Evidence map›Paper›PMID 35076857›Full record

ArticleJournal of general internal medicine2022

Inpatient Addiction Medicine Consultation Service Impact on Post-discharge Patient Mortality: a Propensity-Matched Analysis.

J Deanna Wilson, Stefanie C Altieri Dunn, Payel Roy, Emily Joseph, Stephanie Klipp, Jane Liebschutz

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06843213 (Teaching Health Promotion and Resilience in Varied Environments), which is not on this map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
9.2field-weighted citation impact, top 1% 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.

NCT06843213 narecruitingnot on this mapstarted 2025, after this paper: background citation

Teaching Health Promotion and Resilience in Varied Environments: a Peer-led Intervention Following Hospital Discharge

TypeinterventionalSponsorUniversity of PennsylvaniaRan2025 to 2028Enrolled390ConditionsOpioid Use Disorder, Harm Reduction, Health PromotionArmsPeer Intervention, Enhanced Usual Care
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 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 2 institutions in 1 country.

J Deanna WilsonDivision of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. wilsonjd@pitt.edu.ORCID 0000-0001-8400-9958
Stefanie C Altieri DunnThe Wolff Center at UPMC, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Payel RoyDivision of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Emily JosephDivision of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Stephanie KlippDivision of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Jane LiebschutzDivision of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
University of Pittsburgh · USUniversity of Pittsburgh Medical Center · US

Funding

UCSF Research in Implementation Sciences for Equity (RISE)R25HL126146 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CRYSTAL WILEY CENE, Alicia Fernandez · 2014 to 2026
$4.6M
Treatment of Opioid Use Disorder in Young Adults Hospitalized with Infectious Complications of Injection Opioid UseK23DA048987 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WILSON, JACQUELINE DEANNA · 2020 to 2022
$570k
NHLBI NIH HHS R25 HL126146NIDA NIH HHS K23 DA048987
6 · The paper itself

Abstract

backgroundInpatient addiction medicine consultation services (AMCS) have grown rapidly, but there is limited research of their impact on patient outcomes.

objectiveTo examine whether AMCS is associated with all-cause mortality and hospital utilization post-discharge.

designThis was a propensity-score-matchedcase-control study from 2018 to 2020.

participantsThe intervention group included patients referred to the AMCS from October 2018 to March 2020. Matched control participants included patients hospitalized from October 2017 to September 2018 at an urban academic hospital with a large suburban and rural catchment area. MAIN MEASURES: The effect of treatment was estimated as the difference between the proportion of subjects experiencing the event (7-day and 30-day readmission, emergency department visits, and mortality within 90 days) for each group in the matched sample. KEY

resultsThere were 711 patients in the intervention group and 2172 patients in the control group. The most common substance use disorders among the intervention group were primary alcohol use disorder (n=181; 25.5%) and primary opioid use disorder (n=175, 24.6%) with over a third with polysubstance use (n=257, 36.1%). Intervention patients showed a reduction in 90-day mortality post-hospital discharge (average treatment effect [ATE]: -2.35%, 95% CI: -3.57, -1.13; p-value <0.001) compared to propensity-matched controls. We found a statistically significant reduction in 7-day hospital readmission by 2.15% (95% CI: -3.65, -0.65; p=0.005) and a nonsignificant reduction in 30-day readmission (ATE: -2.38%, 95% CI: -5.20, 0.45; p=0.099). There was a statistically significant increase in 30-day emergency department visits (ATE: 5.32%, 95% CI: 2.19, 8.46; 0.001) compared to matched controls.

conclusionsThere was a reduction in 90-day all-cause mortality for the AMCS intervention group compared to matched controls, although the impact on hospital utilization was mixed. AMCS are systems interventions that are effective tools to improve patient health and reduce all-cause mortality.

Indexed as

Addiction MedicineOpioid-Related DisordersAftercareEmergency Service, HospitalHumansInpatientsPatient DischargePatient ReadmissionReferral and ConsultationAlcohol use disorderHospitalsOpioid-related disorders

Identifiers

PMID35076857
PMCPMC9360378
OpenAlexW4210766915

What OpenQuestion holds

Textmetadata
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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.