ArticleJournal of general internal medicine2025
The Impact of Addiction Consultation and Medication for Opioid or Alcohol Use Disorder on Hospital Readmission.
Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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The trial behind it
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Who cites it
7 citing papers in PubMed.
- Implementation of addiction consult services and bridge clinics in the HEALing communities study in Massachusetts.Drug and alcohol dependence · 2026Trial
- Association Between Hospital-Based Addiction Consult Service Implementation and Hospital Length-of-Stay and 30-Day Readmission Rates for Patients with Opioid Use Disorder.Journal of general internal medicine · 2026Article
- Race, Ethnicity, and Language Differences in Inpatient Discharge Prescriptions for Alcohol Use Disorder at an Academic Medical Center.Journal of general internal medicine · 2026Article
- Implementation of a Hospital-Based Screening and Treatment Program for Unhealthy Alcohol Use.Journal of general internal medicine · 2026Article
- Models of care for the management of alcohol use disorder in general hospital settings and transition to the community: a scoping review.Alcohol and alcoholism (Oxford, Oxfordshire) · 2026Article
- Perspectives on Clinical Champions Implementing Hospital-Based Opioid Treatment in US Hospitals.JAMA network open · 2026Article
- Outcomes associated with an inpatient addiction consult service: Systematic review and meta-analysis.SAGE open medicine · 2026Review
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients with substance use disorder (SUD) are frequently hospitalized and readmitted. Hospitalization is an opportunity for treatment initiation, including medications for alcohol (MAUD) and opioid use disorder (MOUD). Addiction consult teams are one model for increasing hospital-based SUD treatment.
methodsRetrospective analysis examining adult hospitalizations from 2019 to 2023 at an academic medical center with a robust addiction consult team. We assessed the association of addiction consultation with MOUD or MAUD receipt during admission, and the association of addiction consultation, MOUD or MAUD discharge prescription, or MOUD or MAUD new initiation with 30-day readmission rates in generalized linear models.
resultsThere were 19,697 admissions for patients with SUD among 10,453 unique patients. Addiction consultation was associated with higher rates of medication receipt during admission (MOUD, 84% vs. 49%, p < 0.001; MAUD, 33.4% vs. 6.0%, p < 0.001) For patients with OUD, MOUD discharge prescription rates doubled among those seen by the consult team (RR, 2.29; 95% CI, (2.02-2.60). For those with AUD, MAUD discharge prescription rates increased several-fold among those seen by the consult team (RR, 9.48; 95% CI, 8.05-11.16). Addiction consultation was associated with reduced risk of readmission (aRR, 0.82; 95% CI, 0.75-0.89). For AUD, discharge MAUD was associated with reduced risk of readmission (aRR, 0.84; 95% CI, 0.72-0.99) as was new MAUD initiation (aRR, 0.78; 95% CI, 0.629-0.977). For OUD, addiction consultation was associated with a reduced risk of readmission (aRR, 0.77; 95% CI, 0.68-0.87) as was newly initiating MOUD and prescribing it at discharge (aRR, 0.46; 95% CI, 0.33-0.46).
conclusionAddiction consultation is associated with increased MAUD and MOUD receipt and decreased risk of 30-day readmission. MOUD initiation and MAUD initiation are associated with reduced risk of readmission.
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