Acute care utilization and its associated determinants among patients with substance‐related disorders: a worldwide systematic review and meta‐analysis

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Armoon, B, Griffiths, MD ORCID: https://orcid.org/0000-0001-8880-6524, Mohammadi, R, Ahounbar, E and Fleury, M, 2023. Acute care utilization and its associated determinants among patients with substance‐related disorders: a worldwide systematic review and meta‐analysis. Journal of Psychiatric and Mental Health Nursing, 30 (6), pp. 1096-1113. ISSN 1351-0126

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Official URL: https://doi.org/10.1111/jpm.12936

Abstract

Introduction: Identifying determinants of emergency department (ED) use and hospitalization among patients with substance-related disorders (SRDs) can improve health services to address unmet health needs.

Aim: The present study aimed to identify the prevalence rates of ED use and hospitalization, and their associated determinants among patients with SRDs.

Methods: Studies in English published from January 1, 1995, to December 1, 2022, were searched on PubMed, Scopus, Cochrane Library, and Web of Science to identify primary studies.

Results: The pooled prevalence rates of ED use and hospitalization among patients with SRDs were 36% and 41%, respectively. Patients with SRDs who were the most at risk of being both ED users and hospitalized were those (i) having medical insurance, (ii) having other drug and alcohol use disorders, (iii) having mental health disorders, and (iv) having chronic physical illnesses. A lower level of education increased the risk of ED use only.

Discussion: To decrease ED use and hospitalization, more comprehensive services may be offered to these vulnerable patients with diversified needs.

Implications for Practice: Chronic care integrating outreach interventions could be more provided for patients with SRDs after discharge from acute care units or hospitals.

Item Type:	Journal article
Publication Title:	Journal of Psychiatric and Mental Health Nursing
Creators:	Armoon, B., Griffiths, M.D., Mohammadi, R., Ahounbar, E. and Fleury, M.
Publisher:	Wiley
Date:	December 2023
Volume:	30
Number:	6
ISSN:	1351-0126
Identifiers:	Number Type 10.1111/jpm.12936 DOI 1764093 Other
Rights:	This is the peer reviewed version of the following article: ARMOON, B., GRIFFITHS, M.D., MOHAMMADI, R., AHOUNBAR, E. and FLEURY, M., 2023. Acute care utilization and its associated determinants among patients with substance‐related disorders: a worldwide systematic review and meta‐analysis. Journal of Psychiatric and Mental Health Nursing, 30 (6), pp. 1096-1113, which has been published in final form at https://doi.org/10.1111/jpm.12936 This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
Divisions:	Schools > School of Social Sciences
Record created by:	Laura Ward
Date Added:	22 May 2023 15:55
Last Modified:	21 May 2024 03:00
URI:	https://irep.ntu.ac.uk/id/eprint/49051