Acute care utilization and its associated determinants among patients with substance-related disorders: A worldwide systematic review and meta-analysis.

Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 9439514 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2850 (Electronic) Linking ISSN: 13510126 NLM ISO Abbreviation: J Psychiatr Ment Health Nurs

Original Publication: Oxford ; Boston : Blackwell Scientific Publications, c1994-

Alcoholism* ; Substance-Related Disorders*/epidemiology; Humans ; Hospitalization ; Patient Discharge ; Emergency Service, Hospital

Introduction: Identifying determinants of emergency department (ED) use and hospitalization among patients with substance-related disorders (SRDs) can improve health services to address unmet health needs.
Aim: The present study aimed to identify the prevalence rates of ED use and hospitalization, and their associated determinants among patients with SRDs.
Methods: Studies in English published from January 1, 1995, to December 1, 2022, were searched on PubMed, Scopus, Cochrane Library, and Web of Science to identify primary studies.
Results: The pooled prevalence rates of ED use and hospitalization among patients with SRDs were 36% and 41%, respectively. Patients with SRDs who were the most at risk of being both ED users and hospitalized were those (i) having medical insurance, (ii) having other drug and alcohol use disorders, (iii) having mental health disorders, and (iv) having chronic physical illnesses. A lower level of education increased the risk of ED use only.
Discussion: To decrease ED use and hospitalization, more comprehensive services may be offered to these vulnerable patients with diversified needs.
Implications for Practice: Chronic care integrating outreach interventions could be more provided for patients with SRDs after discharge from acute care units or hospitals.
(© 2023 John Wiley & Sons Ltd.)

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Keywords: emergency department; hospitalization; mental health disorders; substance-related disorders

Date Created: 20230522 Date Completed: 20231106 Latest Revision: 20231106

20231106

10.1111/jpm.12936

37211655