Armoon Bahram, Griffiths Mark D, Mohammadi Rasool, Ahounbar Elaheh, Fleury Marie-Josée
Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran.
International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, UK.
J Psychiatr Ment Health Nurs. 2023 Dec;30(6):1096-1113. doi: 10.1111/jpm.12936. Epub 2023 May 21.
Identifying determinants of emergency department (ED) use and hospitalization among patients with substance-related disorders (SRDs) can improve health services to address unmet health needs.
The present study aimed to identify the prevalence rates of ED use and hospitalization, and their associated determinants among patients with SRDs.
Studies in English published from January 1, 1995, to December 1, 2022, were searched on PubMed, Scopus, Cochrane Library, and Web of Science to identify primary studies.
The pooled prevalence rates of ED use and hospitalization among patients with SRDs were 36% and 41%, respectively. Patients with SRDs who were the most at risk of being both ED users and hospitalized were those (i) having medical insurance, (ii) having other drug and alcohol use disorders, (iii) having mental health disorders, and (iv) having chronic physical illnesses. A lower level of education increased the risk of ED use only.
To decrease ED use and hospitalization, more comprehensive services may be offered to these vulnerable patients with diversified needs.
Chronic care integrating outreach interventions could be more provided for patients with SRDs after discharge from acute care units or hospitals.
确定物质相关障碍（SRD）患者急诊科（ED）就诊和住院的决定因素，有助于改善医疗服务，以满足未得到满足的健康需求。
本研究旨在确定SRD患者的急诊科就诊率和住院率及其相关决定因素。
在PubMed、Scopus、Cochrane图书馆和科学网检索1995年1月1日至2022年12月1日发表的英文研究，以确定原始研究。
SRD患者的急诊科就诊和住院合并患病率分别为36%和41%。最有可能同时使用急诊科和住院的SRD患者是那些：（i）有医疗保险的；（ii）有其他药物和酒精使用障碍的；（iii）有精神健康障碍的；（iv）有慢性躯体疾病的。较低的教育水平仅增加了急诊科就诊风险。
为减少急诊科就诊和住院情况，可向这些有多样化需求的脆弱患者提供更全面的服务。
对于从急性护理单元或医院出院后的SRD患者，可更多地提供整合外展干预措施的长期护理。
