ArticleJournal of general internal medicine2015
An inpatient treatment and discharge planning protocol for alcohol dependence: efficacy in reducing 30-day readmissions and emergency department visits.
Article in Journal of general internal medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05087771 (In Hospital Administration of Extended-Release Naltrexone for Alcohol Use Disorder), which is not on this map. Cited by 54 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
In Hospital Administration of Extended-Release Naltrexone for Alcohol Use Disorder: A Pilot Study of Feasibility and Acceptability
Who cites it
54 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Post-hospitalization Care Transition Strategies for Patients with Substance Use Disorders: A Narrative Review and Taxonomy.Journal of general internal medicine · 2024Pooled it
- Correlates of post-hospitalization naltrexone adherence for alcohol use disorder.Drug and alcohol dependence · 2024Trial
- Hazardous Drinking Interventions Delivered During Medical-Surgical Care: Patient and Provider Views.Journal of clinical psychology in medical settings · 2024Trial
- Pilot randomized controlled trial of a hospital-based substance use treatment and recovery team (START) to improve initiation of medication for alcohol or opioid use disorder and linkage to follow-up care.Journal of substance use and addiction treatment · 2023Trial
- Single-dose intravenous ketamine or intramuscular naltrexone for high-utilization inpatients with alcohol use disorder: pilot trial feasibility and readmission rates.Addiction science & clinical practice · 2022Trial
- Substance Use Disorder Detection Rates Among Providers of General Medical Inpatients.Journal of general internal medicine · 2021Trial
- Association of unhealthy alcohol use reported in routine outpatient screening with 30-day hospital readmission risk.Journal of substance use and addiction treatment · 2026Article
- Appropriateness, feasibility, and adoption of a nurse-driven CIWA-Ar symptom-triggered protocol for alcohol withdrawal syndrome in New York City public hospitals.American journal of medicine open · 2026Article
- Implementation of a Hospital-Based Screening and Treatment Program for Unhealthy Alcohol Use.Journal of general internal medicine · 2026Article
- Models of care for the management of alcohol use disorder in general hospital settings and transition to the community: a scoping review.Alcohol and alcoholism (Oxford, Oxfordshire) · 2026Article
- Characteristics of alcohol care teams in England: results of the ProACTIVE National Survey.Alcohol and alcoholism (Oxford, Oxfordshire) · 2025Article
- Guideline concordance of electronic health record order sets for hospital-based treatment of alcohol withdrawal syndrome.Journal of hospital medicine · 2025Article
- Follow-up and reasons for extended-release naltrexone discontinuation for alcohol use disorder after hospital initiation.BMJ open quality · 2024Article
- Perspectives and Recommendations from Hospitalized Patients with Substance Use Disorders: A Qualitative Study.Journal of general internal medicine · 2024Article
- Association of hospital-based substance use supports on emergency department revisits: a retrospective cohort study in Sudbury, Canada from 2018 to 2022.Harm reduction journal · 2024Observational
- Outcomes After Initiation of Medications for Alcohol Use Disorder at Hospital Discharge.JAMA network open · 2024Article
- Article
- Evaluating an addiction medicine unit in Sudbury, Ontario Canada: a mixed-methods study protocol.BMC health services research · 2023Article
- Addiction Consult Service and Inpatient Outcomes Among Patients with Alcohol Use Disorder.Journal of general internal medicine · 2023Article
- ACMT Position Statement: Role of the Medical Toxicologist in the Management of Patients with Substance Use Disorder.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlcohol dependence results in multiple hospital readmissions, but no discharge planning protocol has been studied to improve outcomes. The inpatient setting is a frequently missed opportunity to discuss treatment of alcohol dependence and initiate medication-assisted treatment, which is effective yet rarely utilized.
aimOur aim was to implement and evaluate a discharge planning protocol for patients admitted with alcohol dependence.
settingThe study took place at the San Francisco General Hospital (SFGH), a university-affiliated, large urban county hospital.
participantsLearner participants included Internal Medicine residents at the University of California, San Francisco (UCSF) who staff the teaching service at SFGH. Patient participants included inpatients with alcohol dependence admitted to the Internal Medicine teaching service. PROGRAM DESCRIPTION: We developed and implemented a discharge planning protocol for patients admitted with alcohol dependence that included eligibility assessment and initiation of medication-assisted treatment. PROGRAM EVALUATION: Rates of medication-assisted treatment increased from 0% to 64% (p value < 0.001). All-cause 30-day readmission rates to SFGH decreased from 23.4% to 8.2% (p value = 0.042). All-cause emergency department visits to SFGH within 30 days of discharge decreased from 18.8% to 6.1% (p value = 0.056). DISCUSSION: Through implementation of a discharge planning protocol by Internal Medicine residents for patients admitted with alcohol dependence, there was a statistically significant increase in medication-assisted treatment and a statistically significant decrease in both 30-day readmission rates and emergency department visits.
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Registered trials
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