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Cardiovascular disease among people with drug use disorders

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Objectives To present the prevalence and incidence of cardiovascular disease (CVD) in a national cohort of patients seeking treatment for drug use disorders (DUD). Methods Longitudinal record-linkage study of consecutive DUD treatment admissions between 2000-2006 from Denmark. Results Of 17,642 patients seeking treatment for DUD, 828 individuals (4.53%) had a history of CVD at treatment entry. Among the remaining patients, 16,820 were traced and 1,535 new incident cases of CVD were observed during a mean follow-up time of 7.5 years. The incidence of CVD was associated with intravenous drug use (subhazard ratio [SHR]=1.41, p<0.001), not responding to injection question (SHR=1.23, p=0.005), older age (SHR=1.04 per year, p=0.000), use of prescription methadone (SHR=1.32, p<0.001), use of benzodiazepines (SHR=1.21, p=0.005), and being referred to methadone treatment (SHR=1.15, p=0.022) . The use of amphetamines was negatively associated with the risk of CVD within this cohort (SHR=0.75, p=0.001). Conclusions Patients injecting drugs and using prescribed methadone were at elevated risk for cardiovascular disease and should be monitored for CVD. Opioid medications should be evaluated in terms of their cardiovascular sequelae.
OriginalsprogEngelsk
TidsskriftInternational Journal of Public Health (Print Edition)
Vol/bind60
Nummer6
Sider (fra-til)659-668
Antal sider10
ISSN1661-8556
DOI
StatusUdgivet - sep. 2015

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