Abstract | OBJECTIVES: To identify the incidence, characteristics, and predictors for 30 and 90-day readmission among acutely hospitalized patients with opioid use disorder (OUD). METHODS: This retrospective, cohort study evaluated consecutive adults with OUD admitted to an academic medical center over a 5-year period (10/1/11 to 9/30/16). Multivariable logistic regression was used to determine independent predictors for 30 and 90-day readmissions based on pertinent admission, hospital, and discharge variables collected via chart review and found to be different (with a P < 0.10) on univariate analysis. RESULTS: Among the 470 adults (mean age 43.1 ± 12.8 years, past heroin use 77.9%; admission opioid agonist therapy use [ buprenorphine 22.6%; methadone 27.0%]; medical [vs surgical] admission 75.3%, floor [vs ICU] admission 93.0%, in-hospital mortality 0.9%), 85 (18.2%) and 151 (32.1%) were readmitted within 30 and 90 days, respectively. Among the 90-day readmitted patients, median time to first readmission was 26 days. Buprenorphine use (vs no use) at index hospital admission was independently associated with reduced 30-day (odds ratio [OR] 0.47, 95% confidence interval [CI] 0.24-0.93) and 90-day (OR 0.57, 95% CI 0.34-0.96) readmission; prior heroin (vs prescription opioid) use was associated with reduced 90-day readmission (OR 0.59, 95% CI 0.37-0.94) and length of hospital stay was associated with both greater 30-day (OR 1.02, 95% CI 1.01-1.05) and 90-day (OR 1.04, 95% CI 1.01-1.06) readmission rates. CONCLUSIONS:
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Authors | Jessica L Moreno, Sarah E Wakeman, Matthew S Duprey, Russell J Roberts, Jared S Jacobson, John W Devlin |
Journal | Journal of addiction medicine
(J Addict Med)
2019 Jul/Aug
Vol. 13
Issue 4
Pg. 306-313
ISSN: 1935-3227 [Electronic] Netherlands |
PMID | 30633044
(Publication Type: Journal Article)
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Topics |
- Adult
- Boston
(epidemiology)
- Female
- Hospital Mortality
- Humans
- Incidence
- Length of Stay
(statistics & numerical data)
- Logistic Models
- Male
- Middle Aged
- Multivariate Analysis
- Opioid-Related Disorders
(mortality, therapy)
- Patient Readmission
(statistics & numerical data)
- Retrospective Studies
- Risk Factors
- Time Factors
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