ArticleJournal of addiction medicine2012
Acute care hospital utilization among medical inpatients discharged with a substance use disorder diagnosis.
Article in Journal of addiction medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
92 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Psychiatric readmissions and their association with physical comorbidity: a systematic literature review.BMC psychiatry · 2017Pooled it
- Addiction Consult Services, Mortality, and Acute Care Utilization in Inpatients With Opioid Use Disorder: A Secondary Analysis of a Cluster Randomized Clinical Trial.JAMA network open · 2025Trial
- Recovery Barrier Characterizations by Hospitalized Patients with Substance Use Disorders: Results from a Randomized Clinical Study on Inpatient Peer Recovery Coaching.International journal of environmental research and public health · 2024Trial
- Acute Care Utilization After Recovery Coaching Linkage During Substance-Related Inpatient Admission: Results of Two Randomized Controlled Trials.Journal of general internal medicine · 2022Trial
- Cost and Cost Savings of Navigation Services to Avoid Rehospitalization for a Comorbid Substance Use Disorder Population.Medical care · 2022Trial
- Preventing Hospital Readmission for Patients With Comorbid Substance Use Disorder : A Randomized Trial.Annals of internal medicine · 2021Trial
- Leveraging health information exchange for clinical research: Extreme underreporting of hospital service utilization among patients with substance use disorders.Drug and alcohol dependence · 2020Trial
- Clinical and Sociobehavioral Prediction Model of 30-Day Hospital Readmissions Among People With HIV and Substance Use Disorder: Beyond Electronic Health Record Data.Journal of acquired immune deficiency syndromes (1999) · 2019Trial
- Modeling longitudinal drinking data in clinical trials: an application to the COMBINE study.Drug and alcohol dependence · 2013Trial
- Meeting people where they are, whenever they are here: the implementation of harm reduction programs in two U.S. emergency departments.International journal of emergency medicine · 2026Article
- A qualitative study of veteran and provider perspectives on a novel acute care transitions intervention for co-occurring mood and substance use disorders.Psychological services · 2026Article
- Inpatient utilization among Medicaid members with substance use disorder in Oregon.Substance abuse treatment, prevention, and policy · 2026Article
- Impact of Substance Use Navigators on Initiation of Treatment for Substance Use Disorders and 30-Day Unplanned Readmission.Journal of general internal medicine · 2026Observational
- Micro-costing analysis of harm reduction services in office-based addiction treatment.Drug and alcohol dependence · 2026Article
- Outcomes in skilled nursing facilities versus other locations in outpatient parenteral antimicrobial therapy among patients with substance use disorders.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Health-related quality of life measures as predictors for recurrent hospitalization and mortality among patients in heroin-assisted treatment.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- Unpacking the link between substance use disorders and 30-day unplanned readmission.Addiction (Abingdon, England) · 2025Article
- Healthcare utilization and perceived substance use-related stigma from healthcare workers among incarcerated women with opioid use disorder.Drug and alcohol dependence · 2025Article
- The Peer Recovery Coaching Linkage (RC-link) intervention study: Protocol for a randomized controlled trial for alcohol use disorder recovery in the inpatient hospital setting.Contemporary clinical trials · 2025Article
- The Impact of Addiction Consultation and Medication for Opioid or Alcohol Use Disorder on Hospital Readmission.Journal of general internal medicine · 2025Article
32 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectiveHospital discharge may be an opportunity to intervene among patients with substance use disorders to reduce subsequent hospital utilization. This study determined whether having a substance use disorder diagnosis was associated with subsequent acute care hospital utilization.
methodsWe conducted an observational cohort study among 738 patients on a general medical service at an urban, academic, safety-net hospital. The main outcomes were rate and risk of acute care hospital utilization (emergency department visit or hospitalization) within 30 days of discharge. The main independent variable was presence of a substance use disorder primary or secondary discharge diagnosis code at the index hospitalization.
resultsAt discharge, 17% of subjects had a substance use disorder diagnosis. These patients had higher rates of recurrent acute care hospital utilization than patients without substance use disorder diagnoses (0.63 vs 0.32 events per subject at 30 days, P < 0.01) and increased risk of any recurrent acute care hospital utilization (33% vs 22% at 30 days, P < 0.05). In adjusted Poisson regression models, the incident rate ratio at 30 days was 1.49 (95% confidence interval, 1.12-1.98) for patients with substance use disorder diagnoses compared with those without. In subgroup analyses, higher utilization was attributable to those with drug diagnoses or a combination of drug and alcohol diagnoses, but not to those with exclusively alcohol diagnoses.
conclusionsMedical patients with substance use disorder diagnoses, specifically those with drug use-related diagnoses, have higher rates of recurrent acute care hospital utilization than those without substance use disorder diagnoses.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.