A 3-Year Retrospective Study of the Impact of Integrating an Addiction Liaison Team into an Outpatient Alcoholism Treatment Programme.

Autor:	Bernal-Sobrino JL; Control Management Department, Hospital Universitario 12 de Octubre, Carretera de Córdoba s/n 28041, Madrid, Spain.; Instituto de investigación Biomédica i+12, Carretera de Córdoba s/n 28041, Madrid, Spain., Arias-Horcajadas F; Instituto de investigación Biomédica i+12, Carretera de Córdoba s/n 28041, Madrid, Spain.; Psiquiatry Department, Hospital Universitario 12 de Octubre, Carretera de Córdoba s/n 28041, Madrid, Spain.; Medical School at Universidad Complutense de Madrid, Pl. de Ramón y Cajal, s/n, 28040 Madrid, Spain.; Addictive-Disorders Research Network (Red de Trastornos adictivos-RETICS) at Instituto de Salud Carlos III, C/ Sinesio Delgado, 4 28029 - Madrid, Spain., Varela-Rodríguez C; Instituto de investigación Biomédica i+12, Carretera de Córdoba s/n 28041, Madrid, Spain.; Quality of Care Unit, Hospital Universitario 12 de Octubre, Carretera de Córdoba s/n 28041, Madrid, Spain., Losada-Pérez C; Instituto de investigación Biomédica i+12, Carretera de Córdoba s/n 28041, Madrid, Spain.; Psiquiatry Department, Hospital Universitario 12 de Octubre, Carretera de Córdoba s/n 28041, Madrid, Spain., Blanco-Echevarría A; Instituto de investigación Biomédica i+12, Carretera de Córdoba s/n 28041, Madrid, Spain.; Medical School at Universidad Complutense de Madrid, Pl. de Ramón y Cajal, s/n, 28040 Madrid, Spain.; Internal Medicine Department, Hospital Universitario 12 de Octubre, Carretera de Córdoba s/n 28041, Madrid, Spain., Xsdel Yerro Alvarez MJ; Instituto de investigación Biomédica i+12, Carretera de Córdoba s/n 28041, Madrid, Spain.; Psiquiatry Department, Hospital Universitario 12 de Octubre, Carretera de Córdoba s/n 28041, Madrid, Spain., Martín-Mayor M; Instituto de investigación Biomédica i+12, Carretera de Córdoba s/n 28041, Madrid, Spain.; Psiquiatry Department, Hospital Universitario 12 de Octubre, Carretera de Córdoba s/n 28041, Madrid, Spain.; Medical School at Universidad Complutense de Madrid, Pl. de Ramón y Cajal, s/n, 28040 Madrid, Spain., Rubio G; Instituto de investigación Biomédica i+12, Carretera de Córdoba s/n 28041, Madrid, Spain.; Psiquiatry Department, Hospital Universitario 12 de Octubre, Carretera de Córdoba s/n 28041, Madrid, Spain.; Medical School at Universidad Complutense de Madrid, Pl. de Ramón y Cajal, s/n, 28040 Madrid, Spain.; Addictive-Disorders Research Network (Red de Trastornos adictivos-RETICS) at Instituto de Salud Carlos III, C/ Sinesio Delgado, 4 28029 - Madrid, Spain.
Jazyk:	angličtina
Zdroj:	Alcohol and alcoholism (Oxford, Oxfordshire) [Alcohol Alcohol] 2023 Sep 09; Vol. 58 (5), pp. 515-522.
DOI:	10.1093/alcalc/agad004
Abstrakt:	Background: The number of inpatients with alcohol and other substance-related problems (ASRP) in the general hospital population at any time is vast. To meet the needs of those patients, most hospitals have an Addiction Liaison Team (ALT) that diagnoses and initiates the treatment of the addictive disorder. In our hospital, this team is part of a more extensive and intensive Outpatient Alcoholism Treatment Programme that facilitates the continuity of care. Aim: the main goal of this study is to evaluate the performance and effectiveness of our inpatient ALT. Methodology: we carried out an observational cohort study of patients with ASRP admitted to the hospital from 2015 to 2017. We evaluated the performance and effectiveness of our ALT: referrals to the programme, inpatients mortality, readmissions to hospital, hospital length of stay (LOS) and medical or surgical treatment adherence. Results: out of 133,181 admissions, 17,387 (13.14%) were positive for ASRP, and 615 (3.54%) were referred to the ALT. Referred patients had less in-hospital mortality, shorter LOS and lower risk of readmissions during the first year of follow-up. Subjects treated in the programme had better therapeutic adherence. Conclusions: integrating the ALT into an outpatient programme facilitates an earlier detection and initiation of treatment during the hospital stay and the continuity of care. Alcohol misuse conditions affect the patient's prognosis and health outcomes, so appropriate care is needed. Inclusion in the programme was associated with less risk of hospital mortality, fewer readmissions and a lower LOS. (© The Author(s) 2023. Medical Council on Alcohol and Oxford University Press. All rights reserved.)
Databáze:	MEDLINE
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