** | 402 (284, 520)*** | 756 (669, 842)*** | 141 (76, 205)*** | 99 (11, 188)* |
| Psychiatry/mental health | −10 (−54, 34) | −16 (−54, 22) | 61 (2, 120)* | 224 (173, 274)*** | 52 (5, 100)* | 20 (−20, 59) |
| Substance use treatment | 14 (−22, 51) | 33 (−8, 75) | 20 (−16, 56) | 135 (87, 182)*** | 146 (94, 197)*** | 86 (44, 128)*** |
| Pharmacy | −119 (−175, −62)*** | −76 (−136, −15)* | −35 (−143, 72) | −58 (−115, −0.1)* | −29 (−100, 42) | 22 (−88, 132) |
| Mental health residential rehabilitation treatment program | −0.6 (−5, 4) | 0.1 (−5, 5) | 10 (3, 17)** | 28 (15, 40)*** | 20 (9, 31)*** | 9 (2, 16)* |
| Other | 80 (0.6, 160)* | 181 (45, 317)** | 354 (242, 466)*** | 1070 (545, 1595)*** | 221 (131, 311)*** | 171 (70, 271)** |
| Resource utilization, mean (95% CI) | ||||||
| Length of stay (days) | 0.29 (0.04, 0.54)* | 0.30 (0.06, 0.54)* | 0.45 (0.23, 0.68)*** | 6.15 (5.33, 6.97)*** | 2.26 (1.74, 2.77)*** | 1.61 (1.16, 2.06)*** |
| Inpatient admissions (no.) | 0.04 (0.01, 0.07)** | 0.05 (0.03, 0.08)*** | 0.10 (0.07, 0.13)*** | 1.01 (0.93, 1.10)*** | 0.19 (0.15, 0.23)*** | 0.14 (0.11, 0.18)*** |
| Outpatient visits (no.) | −0.15 (−0.37, 0.06) | 0.002 (−0.22, 0.22) | 0.23 (0.01, 0.45)* | 1.59 (1.34, 1.84)*** | 0.78 (0.52, 1.03)*** | 0.42 (0.17, 0.67)** |
Abbreviation: CI = confidence interval.
< 0.05;
< 0.01;
< 0.001.