24 Sep UBC Studies Rate of Overdoses After Leaving Hospital AMA
Posted at 20:28h
in Addiction
MedicalResearch.com Interview with:
Mayesha Khan, M.A.
Research Coordinator
Staples Lab | Road Safety & Public Health Research
[caption id="attachment_63435" align="alignleft" width="150"]
Dr. Staples[/caption]
Dr. John A. Staples MD, FRCPC, MPH
Clinical Associate Professor
Department of Medicine
The University of British Columbia | VCH Research Institute
MedicalResearch.com: What is the background for this study?
Response: About one in thirty patients leave hospital before their inpatient medical treatment is complete. Before medically advised (BMA) discharge from hospital (also known as patient-initiated discharge) is associated with a several-fold increase in mortality in the following year compared to routine physician-advised discharge. The study’s senior author is a physician who works in the hospital (JS), and it’s the patients who initiate a BMA discharge that he often worries about the most.
We knew from past research that the rate of BMA discharge is much higher among people who use drugs. We suspected that the risk of drug overdose after BMA discharge was much higher than the risk of overdose after routine physician-advised discharge.
We also suspected that BMA discharge itself might create conditions that encourage drug use and increase the risk of overdose. A hospital stay can result in drug abstinence and reduced drug tolerance, and it can disrupt social routines and interfere with access to familiar/safer sources of drugs. BMA discharges sometimes occur suddenly, leaving little time to prescribe medications for opioid use disorder like methadone and Suboxone. Lingering illness or persistent pain after leaving hospital might prompt people to engage in heavier-than-usual drug use. All of these factors might increase the risk of overdose after BMA discharge.
Your mind will be key in overcoming your addiction. Its past workings lead you to substance use and its current state will lead you out of it. If you want to change your life, you should start with your thoughts. What thoughts occupy your brain? Are they endearing or damaging? Do they lift you up or rattle you? It’s time to be fully transparent and evaluate what has been going on inside your head. It’s time to be honest. If you want to fully heal, you should endeavor to explore
Elena Stains
Medical Student
Department of Medical Education
Geisinger Commonwealth School of Medicine
Scranton, PA
MedicalResearch.com: What is the background for this study?
Response: Opioid use has been an increasing problem since the early 2000s in the United States (US) with a surge around 2010. Twenty-five percent of those having abused pain relievers in 2013 and 2014 got those drugs from physicians1. Physicians are particularly well-known for fueling the opioid crisis in Florida in the 2000s. Of the United States’ top 100 opioid prescribing physicians in 2010, an astounding 98 were prescribing in Florida2. Florida taking the main stage of the opioid crisis can be attributed to several factors, including ability of physicians to dispense opioids directly from their offices to patients (i.e. without pharmacists) and the presence of many infamous “pill mills” in the state3–6.
The researchers at Geisinger Commonwealth School of Medicine aimed to analyze the amount of hydrocodone (including brand names of Vicodin and Lortab) and oxycodone (OxyContin and Percocet) distributed in Florida from 2006 to 2021, paying close attention to the peak year of the opioid crisis, 2010. The team used the Washington Post and the US Drug Enforcement Administration’s Automation of Reports and Consolidated Orders System (ARCOS) databases to compile this compelling information.
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