Impact of inpatient addiction psychiatry consultation on opioid use disorder outcomes

• DOI: 10.1111/ajad.13540
• Publication Date: 2024-03-28T12:03:59Z
• Authors: Kristopher A. Kast; Thao D. V. Le; Lisa S. Stewart; Andrew D. Wiese; India A. Reddy; Jonathan Smith; David E. Marcovitz; Thomas J. Reese
• Keywords: Specialty; Addiction medicine; Acute care

Abstract Background and Objectives Addiction consultation services provide access to specialty addiction care during general hospital admission. This study assessed opioid use disorder (OUD) outcomes associated with consultation. Methods Retrospective cohort of individuals OUD admitted an academic medical center between 2018 2023. The exposure was Outcomes included initiating medication for (MOUD), length stay, before‐medically‐advised (BMA) discharge, 30‐ 90‐day postdischarge acute utilization. Results Of 26,766 admissions (10,501 patients) OUD, 2826 consultations were completed. Consultation more likely be young, male, White than controls. 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; CI, 0.67–0.92) 90 0.79; 0.69–0.89) days, hospitalizations 0.65; 0.56 0.76) 0.67; 0.59–0.76) days. Additionally, patients have a longer stay leave BMA. Conclusions Scientific Significance increased reduced is the largest date showing significant association psychiatry improved when compared observed reduction in utilization remains even after adjusting initiation. Disparities warrant further study.