7, 8, 9 Many are motivated to reduce use during acute care visits nonetheless, rates of AUD/SUD treatment initiation and post-discharge referrals for outpatient treatment remain low in these settings, in part, potentially due to low rates of engagement in post-discharge AUD/SUD treatment. 4, 5, 6 Individuals with untreated AUD/SUD are more likely to access acute care services due to higher rates of motor vehicle accidents, interpersonal violence, and presentations for intoxication or overdose. 2, 3 Acute care visits, including emergency department (ED) visits and hospitalizations, related to AUD or SUD (herein abbreviated AUD/SUD) are increasing and represent opportunities to engage individuals in substance use care. This highlights the importance of identifying opportunities to address AUD and SUD in acute care settings in tandem with other medical concerns, particularly among visits presenting with injury, trauma, or coexisting depression.ĭeaths from alcohol use disorder (AUD) and other substance use disorders (SUD) are at an all-time high in the United States (US), with an estimated 93,000 deaths attributed to alcohol-related harms annually 1 and over 93,000 deaths from drug overdose deaths in 2020. These estimates are higher or similar than previous national estimates using claims data. In this nationally representative study, 1 in 11 ED visits and 1 in 9 hospitalizations were made by adults with AUD or SUD, and both increased over time. ED visits and hospitalizations from individuals with AUD or SUD, compared to individuals with neither AUD nor SUD, had higher percentages of Medicaid insurance (ED visits: AUD: 33.1%, SUD: 35.0%, neither: 24.4% hospitalizations: AUD: 30.7%, SUD: 36.3%, neither: 14.8%) homelessness (ED visits: AUD: 6.2%, SUD 4.4%, neither 0.4% hospitalizations: AUD: 5.9%, SUD 7.3%, neither: 0.4%) coexisting depression (ED visits: AUD: 26.3%, SUD 24.7%, neither 10.5% hospitalizations: AUD: 33.5%, SUD 35.3%, neither: 13.9%) and injury/trauma (ED visits: AUD: 51.3%, SUD 36.3%, neither: 26.4% hospitalizations: AUD: 31.8%, SUD: 23.8%, neither: 15.0%). Both estimates increased over time (30% and 57% relative increase for ED visits and hospitalizations, respectively, from 2014 to 2018). Key Resultsįrom 2014 to 2018, the annual average prevalence of AUD or SUD was 9.4% of ED visits (9.3 million visits) and 11.9% hospitalizations (1.4 million hospitalizations). ![]() Outcome measured as the presence of AUD or SUD. Observational study with retrospective analysis of the National Hospital Ambulatory Medical Care Survey (2014 to 2018), a nationally representative survey of acute care visits with information on the presence of AUD or SUD abstracted from the medical chart. To describe the prevalence and characteristics of emergency department (ED) visits and hospitalizations made by adults with AUD or SUD. ![]() Have questions or comments about the dashboard? Click here.Acute healthcare utilization attributed to alcohol use disorders (AUD) and other substance use disorders (SUD) is rising. ![]() Important factors such as the time of day a visit occurred, the patient's access to primary care, and other social determinants of health were not taken into account when identifying which ED visits were potentially avoidable.Ī full methodology on how this report was prepared can be found here.ED visits were identified as potentially avoidable based on the primary diagnosis coded on the corresponding paid health insurance claims.While interacting with this dashboard, it's important to consider the following about each of the rates that are displayed: This interactive dashboard allows users to identify regional and county specific rates of potentially avoidable ED visits, the major types of conditions that drive the frequency of these visits, and how they compare across patient insurance type and over time. VHI's Potentially Avoidable Emergency Department (ED) Visits Dashboard seeks to highlight how these visits are distributed across the Commonwealth.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |