{"title":"关于再入院率和住院时间的住院成瘾药物咨询","authors":"Amer Raheemullah","doi":"10.13188/2330-2178.1000053","DOIUrl":null,"url":null,"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","PeriodicalId":46423,"journal":{"name":"Sexual Addiction & Compulsivity-The Journal of Treatment and Prevention","volume":"424 1","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Inpatient Addiction Medicine Consultation on Readmission Rates and Length of Stay\",\"authors\":\"Amer Raheemullah\",\"doi\":\"10.13188/2330-2178.1000053\",\"DOIUrl\":null,\"url\":null,\"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\",\"PeriodicalId\":46423,\"journal\":{\"name\":\"Sexual Addiction & Compulsivity-The Journal of Treatment and Prevention\",\"volume\":\"424 1\",\"pages\":\"\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2022-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sexual Addiction & Compulsivity-The Journal of Treatment and Prevention\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.13188/2330-2178.1000053\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Psychology\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sexual Addiction & Compulsivity-The Journal of Treatment and Prevention","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.13188/2330-2178.1000053","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Psychology","Score":null,"Total":0}
Inpatient Addiction Medicine Consultation on Readmission Rates and Length of Stay
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
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.