Impact of an addiction medicine consult team intervention in a Canadian inner city hospital on acute care utilization: a pragmatic quasi-experimental study

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dc.contributor.authorSalvalaggio, Ginetta
dc.contributor.authorDong, Kathryn A.
dc.contributor.authorHyshka, Elaine
dc.contributor.authorMcCabe, Christopher
dc.contributor.authorNixon, Lara
dc.contributor.authorRosychuk, Rhonda J.
dc.contributor.authorDmitrienko, Klaudia
dc.contributor.authorKrajnak, Judith
dc.contributor.authorMrklas, Kelly
dc.contributor.authorWild, T. C.
dc.date.accessioned2022-03-13T01:04:45Z
dc.date.available2022-03-13T01:04:45Z
dc.date.issued2022-03-12
dc.date.updated2022-03-13T01:04:45Z
dc.description.abstractAbstract Background Inner city patients have a higher illness burden and need for care, but experience more unmet care needs. Hospital Addiction Medicine Consult Teams (AMCTs) are a promising emerging intervention. The objective of this study was to assess the impact of a Canadian AMCT-like intervention for inner city patients on reduction in high emergency department (ED) use, hospital admission, and inpatient length of stay. Methods Using a community-engaged, two-arm, pre-post, longitudinal quasi-experimental study design, 572 patients reporting active substance use, unstable housing, unstable income, or a combination thereof (302 at intervention site, 270 at control sites) were enrolled. Survey and administrative health service data were collected at baseline, six months post-enrolment, and 12 months post-enrolment. Multivariable regression models tested the intervention effect, adjusting for clinically important covariables (inpatient status at enrolment, medical complexity, age, gender, Indigenous identity, shelter use, opioid use). Results Initial bivariable analyses demonstrated an intervention effect on reduction in admissions and length of stay, however, this effect was no longer significant after adjusting for covariables. There was no evidence of reduction in high ED use on either bivariable or subsequent multivariable analysis. Conclusions After adjusting for covariables, no AMCT intervention effect was detected for reduction in high ED use, inpatient admission, or hospital length of stay. Further research is recommended to assess other patient-oriented intervention outcomes.
dc.identifier.citationSubstance Abuse Treatment, Prevention, and Policy. 2022 Mar 12;17(1):20
dc.identifier.doihttps://doi.org/10.1186/s13011-022-00445-7
dc.identifier.urihttp://hdl.handle.net/1880/114467
dc.identifier.urihttps://doi.org/10.11575/PRISM/44318
dc.language.rfc3066en
dc.rights.holderThe Author(s)
dc.titleImpact of an addiction medicine consult team intervention in a Canadian inner city hospital on acute care utilization: a pragmatic quasi-experimental study
dc.typeJournal Article
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