Search results for "Substance use"
Is your patient depressed or just demoralized?
Demoralization is common among inpatients and can be treated with relatively simple interventions, according to a psychiatrist.
https://acphospitalist.acponline.org/archives/2024/05/08/is-your-patient-depressed-or-just-demoralized.htm
8 May 2024
Presence of behavioral health condition didn't affect smoking quit rates during hospitalization
Similar rates of tobacco use were seen between inpatients with behavioral health conditions and controls postdischarge. However, after six months, patients with a behavioral health condition were less likely to report abstinence.
https://acphospitalist.acponline.org/archives/2024/02/14/presence-of-behavioral-health-condition-didnt-affect-smoking-quit-rates-during-hospitalization.htm
14 Feb 2024
Infective endocarditis death rates on the rise in young adults
Death certificate data showed age-adjusted death rates remained stable over the past two decades for the general population but rose in residents of Kentucky, West Virginia, and Tennessee.
https://acphospitalist.acponline.org/archives/2023/12/20/infective-endocarditis-death-rates-on-the-rise-in-young-adults.htm
20 Dec 2023
Buprenorphine, cannabis, and other periop challenges
Perioperative medication management is particularly tricky when it comes to patients who are already taking drugs for chronic pain.
https://acphospitalist.acponline.org/archives/2023/11/22/buprenorphine-cannabis-and-other-periop-challenges.htm
22 Nov 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
Alcohol use disorders
There are 11 different clinical criteria for alcohol use disorder and three classifications of severity under the DSM-5.
https://acphospitalist.acponline.org/archives/2023/11/08/alcohol-use-disorders.htm
8 Nov 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
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
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
Treating addiction behind bars
Incarcerated patients have a right to medication for opioid use disorder, and hospitalists can help them access it.
https://acphospitalist.acponline.org/archives/2023/05/31/treating-addiction-behind-bars.htm
31 May 2023