Tisdale Calvert, de Andrade Dominique, Leung Janni, Chiu Vivian, Hides Leanne
School of Psychology, Lives Lived Well Research Group, The University of Queensland, Brisbane, Australia.
School of Psychology, National Centre for Youth Substance Use Research, The University of Queensland, Brisbane, Australia.
Drug Alcohol Rev. 2021 Nov;40(7):1202-1206. doi: 10.1111/dar.13279. Epub 2021 Sep 29.
Individuals with moderate to severe substance use disorders may seek residential treatment, but outcomes after discharge for this hard-to-reach population are often unknown. Using linked data, we examined mortality outcomes among individuals after residential treatment.
We included 1056 individuals admitted to three residential treatment facilities across Queensland, Australia, from 1 January 2014 to 31 December 2016. Records were linked to Queensland death registration data and cause of death records from the Australian Coordinating Registry (1 January-31 December 2018). Standard mortality ratios were assessed, comparing participants to the Queensland, Australia, general population. Causes of death and years of potential life lost (YPLL) were examined.
Thirty-six participants died (3.4%) in 3408 years of follow-up data. The age- and sex-adjusted standard mortality ratios were 3.96 (95% confidence interval: 2.78, 5.48) overall, 8.19 (3.74, 15.55) in females and 3.38 (2.23, 4.92) in males. Two-thirds of deaths were due to suicide/overdose. There was an average of 45.50 YPLL (SD 9.16).
This study used linked data to quantify mortality following residential substance use treatment. The YPLL and avoidable nature of deaths highlight the need for continuing care following discharge from residential services.
患有中度至重度物质使用障碍的个体可能会寻求住院治疗，但对于这一难以接触到的人群出院后的结局往往并不清楚。我们利用关联数据研究了住院治疗后个体的死亡结局。
我们纳入了2014年1月1日至2016年12月31日期间在澳大利亚昆士兰州三家住院治疗机构收治的1056名个体。记录与昆士兰州死亡登记数据以及澳大利亚协调登记处的死亡原因记录（2018年1月1日至12月31日）进行了关联。评估了标准化死亡率，将参与者与澳大利亚昆士兰州的一般人群进行比较。对死亡原因和潜在寿命损失年数（YPLL）进行了研究。
在3408年的随访数据中，36名参与者死亡（3.4%）。总体年龄和性别调整后的标准化死亡率为3.96（95%置信区间：2.78，5.48），女性为8.19（3.74，15.55），男性为3.38（2.23，4.92）。三分之二的死亡是由于自杀/过量用药。平均潜在寿命损失年数为45.50（标准差9.16）。
本研究利用关联数据对住院物质使用治疗后的死亡率进行了量化。潜在寿命损失年数和死亡的可避免性质凸显了住院服务出院后持续护理的必要性。
