Cargando…
A Retrospective Chart Review of Treatment Completers Versus Noncompleters Among In-patients at a Tertiary Care Drug Dependence Treatment Centre in India
BACKGROUND AND AIMS: Engagement into treatment is crucial for improving outcomes among patients with substance use disorders. This study aimed to find the rates and characteristics of treatment noncompletion in patients who were admitted to a drug dependence treatment center in north India. METHODS:...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4980895/ https://www.ncbi.nlm.nih.gov/pubmed/27570339 http://dx.doi.org/10.4103/0253-7176.185943 |
_version_ | 1782447533842235392 |
---|---|
author | Sarkar, Siddharth Balhara, Yatan Pal Singh Gautam, Namita Singh, Jawahar |
author_facet | Sarkar, Siddharth Balhara, Yatan Pal Singh Gautam, Namita Singh, Jawahar |
author_sort | Sarkar, Siddharth |
collection | PubMed |
description | BACKGROUND AND AIMS: Engagement into treatment is crucial for improving outcomes among patients with substance use disorders. This study aimed to find the rates and characteristics of treatment noncompletion in patients who were admitted to a drug dependence treatment center in north India. METHODS: This retrospective record review analyzed data from consecutive patients admitted between January 1, 2014, and December 31, 2014, at the National Drug Dependence Treatment Centre, Ghaziabad, India. The type of discharge was discerned from the records, along with selected demographic and clinical characteristics of the patient. RESULTS: A total of 942 in-patients were included in the analysis, 936 (99.4%) of whom were males. The mean duration of ward stay was 12.7 (±8.1) days. Of the 942 patients, 779 (82.7%) completed the inpatient treatment while 163 (17.3%) did not complete (n = 95, 10.1% were discharged against medical advice; n = 44, 4.7% were discharged on disciplinary grounds and n = 24, 2.5% absconded or left without intimation). The inpatient treatment noncompleters had a shorter duration of ward stay (8.3 ± 6.9 days vs. 13.6 ± 8.0 days, P < 0.001), were of a greater average age (33.1 ± 10.0 years vs. 30.5 ± 9.4 years, P = 0.002), were more likely to be dependent on opioids (71.2% vs. 59.1%, P = 0.004) and less likely to be dependent on alcohol (30.1% vs. 42.9%, P = 0.002) than treatment completers. CONCLUSION: Understanding the characteristics of patients with substance use disorders who do not complete inpatient treatment may help in identifying those at-risk of having poor outcomes. Efforts are required to address their concerns so that the overall patient outcomes can be improved. |
format | Online Article Text |
id | pubmed-4980895 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-49808952016-08-26 A Retrospective Chart Review of Treatment Completers Versus Noncompleters Among In-patients at a Tertiary Care Drug Dependence Treatment Centre in India Sarkar, Siddharth Balhara, Yatan Pal Singh Gautam, Namita Singh, Jawahar Indian J Psychol Med Original Article BACKGROUND AND AIMS: Engagement into treatment is crucial for improving outcomes among patients with substance use disorders. This study aimed to find the rates and characteristics of treatment noncompletion in patients who were admitted to a drug dependence treatment center in north India. METHODS: This retrospective record review analyzed data from consecutive patients admitted between January 1, 2014, and December 31, 2014, at the National Drug Dependence Treatment Centre, Ghaziabad, India. The type of discharge was discerned from the records, along with selected demographic and clinical characteristics of the patient. RESULTS: A total of 942 in-patients were included in the analysis, 936 (99.4%) of whom were males. The mean duration of ward stay was 12.7 (±8.1) days. Of the 942 patients, 779 (82.7%) completed the inpatient treatment while 163 (17.3%) did not complete (n = 95, 10.1% were discharged against medical advice; n = 44, 4.7% were discharged on disciplinary grounds and n = 24, 2.5% absconded or left without intimation). The inpatient treatment noncompleters had a shorter duration of ward stay (8.3 ± 6.9 days vs. 13.6 ± 8.0 days, P < 0.001), were of a greater average age (33.1 ± 10.0 years vs. 30.5 ± 9.4 years, P = 0.002), were more likely to be dependent on opioids (71.2% vs. 59.1%, P = 0.004) and less likely to be dependent on alcohol (30.1% vs. 42.9%, P = 0.002) than treatment completers. CONCLUSION: Understanding the characteristics of patients with substance use disorders who do not complete inpatient treatment may help in identifying those at-risk of having poor outcomes. Efforts are required to address their concerns so that the overall patient outcomes can be improved. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4980895/ /pubmed/27570339 http://dx.doi.org/10.4103/0253-7176.185943 Text en Copyright: © 2016 Indian Psychiatric Society http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Sarkar, Siddharth Balhara, Yatan Pal Singh Gautam, Namita Singh, Jawahar A Retrospective Chart Review of Treatment Completers Versus Noncompleters Among In-patients at a Tertiary Care Drug Dependence Treatment Centre in India |
title | A Retrospective Chart Review of Treatment Completers Versus Noncompleters Among In-patients at a Tertiary Care Drug Dependence Treatment Centre in India |
title_full | A Retrospective Chart Review of Treatment Completers Versus Noncompleters Among In-patients at a Tertiary Care Drug Dependence Treatment Centre in India |
title_fullStr | A Retrospective Chart Review of Treatment Completers Versus Noncompleters Among In-patients at a Tertiary Care Drug Dependence Treatment Centre in India |
title_full_unstemmed | A Retrospective Chart Review of Treatment Completers Versus Noncompleters Among In-patients at a Tertiary Care Drug Dependence Treatment Centre in India |
title_short | A Retrospective Chart Review of Treatment Completers Versus Noncompleters Among In-patients at a Tertiary Care Drug Dependence Treatment Centre in India |
title_sort | retrospective chart review of treatment completers versus noncompleters among in-patients at a tertiary care drug dependence treatment centre in india |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4980895/ https://www.ncbi.nlm.nih.gov/pubmed/27570339 http://dx.doi.org/10.4103/0253-7176.185943 |
work_keys_str_mv | AT sarkarsiddharth aretrospectivechartreviewoftreatmentcompletersversusnoncompletersamonginpatientsatatertiarycaredrugdependencetreatmentcentreinindia AT balharayatanpalsingh aretrospectivechartreviewoftreatmentcompletersversusnoncompletersamonginpatientsatatertiarycaredrugdependencetreatmentcentreinindia AT gautamnamita aretrospectivechartreviewoftreatmentcompletersversusnoncompletersamonginpatientsatatertiarycaredrugdependencetreatmentcentreinindia AT singhjawahar aretrospectivechartreviewoftreatmentcompletersversusnoncompletersamonginpatientsatatertiarycaredrugdependencetreatmentcentreinindia AT sarkarsiddharth retrospectivechartreviewoftreatmentcompletersversusnoncompletersamonginpatientsatatertiarycaredrugdependencetreatmentcentreinindia AT balharayatanpalsingh retrospectivechartreviewoftreatmentcompletersversusnoncompletersamonginpatientsatatertiarycaredrugdependencetreatmentcentreinindia AT gautamnamita retrospectivechartreviewoftreatmentcompletersversusnoncompletersamonginpatientsatatertiarycaredrugdependencetreatmentcentreinindia AT singhjawahar retrospectivechartreviewoftreatmentcompletersversusnoncompletersamonginpatientsatatertiarycaredrugdependencetreatmentcentreinindia |