Predictors of dropout from inpatient opioid detoxification with buprenorphine: a chart review.
(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)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4905802
- author
- Håkansson, Anders C LU and Hallén, Emma
- organization
- publishing date
- 2014
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of addiction
- volume
- 2014
- article number
- 965267
- publisher
- Hindawi Limited
- external identifiers
-
- pmid:25530903
- 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
- 2016-04-04 09:13:50
- date last changed
- 2018-11-21 20:51:39
@article{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}},
publisher = {{Hindawi Limited}},
series = {{Journal of addiction}},
title = {{Predictors of dropout from inpatient opioid detoxification with buprenorphine: a chart review.}},
url = {{https://lup.lub.lu.se/search/files/5267221/7753029.pdf}},
doi = {{10.1155/2014/965267}},
volume = {{2014}},
year = {{2014}},
}