Evidence map›Paper›PMID 38546154›Full record

ArticleThe American journal on addictions2024

Impact of inpatient addiction psychiatry consultation on opioid use disorder outcomes.

Kristopher A Kast, Thao D V Le, Lisa S Stewart, Andrew D Wiese, India A Reddy, Jonathan Smith, David E Marcovitz, Thomas J Reese

Open access · hybridAbstract read
In one paragraph

Article in The American journal on addictions, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
5.4field-weighted citation impact, top 4% 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

11 citing papers in PubMed, 10 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

8 authors at 2 institutions in 1 country.

Kristopher A KastDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0002-0261-9400
Thao D V LeSchool of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Lisa S StewartDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Andrew D WieseDepartment of Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
India A ReddyDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Jonathan SmithDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
David E MarcovitzDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Thomas J ReeseDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Vanderbilt University Medical Center · USVanderbilt University · US

Funding

Optimal Methods for Estimating Policy Effect Heterogeneity in Opioid Policy ResearchP50DA046351 · NIDA · RAND CORPORATION · PI Beth Ann Griffin · 2018 to 2026
$20.8M
Benzodiazepine restrictions and the prevention of overdoses and other harmsK01DA051683 · NIDA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WIESE, ANDREW DAVID · 2021 to 2024
$688k
Patient-centered decision making to improve opioid use disorder treatmentK08HS029695 · AHRQ · VANDERBILT UNIVERSITY MEDICAL CENTER · PI REESE, THOMAS J · 2023 to 2024
$289k
AHRQ HHS K08 HS029695AHRQ HHS K08HS029695NIDA NIH HHS K01 DA051683NIDA NIH HHS P50 DA046351NIH HHS K01DA051683NIH HHS P50DA046351
6 · The paper itself

Abstract

BACKGROUND AND

objectivesAddiction consultation services provide access to specialty addiction care during general hospital admission. This study assessed opioid use disorder (OUD) outcomes associated with addiction consultation.

methodsRetrospective cohort study of individuals with OUD admitted to an academic medical center between 2018 and 2023. The exposure was addiction consultation. Outcomes included initiating medication for OUD (MOUD), hospital length of stay, before-medically-advised (BMA) discharge, and 30- and 90-day postdischarge acute care utilization.

resultsOf 26,766 admissions (10,501 patients) with OUD, 2826 addiction consultations were completed. Consultation cohort was more likely to be young, male, and White than controls. Consultation was associated with greater MOUD initiation (adjusted odds ratio [aOR], 5.07; 95% confidence interval [CI], 4.41-5.82), fewer emergency department visits at 30 (aOR, 0.78; 95% CI, 0.67-0.92) and 90 (aOR, 0.79; 95% CI, 0.69-0.89) days, and fewer hospitalizations at 30 (aOR, 0.65; 95% CI, 0.56 to 0.76) and 90 (aOR, 0.67; 95% CI, 0.59-0.76) days. Additionally, consultation patients were more likely to have a longer hospital stay and leave BMA. CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE: Addiction consultation was associated with increased MOUD initiation and reduced postdischarge acute care utilization. This is the largest study to date showing a significant association between addiction psychiatry consultation and improved OUD outcomes when compared to controls. The observed reduction in postdischarge acute care utilization remains even after adjusting for MOUD initiation. Disparities in access to addiction consultation warrant further study.

Indexed as

Opioid-Related DisordersReferral and ConsultationAdultFemaleHospitalizationHumansInpatientsLength of StayMaleMiddle AgedPsychiatryRetrospective Studies

Identifiers

PMID38546154
PMCPMC11827046
OpenAlexW4393277543

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.