Stockholm Addiction Centre, Karolinska Institutet, Stockholm, Sweden.
Eur Addict Res. 2012;18(2):47-53. doi: 10.1159/000331016. Epub 2011 Dec 20.
BACKGROUND/AIMS: To determine whether frequent emergency department (ED) users who enter specialized treatment programs for alcohol and/or drug problems have any characteristics that predict their future ED use.
Adult patients (783 alcohol users, 405 illicit drug users) were interviewed. Data from the medical database on utilization of ED and the emergency departments' specific units for addictive diseases (EDAD) 12 months before and 12 months after the interview were linked with patient characteristics in logistic regression models.
Among alcohol users, prior ED/EDAD visits predicted repeat future visits to these sites (OR 11.6; 95% CI 6.5-20.5). Prior inpatient hospital care with addiction diagnosis was a predictor of future multiple visits to the EDAD only (OR 3.1; 95% CI 1.5-6.5). Among drug users, predictors of future ED/EDAD visits were use of heroin (OR 2.7; 95% CI 1.4-5.4) and prior ED/EDAD visits (OR 27.3; 95% CI 12.7-58.4). Drug users' EDAD utilization was also predicted by inpatient hospital care with addiction diagnosis.
The strongest predictive factors of visiting ED repeatedly were previous repeat emergency care use and hospitalization with addiction diagnosis. Entering regular addiction treatment does not appear to alter the pattern of ED utilization.
背景/目的：确定经常使用急诊部（ED）并进入专门治疗酒精和/或药物问题的治疗计划的患者是否具有预测其未来 ED 使用的特征。
对成年患者（783 名酒精使用者，405 名非法药物使用者）进行了访谈。将 ED 和急诊部门特定成瘾疾病（EDAD）的医疗数据库中的数据与患者特征进行了逻辑回归模型的关联，这些数据来自于访谈前 12 个月和后 12 个月。
在酒精使用者中，先前的 ED/EDAD 就诊预测了这些场所的未来重复就诊（OR 11.6；95%CI 6.5-20.5）。具有成瘾诊断的先前住院治疗是未来多次就诊 EDAD 的唯一预测因素（OR 3.1；95%CI 1.5-6.5）。在药物使用者中，未来 ED/EDAD 就诊的预测因素是海洛因使用（OR 2.7；95%CI 1.4-5.4）和先前的 ED/EDAD 就诊（OR 27.3；95%CI 12.7-58.4）。药物使用者的 EDAD 使用也与具有成瘾诊断的住院治疗有关。
反复就诊 ED 的最强预测因素是先前的重复急诊护理使用和成瘾诊断的住院治疗。定期接受成瘾治疗似乎不会改变 ED 使用的模式。
