• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

错失的机会:佛罗里达州未能充分利用住院行为健康服务减少注射毒品使用后遗症。

A missed opportunity: underutilization of inpatient behavioral health services to reduce injection drug use sequelae in Florida.

机构信息

University of Miami Miller School of Medicine, 1600 NW 10th Ave #1140, Miami, FL, 33136, USA.

Department Medicine, Division of Infectious Diseases, University of Miami Miller School of Medicine, Miami, FL, 33136, USA.

出版信息

Subst Abuse Treat Prev Policy. 2021 May 31;16(1):46. doi: 10.1186/s13011-021-00383-w.

DOI:10.1186/s13011-021-00383-w
PMID:34059104
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8167948/
Abstract

BACKGROUND

People who inject drugs (PWID) suffer high morbidity and mortality from injection related infections (IRI). The inpatient setting is an ideal opportunity to treat underlying substance use disorder (SUD), but it is unclear how often this occurs.

OBJECTIVES

To quantify the utilization of behavioral health services for PWID during inpatient admissions for IRI.

METHODS

Data for all hospital admissions in Florida in FY2017 were obtained from the Agency for Healthcare Administration. Hospitalization for IRI were obtained using a validated ICD-10 algorithm and treatment for substance use disorder was quantified using ICD-10-Procedure Coding System (ICD-10-PCS) codes.

RESULT

Among the 20,001 IRI admissions, there were 230 patients who received behavioral health services as defined by ICD-10-PCS SAT codes for treatment for SUD.

CONCLUSIONS

In a state with a large number of IRI, only a very small portion of admissions received behavioral health services. Increased efforts should be directed to studying referral patterns among physicians and other providers caring for this population and increasing utilization of behavioral health services.

摘要

背景

注射毒品者(PWID)因与注射相关的感染(IRI)而遭受高发病率和死亡率。住院治疗是治疗潜在药物使用障碍(SUD)的理想机会,但尚不清楚这种情况发生的频率。

目的

量化 PWID 在因 IRI 住院期间对行为健康服务的利用情况。

方法

从医疗保健管理局获得了 2017 财年佛罗里达州所有住院患者的数据。使用经过验证的 ICD-10 算法获得了 IRI 住院治疗,使用 ICD-10-程序编码系统(ICD-10-PCS)代码量化了物质使用障碍的治疗。

结果

在 20,001 例 IRI 入院患者中,有 230 例患者接受了行为健康服务,这些服务由治疗 SUD 的 ICD-10-PCS SAT 代码定义。

结论

在一个有大量 IRI 的州,只有一小部分住院患者接受了行为健康服务。应加大努力,研究为这一人群提供护理的医生和其他提供者之间的转诊模式,并增加行为健康服务的利用率。

相似文献

1
A missed opportunity: underutilization of inpatient behavioral health services to reduce injection drug use sequelae in Florida.错失的机会:佛罗里达州未能充分利用住院行为健康服务减少注射毒品使用后遗症。
Subst Abuse Treat Prev Policy. 2021 May 31;16(1):46. doi: 10.1186/s13011-021-00383-w.
2
Hospital admissions among people who inject opioids following syringe services program implementation.在实施注射器服务项目后,注射阿片类药物人群的住院治疗情况。
Harm Reduct J. 2020 May 12;17(1):30. doi: 10.1186/s12954-020-00376-1.
3
Identifying injection drug use and estimating population size of people who inject drugs using healthcare administrative datasets.利用医疗保健管理数据集识别注射吸毒行为并估计注射吸毒人群规模。
Int J Drug Policy. 2018 May;55:31-39. doi: 10.1016/j.drugpo.2018.02.001. Epub 2018 Feb 23.
4
Mortality, morbidity, and cardiac surgery in Injection Drug Use (IDU)-associated versus non-IDU infective endocarditis: The need to expand substance use disorder treatment and harm reduction services.在注射吸毒(IDU)相关与非 IDU 感染性心内膜炎患者中的死亡率、发病率和心脏手术:需要扩大物质使用障碍治疗和减少伤害服务。
PLoS One. 2019 Nov 26;14(11):e0225460. doi: 10.1371/journal.pone.0225460. eCollection 2019.
5
Hospital Costs of Injection Drug Use in Florida.佛罗里达州注射吸毒的医院费用。
Clin Infect Dis. 2021 Feb 1;72(3):499-502. doi: 10.1093/cid/ciaa823.
6
Perspectives on benefits and risks of creation of an "injection drug use" billing code.关于创建“注射吸毒”计费代码的益处和风险的观点。
J Subst Use Addict Treat. 2024 Sep;164:209392. doi: 10.1016/j.josat.2024.209392. Epub 2024 May 10.
7
Impact of Potential Case Misclassification by Administrative Diagnostic Codes on Outcome Assessment of Observational Study for People Who Inject Drugs.行政诊断编码导致的潜在病例错误分类对注射吸毒者观察性研究结果评估的影响
Open Forum Infect Dis. 2024 Jan 16;11(2):ofae030. doi: 10.1093/ofid/ofae030. eCollection 2024 Feb.
8
Missed Opportunities for Human Immunodeficiency Virus (HIV) Testing During Injection Drug Use-Related Healthcare Encounters Among a Cohort of Persons Who Inject Drugs With HIV Diagnosed During an Outbreak-Cincinnati/Northern Kentucky, 2017-2018.在 2017-2018 年辛辛那提/北肯塔基爆发期间诊断出 HIV 的注射吸毒者队列中,在与注射吸毒相关的医疗保健接触中,错过了人类免疫缺陷病毒(HIV)检测的机会。
Clin Infect Dis. 2021 Jun 1;72(11):1961-1967. doi: 10.1093/cid/ciaa507.
9
Hospital inpatient admissions for nontraumatic dental conditions among Florida adults, 2006 through 2016.佛罗里达州成年人非创伤性牙科疾病的住院治疗情况,2006 年至 2016 年。
J Am Dent Assoc. 2019 Jun;150(6):514-521. doi: 10.1016/j.adaj.2019.01.001. Epub 2019 Apr 5.
10
Serious Mental Illness Among Young People Who Inject Drugs: An Assessment of Injection Risks and Healthcare Use.年轻人中的严重精神疾病:注射风险和医疗保健使用评估。
J Infect Dis. 2020 Sep 2;222(Suppl 5):S401-S409. doi: 10.1093/infdis/jiaa238.

