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Predictors of dropout from inpatient opioid detoxification with buprenorphine: a chart review.

Håkansson, Anders C LU and Hallén, Emma (2014) In Journal of addiction 2014.
Abstract
Inpatient withdrawal treatment (detoxification) is common in opioid dependence, although dropout against medical advice often limits its outcome. This study aimed to assess baseline predictors of dropout from inpatient opioid detoxification with buprenorphine, including age, gender, current substance use, and type of postdetoxification planning. A retrospective hospital chart review was carried out for inpatient standard opioid detoxifications using buprenorphine taper, in a detoxification ward in Malmö, Sweden (N = 122). Thirty-four percent of patients (n = 42) dropped out against medical advice. In multivariate logistic regression, dropout was significantly associated with younger age (OR 0.93 [0.89-0.97]) and negatively predicted by... (More)
Inpatient withdrawal treatment (detoxification) is common in opioid dependence, although dropout against medical advice often limits its outcome. This study aimed to assess baseline predictors of dropout from inpatient opioid detoxification with buprenorphine, including age, gender, current substance use, and type of postdetoxification planning. A retrospective hospital chart review was carried out for inpatient standard opioid detoxifications using buprenorphine taper, in a detoxification ward in Malmö, Sweden (N = 122). Thirty-four percent of patients (n = 42) dropped out against medical advice. In multivariate logistic regression, dropout was significantly associated with younger age (OR 0.93 [0.89-0.97]) and negatively predicted by inpatient postdetoxification plan (OR 0.41 [0.18-0.94]), thus favouring an inpatient plan as opposed to outpatient treatment while residing at home. Dropout was unrelated to baseline urine toxicology. In opioid detoxification, patients may benefit from a higher degree of postdetoxification planning, including transition to residential treatment, in order to increase the likelihood of a successful detoxification and treatment entry. Young opioid-dependent patients may need particular attention in the planning of detoxification. (Less)
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author
organization
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type
Contribution to journal
publication status
published
subject
in
Journal of addiction
volume
2014
external identifiers
  • PMID:25530903
ISSN
2090-7834
DOI
10.1155/2014/965267
language
English
LU publication?
yes
id
a021fbe5-3881-4f43-8ad4-0ad23de927c4 (old id 4905802)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/25530903?dopt=Abstract
date added to LUP
2015-01-07 14:18:13
date last changed
2016-09-20 03:34:25
@misc{a021fbe5-3881-4f43-8ad4-0ad23de927c4,
  abstract     = {Inpatient withdrawal treatment (detoxification) is common in opioid dependence, although dropout against medical advice often limits its outcome. This study aimed to assess baseline predictors of dropout from inpatient opioid detoxification with buprenorphine, including age, gender, current substance use, and type of postdetoxification planning. A retrospective hospital chart review was carried out for inpatient standard opioid detoxifications using buprenorphine taper, in a detoxification ward in Malmö, Sweden (N = 122). Thirty-four percent of patients (n = 42) dropped out against medical advice. In multivariate logistic regression, dropout was significantly associated with younger age (OR 0.93 [0.89-0.97]) and negatively predicted by inpatient postdetoxification plan (OR 0.41 [0.18-0.94]), thus favouring an inpatient plan as opposed to outpatient treatment while residing at home. Dropout was unrelated to baseline urine toxicology. In opioid detoxification, patients may benefit from a higher degree of postdetoxification planning, including transition to residential treatment, in order to increase the likelihood of a successful detoxification and treatment entry. Young opioid-dependent patients may need particular attention in the planning of detoxification.},
  author       = {Håkansson, Anders C and Hallén, Emma},
  issn         = {2090-7834},
  language     = {eng},
  series       = {Journal of addiction},
  title        = {Predictors of dropout from inpatient opioid detoxification with buprenorphine: a chart review.},
  url          = {http://dx.doi.org/10.1155/2014/965267},
  volume       = {2014},
  year         = {2014},
}