Preventable hospitalizations among adult Medicaid beneficiaries with concurrent substance use disorders

Leung, Kit Sang; Parks, Joe; Topolski, James M.

doi:10.1016/j.pmedr.2015.04.022

Cited by 12 publications

(7 citation statements)

References 43 publications

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“…Consistent with past research [9, 21, 22], we found that persons with diabetes who have comorbid alcohol or drug use disorders had an increased likelihood of having ≥1 diabetes PPH. Similar findings have been observed in other populations [18]. We also expanded on past research by identifying that, while recurring diabetes PPHs were not observed in individuals with alcohol use disorders and at least one diabetes PPH, people with both diabetes and drug use disorders who experience at least one diabetes PPH have an increased risk of experiencing recurring diabetes PPHs over time.…”

Section: Discussionsupporting

confidence: 71%

Behavioral health conditions and potentially preventable diabetes-related hospitalizations in the United States: Findings from a national sample of commercial claims data

et al. 2019

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Objective To characterize the relationship between potentially preventable hospitalizations (PPHs) for diabetes and behavioral health conditions in commercially insured working-age persons with diabetes in the United States. Research design and methods We retrospectively analyzed medical and pharmacy claims from services rendered between 2011 and 2013 for 229,039 adults with diabetes. Diabetes PPHs were identified using the Agency for Healthcare Research and Quality’s Prevention Quality Indicators v6.0 logic. We used negative binomial-logit hurdle regression models to explore the adjusted relationships between diabetes PPHs and schizophrenia, bipolar, depression, anxiety, adjustment disorder, alcohol use disorder, and drug use disorder. Results A total of 4,521 diabetes PPHs were experienced by 3,246 of the persons in the sample. The 20.83% of persons with one or more behavioral health conditions experienced 43.62% (1,972/4,521; 95% CI 42.18%-45.07%) of all diabetes PPHs, and the 7.14% of persons with more than one diagnosed behavioral health condition experienced 24.77% (1,120/4,521; 95% CI 23.54%-26.05%) of all diabetes PPHs. After adjusting for sociodemographic and physical health covariates, patients with depression, schizophrenia, drug or alcohol use disorders, or multiple behavioral health conditions were at significantly increased risk of experiencing at least one diabetes PPH, while patients with depression, drug use disorder, or multiple behavioral health conditions were at significantly increased risk of experiencing recurring diabetes PPHs over time. Conclusions A number of behavioral health conditions are associated with diabetes PPHs, which are often preventable with timely, high-quality outpatient care. The results of this study will enable clinicians, payers, and policy-makers to better focus outpatient care interventions and resources within the population of persons with diabetes.

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Section: Discussionsupporting

confidence: 71%

Behavioral health conditions and potentially preventable diabetes-related hospitalizations in the United States: Findings from a national sample of commercial claims data

et al. 2019

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“…Generally, chronic health conditions were associated with a higher likelihood of any substance use and being more likely to be hospitalized for chronic health conditions [ 18 ]. Those with COPD in this study, however, reported significantly less use of any substance that was not tobacco than those without COPD [ 18 , 57 ]. It is warranted, therefore, to consider individual differences, such as serious psychological distress and gender, that may increase or decrease substance use/misuse among adults with COPD to optimize treatment and prevention services that ultimately improve health outcomes.…”

Section: Discussionmentioning

confidence: 95%

Substance Use and Misuse among Adults with Chronic Obstructive Pulmonary Disease in the United States, 2015–2019: Prevalence, Association, and Moderation

