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An evaluation of the association between specific post‐overdose care services in emergency departments and subsequent treatment engagement

OBJECTIVE: The objective of this study was to estimate the association between receipt of specific post‐overdose care services in the emergency department (ED) and subsequent engagement in treatment for opioid use disorder (OUD) after discharge. METHODS: This was a retrospective cohort study of Rhod...

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Autores principales: Chambers, Laura C., Hallowell, Benjamin D., Samuels, Elizabeth A., Daly, Mackenzie, Baird, Janette, Beaudoin, Francesca L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9833281/
https://www.ncbi.nlm.nih.gov/pubmed/36643599
http://dx.doi.org/10.1002/emp2.12877
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author Chambers, Laura C.
Hallowell, Benjamin D.
Samuels, Elizabeth A.
Daly, Mackenzie
Baird, Janette
Beaudoin, Francesca L.
author_facet Chambers, Laura C.
Hallowell, Benjamin D.
Samuels, Elizabeth A.
Daly, Mackenzie
Baird, Janette
Beaudoin, Francesca L.
author_sort Chambers, Laura C.
collection PubMed
description OBJECTIVE: The objective of this study was to estimate the association between receipt of specific post‐overdose care services in the emergency department (ED) and subsequent engagement in treatment for opioid use disorder (OUD) after discharge. METHODS: This was a retrospective cohort study of Rhode Island residents treated at 1 of 4 EDs for opioid overdose who were not engaged in OUD treatment and were discharged home (May 2016–April 2021). Electronic health record data were used to identify ED services received, and state administrative data were used to define subsequent engagement in OUD treatment within 30 days. Multivariable conditional logistic regression was used to estimate the association between ED services received and subsequent treatment engagement. RESULTS: Overall, 1008 people not engaged in OUD treatment were treated at study EDs for opioid overdose and discharged home, of whom 146 (14%) subsequently engaged in OUD treatment within 30 days. Most patients were aged 25 to 44 years (59%) and non‐Hispanic White (69%). Receipt of behavioral counseling in the ED (adjusted odds ratio [aOR] = 1.79, 95% confidence interval [CI] = 1.18–2.71) and initiation of buprenorphine treatment in/from the ED (aOR = 5.86, 95% CI = 2.70–12.71) were associated with treatment engagement. Receipt of a take‐home naloxone kit or naloxone prescription and referral to treatment at discharge were not associated with treatment engagement. Overall, 49% of patients received behavioral counseling in the ED, and 3% initiated buprenorphine in/from the ED. CONCLUSION: Strategies for increasing provision of behavioral counseling and initiation of buprenorphine in the ED may be useful for improving subsequent engagement in OUD treatment after discharge.
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spelling pubmed-98332812023-01-12 An evaluation of the association between specific post‐overdose care services in emergency departments and subsequent treatment engagement Chambers, Laura C. Hallowell, Benjamin D. Samuels, Elizabeth A. Daly, Mackenzie Baird, Janette Beaudoin, Francesca L. J Am Coll Emerg Physicians Open Evidence‐Based Emergency Medicine OBJECTIVE: The objective of this study was to estimate the association between receipt of specific post‐overdose care services in the emergency department (ED) and subsequent engagement in treatment for opioid use disorder (OUD) after discharge. METHODS: This was a retrospective cohort study of Rhode Island residents treated at 1 of 4 EDs for opioid overdose who were not engaged in OUD treatment and were discharged home (May 2016–April 2021). Electronic health record data were used to identify ED services received, and state administrative data were used to define subsequent engagement in OUD treatment within 30 days. Multivariable conditional logistic regression was used to estimate the association between ED services received and subsequent treatment engagement. RESULTS: Overall, 1008 people not engaged in OUD treatment were treated at study EDs for opioid overdose and discharged home, of whom 146 (14%) subsequently engaged in OUD treatment within 30 days. Most patients were aged 25 to 44 years (59%) and non‐Hispanic White (69%). Receipt of behavioral counseling in the ED (adjusted odds ratio [aOR] = 1.79, 95% confidence interval [CI] = 1.18–2.71) and initiation of buprenorphine treatment in/from the ED (aOR = 5.86, 95% CI = 2.70–12.71) were associated with treatment engagement. Receipt of a take‐home naloxone kit or naloxone prescription and referral to treatment at discharge were not associated with treatment engagement. Overall, 49% of patients received behavioral counseling in the ED, and 3% initiated buprenorphine in/from the ED. CONCLUSION: Strategies for increasing provision of behavioral counseling and initiation of buprenorphine in the ED may be useful for improving subsequent engagement in OUD treatment after discharge. John Wiley and Sons Inc. 2023-01-11 /pmc/articles/PMC9833281/ /pubmed/36643599 http://dx.doi.org/10.1002/emp2.12877 Text en © 2023 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Evidence‐Based Emergency Medicine
Chambers, Laura C.
Hallowell, Benjamin D.
Samuels, Elizabeth A.
Daly, Mackenzie
Baird, Janette
Beaudoin, Francesca L.
An evaluation of the association between specific post‐overdose care services in emergency departments and subsequent treatment engagement
title An evaluation of the association between specific post‐overdose care services in emergency departments and subsequent treatment engagement
title_full An evaluation of the association between specific post‐overdose care services in emergency departments and subsequent treatment engagement
title_fullStr An evaluation of the association between specific post‐overdose care services in emergency departments and subsequent treatment engagement
title_full_unstemmed An evaluation of the association between specific post‐overdose care services in emergency departments and subsequent treatment engagement
title_short An evaluation of the association between specific post‐overdose care services in emergency departments and subsequent treatment engagement
title_sort evaluation of the association between specific post‐overdose care services in emergency departments and subsequent treatment engagement
topic Evidence‐Based Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9833281/
https://www.ncbi.nlm.nih.gov/pubmed/36643599
http://dx.doi.org/10.1002/emp2.12877
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