Evidence map›Paper›PMID 37217953›Full record

Observational studySubstance abuse treatment, prevention, and policy2023

Building an inpatient addiction medicine consult service in Sudbury, Canada: preliminary data and lessons learned in the era of COVID-19.

Tara Leary, Natalie Aubin, David C Marsh, Michael Roach, Paola Nikodem, Joseph M Caswell, Bridget Irwin, Emma Pillsworth, Maureen Mclelland, Brad Long and 3 more

Abstract readObservational Study
In one paragraph

Observational study in Substance abuse treatment, prevention, and policy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
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  3. Observational
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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

13 authors.

Tara LearyHealth Science North, Sudbury, Canada.
Natalie AubinHealth Science North, Sudbury, Canada.
David C MarshICES North, Sudbury, Canada.
Michael RoachHealth Science North, Sudbury, Canada.
Paola NikodemHealth Science North, Sudbury, Canada.
Joseph M CaswellICES North, Sudbury, Canada.
Bridget IrwinICES North, Sudbury, Canada.
Emma PillsworthHealth Science North, Sudbury, Canada.
Maureen MclellandHealth Science North, Sudbury, Canada.
Brad LongHealth Science North, Sudbury, Canada.
Sastry BhagavatulaHealth Science North, Sudbury, Canada.
Joseph K EiblHealth Sciences North Research Institute, Sudbury, Canada.
Kristen A MorinHealth Science North, Sudbury, Canada. kmorin@nosm.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe goal of this study was to (1) Describe the patient population of a newly implemented addiction medicine consult service (AMCS); (2) Evaluate referrals to community-based addiction support services and acute health service use, over time; (3) Provide lessons learned.

methodsA retrospective observational analysis was conducted at Health Sciences North in Sudbury, Ontario, Canada, with a newly implemented AMCS from November 2018 and July 2021. Data were collected using the hospital's electronic medical records. The outcomes measured included the number of emergency department visits, inpatient admissions, and re-visits over time. An interrupted time-series analysis was performed to measure the effect of AMCS implementation on acute health service use at Health Sciences North.

resultsA total of 833 unique patients were assessed through the AMCS. A total of 1,294 referrals were made to community-based addiction support services, with the highest proportion of referrals between August and October 2020. The post-intervention trend for ED visits, ED re-visits, ED length of stay, inpatient visits, re-visits, and inpatient length of stay did not significantly differ from the pre-intervention period.

conclusionImplementation of an AMCS provides a focused service for patients using with substance use disorders. The service resulted in a high referral rate to community-based addiction support services and limited changes in health service usage.

Indexed as

Addiction MedicineCOVID-19HumansInpatientsOntarioPreliminary DataReferral and ConsultationRetrospective StudiesAcute careAddiction medicine consult serviceSubstance Use Disorder

Identifiers

PMID37217953
PMCPMC10201028

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.