ArticleDrug and alcohol review2015
Illicit drug use in acute care settings.
Article in Drug and alcohol review, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed.
- Article
- Harm Reduction in Inpatient Hospital Settings: An Ethics (Principlist) Analysis.Health care analysis : HCA : journal of health philosophy and policy · 2026Article
- National Trends In US Opioid-Related Hospitalizations, 2016-23.Health affairs (Project Hope) · 2026Article
- An application of hospital at home for precariously housed people who use drugs in a community-based harm reduction setting in Vancouver, Canada.Addiction science & clinical practice · 2026Article
- Article
- Short-Acting Opioid Dose and Patient-Directed Discharge in Hospitalized Patients With Opioid Use Disorder.JAMA network open · 2026Article
- Early Results of Implementing Rapid Methadone Titration for Hospitalized Patients: A Case Series.Journal of general internal medicine · 2025Article
- Recommendations for Addressing In-Hospital Substance Use From a National Delphi Consensus Process.JAMA network open · 2025Article
- The Scope Of Authorıty For Securıty Personnel In Addıctıon Rehabılıtatıon Centers: An Ongoıng Issue.Turk psikiyatri dergisi = Turkish journal of psychiatry · 2025Article
- Perspectives of healthcare workers on the integration of overdose detection technologies in acute care settings.Addiction science & clinical practice · 2024Article
- Perspectives of patients who inject drugs on a needle and syringe program at a large acute care hospital.PloS one · 2024Article
- Things We Do for No Reason™: Avoiding methadone for opioid withdrawal.Journal of hospital medicine · 2023Article
- People with lived and living experience of methamphetamine use and admission to hospital: what harm reduction do they suggest needs to be addressed?Health promotion and chronic disease prevention in Canada : research, policy and practice · 2023Article
- Article
- Philanthropic donor perspectives about providing harm reduction services for people living with HIV/AIDS in a hospital setting.Harm reduction journal · 2022Article
- Harm reduction in the hospital: An overdose prevention site (OPS) at a Canadian hospital.Drug and alcohol dependence · 2022Article
- Social service providers' perspectives on caring for structurally vulnerable hospital patients who use drugs: a qualitative study.BMC health services research · 2022Article
- "I have such a hard time hitting myself, I thought it'd be easier": perspectives of hospitalized patients on injecting drugs into vascular access devices.Harm reduction journal · 2022Article
- Perceptions of prevalence, consequences, and strategies for managing contraband substance use in an inpatient concurrent disorders program: A qualitative study of patient perspectives and survey of clinician perspectives.Frontiers in psychiatry · 2022Article
- Fatal opioid overdoses during and shortly after hospital admissions in England: A case-crossover study.PLoS medicine · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
INTRODUCTION AND
aimsWhile persons with addiction are often hospitalised, hospitals typically employ abstinence-based policies specific to illicit drug use. Although illicit drug use is known to occur within hospitals, this problem has not been well characterised. Therefore, we sought to investigate the prevalence of and factors associated with having ever used drugs in hospital among people who use drugs in Vancouver, Canada. DESIGN AND
methodsData were derived from prospective cohort studies of people who use drugs between December 2012 and May 2013. Multivariable logistic regression was used to identify demographic and behavioural factors associated with having ever used illicit drugs in hospital.
resultsAmong 1028 participants who had experienced ≥1 hospitalisation, 43.9% reported having ever used drugs while hospitalised. In multivariable analyses, factors positively associated with having ever used drugs in hospital included daily cocaine injection and daily crack non-injection (both P < 0.05). Factors negatively associated with the outcome included older age and male gender (both P < 0.05). The most common reasons for drug use in hospital were 'wanting to use' and 'being in withdrawal'. Drugs were most commonly used in patient washrooms. DISCUSSION AND
conclusionsOur findings demonstrate that an abstinence-based approach to drug use in hospitals may be ineffective at prohibiting drug consumption. High-risk drug use behaviours arising from ongoing drug use may pose risks for further harm and illness. Efforts to minimise the harms associated with using drugs in hospital are urgently needed. [Grewal HK, Ti L, Hayashi K, Dobrer S, Wood E, Kerr T. Illicit drug use in acute care settings. Drug Alcohol Rev 2015;34:499-502].
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