Alanazi

Alqahtani

Alquaimi

et al. 2021

IJERPH

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Background: Despite the advancements in chronic obstructive pulmonary disease (COPD) treatment, complications related to COPD exacerbation remain challenging. One associated factor is substance use/misuse among adults with COPD. Fewer studies, however, examined the prevalence and association between COPD and substance use and misuse. In addition, limited knowledge existed about the moderation effects of serious psychological distress and gender among adults with COPD and substance use/misuse. We aimed, therefore, to measure such prevalence, association, and moderation from nationally representative samples in the United States. Method: Data were drawn from the 2015–2019 National Survey on Drug Use and Health. Weighted logistic regressions were used to measure the associations of last-month tobacco (cigarettes, cigars, pipe, and smokeless tobacco products), other licit and illicit substance use (alcohol, marijuana, cocaine, crack, heroin, hallucinogens, and inhalants), and substance misuse (pain relievers, tranquilizers, stimulants, and sedatives) among adults with COPD. Serious psychological distress and gender were tested as moderators in the association between COPD and substance use/misuse. Results: The findings revealed that adults with COPD [Weighted N = 53,115,718) revealed greater odds of cigarettes [adjusted odds ratio (aOR) = 2.48 (95%CI = 1.80–3.42)) and smokeless tobacco (aOR = 3.65 (95%CI = 1.75–7.65)). However, they were less likely to use alcohol (aOR = 0.61 (95%CI = 0.45–0.84)). Adults with COPD who had serious psychological distress were more likely to use pipe tobacco and alcohol; however, they were less likely to use hallucinogens and inhalants. Finally, males compared to females with COPD were less likely to use smokeless tobacco. Conclusion: Adults with COPD in the United States were more likely to use tobacco products and less likely to use alcohol. In addition, serious psychological distress and gender were moderators in associations between COPD and substance use but not in substance misuse. Future studies should longitudinally assess the factors that may contribute to the initiation and progression of substance use and misuse among adults with COPD.

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“…Moreover, structured education and counseling can show great benefits to enable patients for more self-management behaviors and skills. It is worth mentioning that patients with diabetes and substance use disorders are more susceptible to diabetes-related complications which can be associated with higher healthcare costs (Leung et al, 2015;Wu et al, 2018). Moreover, it is well-known that drug abuse deteriorates metabolic control and is associated with high risk of chronic complications and acute metabolic decompensation (Karam et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

Substance use disorder, is it related to type 2 diabetes? An analytical cross-sectional study, among patients admitted to MOH addiction hospital in Jeddah, Saudi Arabia 2021

Gadah¹,

Ghamdi²

2022

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Background: The association between substances use disorder and type 2 diabetes mellitus, is an under-studied topic. Since type 2 diabetes is a major health issue, it requires a comprehensive knowledge of all aspects regarding its etiology and risk factors. Objective: To understand the association between different substance abuse and type 2 diabetes among patients admitted to the Ministry of Health (MOH) addiction hospital in Jeddah, Saudi Arabia.Methods: This is an analytical cross-sectional study. Data were retrieved from the patient's records over the year of 2021. Random sampling was applied to include the patients. The data collection sheet was created by the researcher.Data analysis was done using the statistical package for the social sciences (SPSS, version 27.0). Results: A total of (322) patients were included in the analysis. Amphetamines were the most common used substance 55.3%, followed by Cannabis 53.1%. Of the total, 8.4% had diabetes. Two thirds (66.7%) were taking medications, and only three cases (1.1%) had controlled blood glucose levels. Among those whom diabetes was not controlled, the HbA1c mean was 9.9%±1.6. Regarding other comorbidities, 11.1% had psychiatric illnesses, 2.5% had hepatitis C virus and 1.2% had HIV. Longer durations of abuse and Cannabis use were significantly associated with diabetes (P-value=0.02, P-value<0.001), respectively. Conclusion: The prevalence of diabetes among substance use patients was (8.4%), and the majority of which had uncontrolled blood glucose levels. While most substances were not associated with diabetes, cannabis showed a significant association in our sample.

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Preventable hospitalizations among adult Medicaid beneficiaries with concurrent substance use disorders

Cited by 12 publications

References 43 publications

Behavioral health conditions and potentially preventable diabetes-related hospitalizations in the United States: Findings from a national sample of commercial claims data

Behavioral health conditions and potentially preventable diabetes-related hospitalizations in the United States: Findings from a national sample of commercial claims data

Substance Use and Misuse among Adults with Chronic Obstructive Pulmonary Disease in the United States, 2015–2019: Prevalence, Association, and Moderation

Substance use disorder, is it related to type 2 diabetes? An analytical cross-sectional study, among patients admitted to MOH addiction hospital in Jeddah, Saudi Arabia 2021

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