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Meeting
Search Results for substance use
Oral Presentations
Abstract Number: OP12
SHM Converge 2022
Background: Previous studies have documented discriminatory refusals from post-acute care facilities related to opioid use disorder or opioid agonist therapy, however the impact of inability to secure skilled nursing facility (SNF) placement for patients with any substance use disorder (SUD) has not been fully explored. The objective of this study is to measure the odds […]
Oral Presentations
Abstract Number: Oral
Hospital Medicine 2020, Virtual Competition
Background: There were approximately 46,000 opioid overdose deaths in 2017. It is known that opioid overdose risk is increased in patients with a diagnosis of substance use disorder, prior opioid overdose, and high suspicion of risk as assessed by clinical teams. The Risk Index for Overdose or Serious Opioid-Induced Respiratory Depression (RIOSORD) is a validated […]
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The opioid epidemic continues to exert a significant impact on our health care system. Patients with intravenous drug use (IVDU) often develop life threating infections leading to prolonged hospitalizations with poor outcomes. Traditionally, the focus of treatment during these hospitalizations is on the infectious complications with very little emphasis on the underlying substance use […]
Abstract Number: 41
SHM Converge 2023
Background: Alcohol use disorder (AUD) is the most prevalent substance use disorder, but most patients with AUD do not receive evidence-based medications for AUD (MAUD), including naltrexone or acamprosate. Inpatient addiction consult services (ACS) may offer an opportunity to start medical treatment for hospitalized patients with AUD, but it is unknown if ACS are associated […]
Abstract Number: 60
SHM Converge 2023
Background: Unlike other chronic conditions such as diabetes mellitus and heart disease, substance use disorder (SUD) has only recently been recognized by the medical community recently as a medical condition, and stigmatizing beliefs have lingered. Formal teaching about SUD has been shown to foster a more positive attitude towards these patients among medical trainees. Attitudes […]
Abstract Number: 91
SHM Converge 2024
Background: The US faces a worsening epidemic of substance use-associated morbidity and mortality. In 2021, over 46 million people had a substance use disorder (SUD) and over 109,000 overdose deaths occurred. Furthermore, an estimated 1 in 7 hospital admissions are for patients with SUDs. Stigma is pervasive among these patients’ hospital providers, and SUD management […]
Abstract Number: D7
SHM Converge 2022
Background: Substance use continues to increase in the United States. Substance use has been linked to new onset cardiovascular and cerebrovascular disorders which lead to hospitalizations. We aimed to assess the association of epidemiology and racial disparities of substance use disorders (SUDs) using the National Inpatient Sample (NIS) Database. Methods: A retrospective study of the […]
Abstract Number: I5
SHM Converge 2022
Background: Hospitalists often care for patients who have substance use disorders as well as patients who are incarcerated. Availability of medications for substance use disorders (MSUD) varies based on state law and access varies based on facility, city, and county. Since hospitalization presents a unique opportunity to prevent negative consequences of substance use disorders, it […]
Abstract Number: J6
SHM Converge 2022
Background: Prior studies have found Black and Hispanic patients are more likely to experience disparities in pain management. Fewer studies have evaluated pain control based on age, sex, body mass index (BMI), or presence of a substance use disorder (SUD). While factors influencing management of acute pain are complex, striving for adequate pain control remains […]
Abstract Number: 110
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: At its 2014 peak, the opioid overdose crisis claimed nearly 30,000 lives, but many hospitals and health systems have small opioid-related initiatives working in disjointed fashion rather than a cohesive response. Purpose: We created a hospital-wide initiative called the “Brigham Comprehensive Opioid Response and Education” (B-CORE) program to reduce opioid-related morbidity and mortality in […]