Evidence map›Paper›PMID 33035229›Full record

ArticlePloS one2020

Differences in length of stay and discharge destination among patients with substance use disorders: The effect of Substance Use Intervention Team (SUIT) consultation service.

Hale M Thompson, Walter Faig, Nicole A VanKim, Brihat Sharma, Majid Afshar, Niranjan S Karnik

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.5field-weighted citation impact, top 5% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 39 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Hale M ThompsonDepartment of Psychiatry & Behavioral Sciences, Section of Community Behavioral Health, Rush University Medical Center, Chicago, IL, United States of America.ORCID 0000-0002-9704-934X
Walter FaigDepartment of Psychiatry & Behavioral Sciences, Section of Community Behavioral Health, Rush University Medical Center, Chicago, IL, United States of America.
Nicole A VanKimDepartment of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, MA, United States of America.
Brihat SharmaDepartment of Psychiatry & Behavioral Sciences, Section of Community Behavioral Health, Rush University Medical Center, Chicago, IL, United States of America.
Majid AfsharDivision of Pulmonary and Critical Care, Department of Public Health Sciences, Center for Health Outcomes & Informatics Research, Loyola University, Maywood, IL, United States of America.
Niranjan S KarnikDepartment of Psychiatry & Behavioral Sciences, Section of Community Behavioral Health, Rush University Medical Center, Chicago, IL, United States of America.
Rush University Medical Center · USLoyola University Chicago · USUniversity of Massachusetts Amherst · US

Funding

The Institute for Translational MedicineUL1TR002389 · NCATS · UNIVERSITY OF CHICAGO · PI Joshua J Jacobs, DAVID O MELTZER · 2017 to 2026
$71.6M
Quantifying How Cocaine Users Respond to Fentanyl Contamination in CocaineUG1DA049467 · NIDA · UNIVERSITY OF ILLINOIS AT CHICAGO · PI Niranjan Subhash Karnik, ANTONIO A MORGAN-LOPEZ · 2019 to 2026
$11.2M
Institutional Career Development Core (Chapter 1)KL2TR002387 · NCATS · UNIVERSITY OF CHICAGO · PI ERIC C BEYER, Lisa L Barnes · 2017 to 2026
$7.6M
PA-20-072: Supplement to A Chicago Center of Excellence in Learning Health Systems Research Training (ACCELERAT)K12HS026385 · AHRQ · NORTHWESTERN UNIVERSITY AT CHICAGO · PI FRANKLIN, PATRICIA D, KHO, ABEL N. · 2018 to 2022
$3.4M
Employing eSBI in a Community-based HIV Testing Environment for At-risk YouthR01DA041071 · NIDA · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI GAROFALO, ROBERT, KARNIK, NIRANJAN SUBHASH · 2015 to 2019
$3.2M
Repurposing misoprostol to prevent recurrence of Clostridium difficile infectionU01TR002398 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DOSTER, RYAN S, DUBBERKE, ERIK R · 2018 to 2019
$3.1M
CHANGE OF GRANTEE INSTITUTION 1 K23 AA024503 Alcohol, Burn-Injury, and Acute Respiratory Distress SyndromeK23AA024503 · NIAAA · UNIVERSITY OF WISCONSIN-MADISON · PI AFSHAR, MAJID · 2016 to 2020
$948k
AHRQ HHS K12 HS026385NCATS NIH HHS KL2 TR002387NCATS NIH HHS U01 TR002398NCATS NIH HHS UL1 TR002389NIAAA NIH HHS K23 AA024503NIDA NIH HHS R01 DA041071NIDA NIH HHS UG1 DA049467
6 · The paper itself

Abstract

backgroundAddiction medicine consultation services (ACS) may improve outcomes of hospitalized patients with substance use disorders (SUD). Our aim was to examine the difference in length of stay and the hazard ratio for a routine hospital discharge between SUD patients receiving and not receiving ACS.

methodsStructured EHR data from 2018 of 1,900 adult patients with a SUD-related diagnostic code at an urban academic health center were examined among 35,541 total encounters. Cox proportional hazards regression models were fit using a cause-specific approach to examine differences in hospital outcome (i.e., routine discharge, leaving against medical advice, in-hospital death, or transfer to another level of care). Models were adjusted for age, sex, race, ethnicity, insurance status, and comorbidities.

resultsLength of stay was shorter among encounters with a SUD that received a SUIT consultation versus those admissions that did not receive one (5.77 v. 6.54 days, p<0.01). In adjusted analyses, admissions that received a SUIT consultation had a higher hazard of a routine discharge [hazard ratio (95% confidence interval): 1.16 (1.03-1.30)] compared to those not receiving a SUIT consultation.

conclusionsThe SUIT consultation service was associated with a reduced length of stay and an increased hazard of a routine discharge. The SUIT model may serve as a benchmark and inform other health systems attempting to improve outcomes in SUD patient cohorts.

Indexed as

Behavior, AddictiveComorbidityFemaleHospitalizationHumansLength of StayMaleMiddle AgedPatient DischargePatient ReadmissionProportional Hazards ModelsReferral and ConsultationSubstance-Related Disorders

Identifiers

PMID33035229
PMCPMC7546454
OpenAlexW3092217333

What OpenQuestion holds

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Registered trials

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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.