Search results for "Addiction Medicine"
Only half of ICU patients with alcohol use disorder received thiamine, despite guidelines
An observational study of ICU patients with alcohol use disorder found that use of thiamine supplementation was 59% for those admitted for alcohol withdrawal, 26% for septic shock, 41% for traumatic brain injury, and 24% for diabetic ketoacidosis.
https://acphospitalist.acponline.org/weekly/archives/2021/12/08/4.htm
8 Dec 2021
Addiction medicine consults associated with lower postdischarge mortality
A recent study found that patients referred to an inpatient addiction medicine consultation service had significant reductions in 90-day mortality and seven-day hospital readmissions but a significant increase in 30-day ED visits compared to controls with substance use disorder.
https://acphospitalist.acponline.org/archives/2022/02/02/addiction-medicine-consults-associated-with-lower-postdischarge-mortality.htm
2 Feb 2022
Treating alcohol withdrawal (and its cause)
Hospitalists should not only adequately address acute alcohol withdrawal but also consider working with patients to treat their alcohol use disorder after discharge, experts said.
https://acphospitalist.acponline.org/archives/2022/06/15/treating-alcohol-withdrawal-and-its-cause.htm
15 Jun 2022
Oral antibiotics after incomplete IV therapy showed benefit in patients with history of injection drug use
Among persons who inject drugs who were hospitalized with complicated Staphylococcus aureus bloodstream infections, those who received oral antibiotics after an incomplete IV antibiotic course were significantly less likely to experience microbiologic failure or death than patients discharged without oral antibiotics.
https://acphospitalist.acponline.org/archives/2022/09/14/oral-antibiotics-after-incomplete-iv-therapy-showed-benefit-in-patients-with-history-of-injection-drug-use.htm
14 Sep 2022
Owning OUD in the hospital
Less than 15% of patients with opioid use disorder (OUD) receive treatment with buprenorphine or methadone during hospitalization. New recommendations for hospitalists aim to change that.
https://acphospitalist.acponline.org/archives/2022/11/02/free/owning-oud-in-the-hospital.htm
2 Nov 2022
Opportunities for starting medications for alcohol use disorder often missed
In a national study of Medicare beneficiaries hospitalized in 2016 for alcohol use disorder, clinicians rarely initiated naltrexone, acamprosate, or disulfiram during hospital discharge or follow-up care.
https://acphospitalist.acponline.org/archives/2023/06/28/opportunities-for-starting-medications-for-alcohol-use-disorder-often-missed.htm
28 Jun 2023
Considering ketamine
Evidence is limited, but low-dose ketamine may be an appropriate adjunct or alternative to opioids for certain patients in pain.
https://acphospitalist.acponline.org/archives/2023/08/02/free/considering-ketamine.htm
2 Aug 2023
Hospital addiction medicine consults less likely among Black patients, study finds
In a retrospective study at an urban U.S. safety-net hospital, patients with substance use disorder were less likely to have an order placed for addiction medicine consultation if they were Black than if they were White, and Black patients who did receive an order were less likely to be seen.
https://acphospitalist.acponline.org/archives/2023/08/16/hospital-addiction-medicine-consults-less-likely-among-black-patients-study-finds.htm
16 Aug 2023
Most buprenorphine prescriptions not continued during hospitalization, VA study finds
An analysis of patients who had active buprenorphine prescriptions before a medical or surgical admission to a Veterans Administration (VA) hospital in 2018 to 2020 found that only 74.3% received a prescription for the drug in the 60 days after discharge.
https://acphospitalist.acponline.org/archives/2023/10/04/most-buprenorphine-prescriptions-not-continued-during-hospitalization-va-study-finds.htm
4 Oct 2023
Finding a better way to handle inpatient substance use
Many addiction medicine clinicians don't know whether their institutions have policies for responding to suspected substance use during a hospitalization, and those that do often disagree with them.
https://acphospitalist.acponline.org/archives/2023/11/15/free/finding-a-better-way-to-handle-inpatient-substance-use.htm
15 Nov 2023