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Differences in length of stay and discharge destination among patients with substance use disorders: The effect of Substance Use Intervention Team (SUIT) consultation service

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  • Hale M Thompson
  • Walter Faig
  • Nicole A VanKim
  • Brihat Sharma
  • Majid Afshar
  • Niranjan S Karnik

Abstract

Background: Addiction medicine consultation services (ACS) may improve outcomes of hospitalized patients with substance use disorders (SUD). Our aim was to examine the difference in length of stay and the hazard ratio for a routine hospital discharge between SUD patients receiving and not receiving ACS. Methods: Structured EHR data from 2018 of 1,900 adult patients with a SUD-related diagnostic code at an urban academic health center were examined among 35,541 total encounters. Cox proportional hazards regression models were fit using a cause-specific approach to examine differences in hospital outcome (i.e., routine discharge, leaving against medical advice, in-hospital death, or transfer to another level of care). Models were adjusted for age, sex, race, ethnicity, insurance status, and comorbidities. Results: Length of stay was shorter among encounters with a SUD that received a SUIT consultation versus those admissions that did not receive one (5.77 v. 6.54 days, p

Suggested Citation

  • Hale M Thompson & Walter Faig & Nicole A VanKim & Brihat Sharma & Majid Afshar & Niranjan S Karnik, 2020. "Differences in length of stay and discharge destination among patients with substance use disorders: The effect of Substance Use Intervention Team (SUIT) consultation service," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-12, October.
    • Handle: RePEc:plo:pone00:0239761
    DOI: 10.1371/journal.pone.0239761
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    1. Fox, K. & Merrill, J.C. & Chang, H.-H. & Califano Jr., J.A., 1995. "Estimating the costs of substance abuse to the Medicaid hospital care program," American Journal of Public Health, American Public Health Association, vol. 85(1), pages 48-54.
    2. repec:aph:ajpbhl:10.2105/ajph.2016.303558_4 is not listed on IDEAS
    3. Abraham, A.J. & Andrews, C.M. & Grogan, C.M. & Pollack, H.A. & D'Aunno, T. & Humphreys, K.N. & Friedmann, P.D., 2017. "The affordable care act transformation of substance use disorder treatment," American Journal of Public Health, American Public Health Association, vol. 107(1), pages 31-32.
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