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Table 3 The putative associations between intramuscular naloxone dose (0.4 mg vs. 0.8 mg) and sex, age, vital signs and place of attendance (n = 1530), Model 1

From: Prehospital naloxone administration – what influences choice of dose and route of administration?

 

0.4 mg

100% (n = 657)

0.8 mg

100% (n = 873)

Unadjusted

OR (95% CI)

Adjusted

OR (95% CI)

Sex

 Women

30.8 (202)

18.6 (162)

ref

ref

 Men

69.3 (455)

81.4 (711)

2.0*** [1.5, 2.5]

2.2*** [1.7, 2.9]

Age (years)

  < 30

24.2 (159)

23.1 (202)

ref

ref

 30–49

58.5 (384)

59.7 (521)

1.1 [0.8, 1.4]

1.2 [0.9, 1.5]

  ≥ 50

17.4 (114)

17.2 (150)

1.0 [0.7, 1.5]

1.3 [0.9, 1.8]

Glasgow Coma Scale

 3/15

27.7 (182)

56.5 (493)

9.1*** [5.2, 16.2]

7.1*** [3.8, 13.1]

 4–9/15

21.6 (142)

19.8 (173)

4.1*** [2.2, 7.5]

4.0*** [2.1, 7.5]

 10–14/15

33.8 (222)

13.8 (120)

1.8* [1.0, 3.2]

1.8 [1.0, 3.2]

 15/15

8.2 (54)

1.8 (16)

ref

ref

 No valid report

8.7 (57)

8.1 (71)

4.2*** [2.2, 8.0]

3.8*** [2.0, 7.4]

Respiration rate

 0/min

7.2 (47)

20.6 (180)

5.1*** [3.5, 7.6]

3.4*** [2.2, 5.3]

 1–8/min

35.5 (233)

43.0 (375)

2.2*** [1.7, 2.7]

1.7*** [1.3, 2.2]

  ≥ 9/min

44.9 (295)

25.2 (220)

ref

ref

 No valid report

12.5 (82)

11.2 (98)

1.6** [1.1, 2.3]

1.6* [1.1, 2.3]

Place of attendance

 Safe injection facility

41.1 (270)

37.5 (327)

0.9 [0.7, 1.1]

0.6*** [0.5, 0.8]

 All other locations

58.9 (387)

62.5 (546)

ref

ref

  1. Logistic regression analysis was used. Identity was included as a cluster variable to account for individuals that had repeated overdose events and were included multiple times during the study period. OR = odds ratio, 95 CI = 95 confidence interval. * p < 0.05, ** p < 0.01, *** p < 0.001