引用本文的文献

1
Implementation of an integrated infectious disease and substance use disorder team for injection drug use-associated infections: a qualitative study.注射吸毒相关感染的传染病和物质使用障碍综合团队的实施:一项定性研究。
Addict Sci Clin Pract. 2023 Feb 7;18(1):8. doi: 10.1186/s13722-023-00363-4.

本文引用的文献

1
Overdose-Related Cardiac Arrests Observed by Emergency Medical Services During the US COVID-19 Epidemic.美国 COVID-19 疫情期间,急救医疗服务中心观察到的与过量用药相关的心脏骤停事件。
JAMA Psychiatry. 2021 May 1;78(5):562-564. doi: 10.1001/jamapsychiatry.2020.4218.
2
Association of Treatment With Medications for Opioid Use Disorder With Mortality After Hospitalization for Injection Drug Use-Associated Infective Endocarditis.治疗药物与阿片类药物使用障碍药物与因注射药物使用相关的感染性心内膜炎住院后死亡率的关系。
JAMA Netw Open. 2020 Oct 1;3(10):e2016228. doi: 10.1001/jamanetworkopen.2020.16228.
3
Addiction Psychiatry and Addiction Medicine: The Evolution of Addiction Physician Specialists.成瘾精神病学与成瘾医学:成瘾医师专家的演变。
Am J Addict. 2020 Sep;29(5):390-400. doi: 10.1111/ajad.13068.
4
Management of Opioid Use Disorder and Infectious Disease in the Inpatient Setting.在院患者中阿片类药物使用障碍和传染病的管理。
Infect Dis Clin North Am. 2020 Sep;34(3):511-524. doi: 10.1016/j.idc.2020.06.008.
5
Impact of Inpatient Addiction Consultation on Hospital Readmission.住院成瘾咨询对医院再入院的影响。
J Gen Intern Med. 2021 Jul;36(7):2161-2163. doi: 10.1007/s11606-020-05966-0. Epub 2020 Jun 22.
6
Hospital Costs of Injection Drug Use in Florida.佛罗里达州注射吸毒的医院费用。
Clin Infect Dis. 2021 Feb 1;72(3):499-502. doi: 10.1093/cid/ciaa823.
7
Diagnosis and Management of Opioid Use Disorder in Hospitalized Patients.住院患者阿片类药物使用障碍的诊断与管理。
Med Clin North Am. 2020 Jul;104(4):695-708. doi: 10.1016/j.mcna.2020.03.003. Epub 2020 May 12.
8
The impact of access to addiction specialist on attitudes, beliefs and hospital-based opioid use disorder related care: A survey of hospitalist physicians.获得成瘾专科医生服务对态度、信念及医院阿片类药物使用障碍相关护理的影响:一项对住院医师的调查。
Subst Abus. 2022;43(1):143-151. doi: 10.1080/08897077.2020.1748169. Epub 2020 Apr 8.
9
Bacterial Infections Associated With Substance Use Disorders, Large Cohort of United States Hospitals, 2012-2017.2012-2017 年美国多家医院的物质使用障碍相关细菌感染:大型队列研究。
Clin Infect Dis. 2020 Oct 23;71(7):e37-e44. doi: 10.1093/cid/ciaa008.
10
Predictors of Opioid and Alcohol Pharmacotherapy Initiation at Hospital Discharge Among Patients Seen by an Inpatient Addiction Consult Service.住院成瘾咨询服务患者出院时开始阿片类药物和酒精药物治疗的预测因素。
J Addict Med. 2020 Sep/Oct;14(5):415-422. doi: 10.1097/ADM.0000000000000611.