Evaluation of Substance Use Disorder Readmission and Length of Hospital Stay in a Major Rehabilitation Center in the Gulf States: a Retrospective Cohort Study.

Substance use disorders (SUDs) patients have longer lengths of hospital stay, and more unplanned readmissions than other hospitalized patients. We aim to evaluate SUD-related rehospitalization and length of hospital stay in a major rehabilitation center that serves countries of the Gulf States. In a...

Descripción completa

Detalles Bibliográficos
Publicado en:International Journal of Mental Health & Addiction Vol. 22; no. 3; pp. 1145 - 1161
Autores principales: Ramadan, Majed, Alharbi, Aysha, Ahmad, Rami Ghazi, Alkhalaf, Ahmed, Alhusseini, Noara, Algarni, Alanood S., Mohamed, Izzeldin Siddig
Formato: Artículo
Publicado: Springer Nature Jun2024
Materias:
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=178130376&site=ehost-live
header:
  @attributes:
    shortDbName: ssf
    uiTerm: 178130376
    longDbName: Social Sciences Full Text (H.W. Wilson)
    uiTag: AN
  controlInfo:
    bkinfo:
    jinfo:
      jid:
        15571874
        46AW
      jtl: International Journal of Mental Health & Addiction
      issn: 15571874
      maglogo: N
    pubinfo:
      dt: Jun2024
      vid: 22
      iid: 3
      pid: 237
      pub: Springer Nature
    artinfo:
      ui:
        178130376
        10.1007/s11469-022-00920-z
      ppf: 1145
      ppct: 16
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
              size: 704KB
      tig:
        atl: Evaluation of Substance Use Disorder Readmission and Length of Hospital Stay in a Major Rehabilitation Center in the Gulf States: a Retrospective Cohort Study.
      aug:
        au:
          Ramadan, Majed
          Alharbi, Aysha
          Ahmad, Rami Ghazi
          Alkhalaf, Ahmed
          Alhusseini, Noara
          Algarni, Alanood S.
          Mohamed, Izzeldin Siddig
        affil:
          Population Health Research Section, King Abdullah International Medical Research Center (KAIMRC), King Saud Bin Abdulaziz University for Health Sciences, Ministry of National Guard - Health Affairs, P.O.BOX 9515, 21423, Jeddah, Kingdom of Saudi Arabia
          Ministry of Health, Prince Abdulrahman Bin Abdulaziz St., Riyadh, Kingdom of Saudi Arabia
          Psychiatry Section, Medicine Department, Ministry of National Guard - Health Affairs, Abdullah International Medical Research Center, 21423, Jeddah, Saudi Arabia
          https://ror.org/04k820v98 Psychiatry & Mental Health Services, Johns Hopkins Aramco Healthcare, Dhahran, Kingdom of Saudi Arabia
          https://ror.org/00cdrtq48 Department of Biostatistics and Epidemiology, College of Medicine, Alfaisal University, Riyadh, Saudi Arabia
          https://ror.org/01xjqrm90 Pharmacology and Toxicology Department, College of Pharmacy, Umm Al-Qura University, Mecca, Saudi Arabia
          https://ror.org/00zszzj16 Quality Department, Al-Amal Hospital, 21472, Jeddah, Saudi Arabia
      su:
        Saudi Arabia
        Dammam (Saudi Arabia)
        Substance abuse
        Length of stay in hospitals
        Patient readmissions
        Rehabilitation centers
        Proportional hazards models
        Perinatal mood & anxiety disorders
      sug:
        subj:
          Substance abuse
          Saudi Arabia
          Dammam (Saudi Arabia)
          Psychiatric and Substance Abuse Hospitals
          Residential Mental Health and Substance Abuse Facilities
          Other Individual and Family Services
          Length of stay in hospitals
          Patient readmissions
          Rehabilitation centers
          Proportional hazards models
          Perinatal mood & anxiety disorders
      keyword:
        Amphetamine
        Hospitalization
        Readmission
        Stimulants
        Substance use disorder
        Amphetamine
        Hospitalization
        Readmission
        Stimulants
        Substance use disorder
      ab: Substance use disorders (SUDs) patients have longer lengths of hospital stay, and more unplanned readmissions than other hospitalized patients. We aim to evaluate SUD-related rehospitalization and length of hospital stay in a major rehabilitation center that serves countries of the Gulf States. In a retrospective cohort study for 16-year data set in Al-Amal Hospital Electronic Health Record in the city of Dammam, Eastern region of Saudi Arabia, patients received services from the SUD treatment programs in the period of January 1, 2005, to December 31, 2021. We used cause-specific Cox proportional hazards regression model to estimate risk of readmission, and general linear model to examine the association between substance use disorders and length of hospital stay. Of the total cohort, 4398 (30.17%) were readmitted within 1 year of discharge date. More than half of the cohort were unemployed patients (52.93%). Patients diagnosed with amphetamine use disorder were 1.36 higher risk of readmission compared to no amphetamine disorder (HR = 1.36; CI (1.04, 1.78) P.02). Patients diagnosed with mental disorder had 7.25 times higher risk of longer hospital stay compared to no mental health disorder (coefficient = 7.25; P <.0001). Amphetamine use disorder increased the risk of readmission. A secondary diagnosis of mental disorders among SUD patients increased length of hospital stay. As a targeted region of amphetamine smuggling in the world, policy and clinical decision-makers in Saudi Arabia and the Gulf States should consider taking proactive steps to minimize the future anticipated high demand for addiction treatment in the region.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
    refInfo:
    copyright:
      @attributes:
        flag: N
    holdings:
      @attributes:
        islocal: N