ArticleBMJ open2017
A prospective cohort study of hospital separations among people who inject drugs in Australia: 2008-2013.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Frequency of health-care utilization by adults who use illicit drugs: a systematic review and meta-analysis.Addiction (Abingdon, England) · 2020Pooled it
- Article
- Understanding healthcare engagement for people who inject drugs.Research in nursing & health · 2024Article
- The burden of skin and soft tissue, bone and joint infections in an Australian cohort of people who inject drugs.BMC infectious diseases · 2024Article
- Improving hospital-based opioid substitution therapy (iHOST): protocol for a mixed-methods evaluation.NIHR open research · 2024Article
- Prevalence and incidence of emergency department presentations and hospital separations with injecting-related infections in a longitudinal cohort of people who inject drugs.Epidemiology and infection · 2023Article
- Review
- Patient-specific record linkage between emergency department and hospital admission data for a cohort of people who inject drugs: methodological considerations for frequent presenters.BMC medical research methodology · 2020Article
- Article
- Lifetime prevalence and correlates of self-harm and suicide attempts among male prisoners with histories of injecting drug use.Health & justice · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectivesInjecting drug use is a persistent behaviour that increases the risk of morbidities and mortality. We assessed the burden of hospital separations among people who inject drugs (PWID), the excess compared to the general population and characteristics of separations associated with frequent use.
designProspective cohort study.
settingAll public and private hospitals in Victoria.
participants757 community-based PWID with hospital separations between January 2008 and June 2013 identified through record linkage, who contributed over 3729 person-years. PRIMARY AND SECONDARY OUTCOME MEASURES: Counts, proportions and rates of hospital separations, descriptive administrative data including all diagnoses, comparison of separation rates to the general population, trend in separations and factors associated with frequent separations.
resultsThere were 2106 separations in the cohort. The most common principal diagnoses were related to mental and behavioural disorders (31%), but social circumstances influencing health was the most common group of diagnoses (61%) when all contributing diagnoses for each patient were considered. Separation rates were up to three times higher than in the age-matched population, and there was a 12% increase in separations every 6 months. Over a quarter (29%) of the cohort had frequent separations (defined as two or more separations in a calendar year), which were associated with mental health-related diagnoses, being discharged to locations other than a patient's residence, having a medical as opposed to surgical intervention, seasonal patterns, relationship status and gender.
conclusionsMental health conditions and other characteristics associated with separations and frequent separations in particular, emphasise the importance of providing referrals to harm reduction, social services and mental health services at discharge in order to reduce excess hospital separations among PWID.
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