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Building an inpatient addiction medicine consult service in Sudbury, Canada: preliminary data and lessons learned in the era of COVID-19.
Leary, Tara; Aubin, Natalie; Marsh, David C; Roach, Michael; Nikodem, Paola; Caswell, Joseph M; Irwin, Bridget; Pillsworth, Emma; Mclelland, Maureen; Long, Brad; Bhagavatula, Sastry; Eibl, Joseph K; Morin, Kristen A.
  • Leary T; Health Science North, Sudbury, Canada.
  • Aubin N; Northern Ontario School of Medicine, 936 Ramsey Lake Road, Sudbury, ON, P3E 2C6, Canada.
  • Marsh DC; Health Science North, Sudbury, Canada.
  • Roach M; ICES North, Sudbury, Canada.
  • Nikodem P; Health Sciences North Research Institute, Sudbury, Canada.
  • Caswell JM; Northern Ontario School of Medicine, 936 Ramsey Lake Road, Sudbury, ON, P3E 2C6, Canada.
  • Irwin B; Health Science North, Sudbury, Canada.
  • Pillsworth E; Health Science North, Sudbury, Canada.
  • Mclelland M; ICES North, Sudbury, Canada.
  • Long B; ICES North, Sudbury, Canada.
  • Bhagavatula S; Health Science North, Sudbury, Canada.
  • Eibl JK; Health Science North, Sudbury, Canada.
  • Morin KA; Health Science North, Sudbury, Canada.
Subst Abuse Treat Prev Policy ; 18(1): 29, 2023 05 22.
Article in English | MEDLINE | ID: covidwho-2324351
ABSTRACT

OBJECTIVE:

The goal of this study was to (1) Describe the patient population of a newly implemented addiction medicine consult service (AMCS); (2) Evaluate referrals to community-based addiction support services and acute health service use, over time; (3) Provide lessons learned.

METHODS:

A retrospective observational analysis was conducted at Health Sciences North in Sudbury, Ontario, Canada, with a newly implemented AMCS from November 2018 and July 2021. Data were collected using the hospital's electronic medical records. The outcomes measured included the number of emergency department visits, inpatient admissions, and re-visits over time. An interrupted time-series analysis was performed to measure the effect of AMCS implementation on acute health service use at Health Sciences North.

RESULTS:

A total of 833 unique patients were assessed through the AMCS. A total of 1,294 referrals were made to community-based addiction support services, with the highest proportion of referrals between August and October 2020. The post-intervention trend for ED visits, ED re-visits, ED length of stay, inpatient visits, re-visits, and inpatient length of stay did not significantly differ from the pre-intervention period.

CONCLUSION:

Implementation of an AMCS provides a focused service for patients using with substance use disorders. The service resulted in a high referral rate to community-based addiction support services and limited changes in health service usage.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Addiction Medicine / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: North America Language: English Journal: Subst Abuse Treat Prev Policy Journal subject: Substance-Related Disorders Year: 2023 Document Type: Article Affiliation country: S13011-023-00537-y

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Addiction Medicine / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: North America Language: English Journal: Subst Abuse Treat Prev Policy Journal subject: Substance-Related Disorders Year: 2023 Document Type: Article Affiliation country: S13011-023-00537-y