TY - JOUR
KW - Aftercare
KW - Hospitalization
KW - Humans
KW - Opioid-Related Disorders/drug therapy
KW - Patient Discharge
KW - Prospective Studies
KW - Randomized Controlled Trials as Topic
KW - Retrospective Studies
KW - opioid treatment
KW - Addiction
KW - Interventions
AU - R. French
AU - S. V. Aronowitz
AU - J. M. Brooks Carthon
AU - H. D. Schmidt
AU - P. Compton
A1 - 
AB - Background: Concurrent with the opioid overdose crisis there has been an increase in hospitalizations among people with opioid use disorder (OUD), with one in ten hospitalized medical or surgical patients having comorbid opioid-related diagnoses. We sought to conduct a systematic review of hospital-based interventions, their staffing composition, and their impact on outcomes for patients with OUD hospitalized for medical or surgical conditions. Methods: Authors searched PubMed MEDLINE, PsychINFO, and CINAHL from January 2015 through October 2020. The authors screened 463 titles and abstracts for inclusion and reviewed 96 full-text studies. Seventeen articles met inclusion criteria. Extracted were study characteristics, outcomes, and intervention components. Methodological quality was evaluated using the Methodological Quality Rating Scale. Results: Ten of the 17 included studies were controlled retrospective cohort studies, five were uncontrolled retrospective studies, one was a prospective quasi-experimental evaluation, and one was a secondary analysis of a completed randomized clinical trial. Intervention components and outcomes varied across studies. Outcomes included in-hospital initiation and post-discharge connection to medication for OUD, healthcare utilization, and discharge against medical advice. Results were mixed regarding the impact of existing interventions on outcomes. Most studies focused on linkage to medication for OUD during hospitalization and connection to post-discharge OUD care. Conclusions: Given that many individuals with OUD require hospitalization, there is a need for OUD-related interventions for this patient population. Interventions with the best evidence of efficacy facilitated connection to post-discharge OUD care and employed an Addiction Medicine Consult model.
AD - Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.; Leonard Davis Institute for Health Economics, Philadelphia, Pennsylvania, USA.; Leonard Davis Institute for Health Economics, Philadelphia, Pennsylvania, USA.; National Clinician Scholars Program, University of Pennsylvania, Philadelphia, Pennsylvania, USA.; Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.; Leonard Davis Institute for Health Economics, Philadelphia, Pennsylvania, USA.; Department of Biobehavioral Health Sciences, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.; Department of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
BT - Substance abuse
C5 - Education & Workforce; Financing & Sustainability; Measures; Opioids & Substance Use
CP - 1
DO - 10.1080/08897077.2021.1949663
IS - 1
JF - Substance abuse
LA - eng
M1 - Journal Article
N2 - Background: Concurrent with the opioid overdose crisis there has been an increase in hospitalizations among people with opioid use disorder (OUD), with one in ten hospitalized medical or surgical patients having comorbid opioid-related diagnoses. We sought to conduct a systematic review of hospital-based interventions, their staffing composition, and their impact on outcomes for patients with OUD hospitalized for medical or surgical conditions. Methods: Authors searched PubMed MEDLINE, PsychINFO, and CINAHL from January 2015 through October 2020. The authors screened 463 titles and abstracts for inclusion and reviewed 96 full-text studies. Seventeen articles met inclusion criteria. Extracted were study characteristics, outcomes, and intervention components. Methodological quality was evaluated using the Methodological Quality Rating Scale. Results: Ten of the 17 included studies were controlled retrospective cohort studies, five were uncontrolled retrospective studies, one was a prospective quasi-experimental evaluation, and one was a secondary analysis of a completed randomized clinical trial. Intervention components and outcomes varied across studies. Outcomes included in-hospital initiation and post-discharge connection to medication for OUD, healthcare utilization, and discharge against medical advice. Results were mixed regarding the impact of existing interventions on outcomes. Most studies focused on linkage to medication for OUD during hospitalization and connection to post-discharge OUD care. Conclusions: Given that many individuals with OUD require hospitalization, there is a need for OUD-related interventions for this patient population. Interventions with the best evidence of efficacy facilitated connection to post-discharge OUD care and employed an Addiction Medicine Consult model.
PY - 2022
SN - 1547-0164; 0889-7077; 0889-7077
SP - 495
EP - 507
EP - 
T1 - Interventions for hospitalized medical and surgical patients with opioid use disorder: A systematic review
T2 - Substance abuse
TI - Interventions for hospitalized medical and surgical patients with opioid use disorder: A systematic review
U1 - Education & Workforce; Financing & Sustainability; Measures; Opioids & Substance Use
U2 - 34283698
U3 - 10.1080/08897077.2021.1949663
VL - 43
VO - 1547-0164; 0889-7077; 0889-7077
Y1 - 2022
ER -