Inpatient Addiction Medicine Consultation on Readmission Rates and Length of Stay

IF 1.4 Q2 Psychology Sexual Addiction & Compulsivity-The Journal of Treatment and Prevention Pub Date : 2022-01-01 DOI:10.13188/2330-2178.1000053

Amer Raheemullah

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Abstract

Background: Patients with substance use disorders (SUDs) make up nearly one-third (29.1%) of hospitalized patients in the United States. They also have double the 30-day readmission and emergency department visit rates compared to those without SUDs. The Centers for Medicare and Medicaid Services has penalized hospitals $3 billion for higher 30-day readmission rates. Addiction medicine consultation has been shown to reduce 30-day readmission. However, their impact on Hospital length of stay remains largely unknown. Methods: We compared admissions of repeat utilizer patients at Stanford Hospital with an ICD-10 diagnosis of a SUD and compared the 30-day readmission rate and length of stay in patients with and without an addiction medicine consult. Results: The 30-day readmission rate and average LOS was 10.4% and 6.11 days for those that received a consult compared to 25.3% and 6.16 days in those that did not. Medicaid and Medicare patients made up 70.3% and 19.0% of the population, and addiction medicine consultation was found to be associated with a

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关于再入院率和住院时间的住院成瘾药物咨询

背景:物质使用障碍(sud)患者占美国住院患者的近三分之一(29.1%)。与没有sud的人相比，他们30天的再入院率和急诊室就诊率也增加了一倍。医疗保险和医疗补助服务中心已经对医院处以30亿美元的罚款，原因是30天的再入院率更高。成瘾药物咨询已被证明可以减少30天的再入院。然而，它们对住院时间的影响在很大程度上仍然未知。方法:我们比较了斯坦福医院ICD-10诊断为SUD的重复使用患者的入院情况，并比较了有和没有成瘾药物咨询的患者的30天再入院率和住院时间。结果:会诊组30天再入院率和平均LOS分别为10.4%和6.11天，未会诊组30天再入院率和平均LOS分别为25.3%和6.16天。医疗补助和医疗保险患者分别占人口的70.3%和19.0%，成瘾药物咨询被发现与a

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来源期刊

Sexual Addiction & Compulsivity-The Journal of Treatment and Prevention PSYCHOLOGY, CLINICAL-

CiteScore

2.60

自引率

0.00%

发文量

期刊介绍： Now being understood and treated as a significant and widespread disorder, sexual addiction and compulsivity is an enormously complex problem that requires a multidisciplinary approach from psychiatrists, psychologists, social workers, family therapists, pastoral counselors, and law enforcement personnel. The first and only journal devoted to topics pertaining to this growing illness, Sexual Addiction & Compulsivity: The Journal of Treatment and Prevention is a quarterly, peer-reviewed journal that provides a forum for research and clinical practice. As the source for information in this expanding new field, this journal will give practicing clinicians useful and innovative strategies for intervention and treatment from the necessary multidisciplinary perspective.