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- Title
Emergency Department Visits by Patients with Substance Use Disorder in the United States.
- Authors
Xingyu Zhang; Ningyuan Wang; Fengsu Hou; Ali, Yaseen; Dora-Laskey, Aaron; Dahlem, Chin Hwa; McCabe, Sean Esteban
- Abstract
Introduction: We aimed to characterize emergency department (ED) utilization and clinical characteristics of patients with substance use disorder (SUD) seeking emergency care for all reasons. Methods: Using 2016–2017 ED data from the National Hospital Ambulatory Medical Care Survey, we investigated demographics, ED resource utilization, and clinical characteristics of patients with SUD vs those without SUD. Results: Of all adult ED visits (N = 27,609) in the US in 2016–2017, 11.1% of patients had SUD. Among ED patients with SUD, they were mostly non-Hispanic White (62.5%) and were more likely to be male (adjusted odds ratio [aOR] 1.80 confidence interval [CI], 1.66-1.95). Emergency department patients with SUD were also more likely to return to the ED within 72 hours (aOR 1.32, CI, 1.09-1.61) and more likely to be admitted to the hospital (aOR 1.28, CI, 1.14-1.43) and intensive care unit (aOR 1.40, CI, 1.05-1.85). Conclusion: Patients with SUD have specific demographic, socioeconomic, and clinical characteristics associated with their ED visits. These findings highlight the importance of recognizing co-existing SUD as risk factors for increasing morbidity in acutely ill and injured patients, and the potential role of the ED as a site for interventions aimed at reducing harm from SUD.
- Subjects
UNITED States; SUBSTANCE abuse treatment; SUBSTANCE abuse &; psychology; SUBSTANCE abuse; INTENSIVE care units; HOSPITAL emergency services; CONFIDENCE intervals; PSYCHOLOGY of drug abusers; RACE; MEDICAL care use; COMPARATIVE studies; SEX distribution; EMERGENCY medical services; DESCRIPTIVE statistics; HOSPITAL care; ODDS ratio
- Publication
Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 2021, Vol 22, Issue 5, p1076
- ISSN
1936-900X
- Publication type
Article
- DOI
10.5811/westjem.2021.3.50839