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Opioid overdose and inpatient care for substance use disorder care in Massachusetts

Journal of Substance Abuse Treatment Feb 04, 2020

Morgan JR, Wang J, Barocas JA, et al. - Researchers sought to determine how patients with opioid use disorder (OUD) navigate inpatient treatment for substance use disorders — a collection of strategies ranging from short term detoxification to longer-term residential treatment — following an encounter for detoxification and subsequent risk of opioid-related overdose. A comprehensive Massachusetts database was utilized to describe the movement of people with OUD through inpatient care from 2013 to 2015, recognizing admissions to inpatient detoxification, subsequent inpatient care, and opioid overdose while navigating treatment. A subsequent inpatient detoxification admission without proceeding to further inpatient care was reported resulting from 61% of inpatient detoxification. Overall, 287 fatal and 7,337 non-fatal overdoses were reported. Observations suggest a high risk of overdose following detox and before subsequent care. Overdose risk may reduce when transition while navigating inpatient care would decrease. This study highlights the necessity for better linkage to subsequent care, including medication.
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