Gender differences in discharge dispositions of emergency department visits involving drug misuse and abuse-2004-2011

Jennifer I. Manuel, Jane Lee

    Research output: Contribution to journalArticle

    Abstract

    Background: Drug use-related visits to the emergency department (ED) can undermine discharge planning and lead to recurrent use of acute services. Yet, little is known about where patients go post discharge. We explored trends in discharge dispositions of drug-involved ED visits, with a focus on gender differences. Methods: We extracted data from the 2004-2011 Drug Abuse Warning Network, a national probability sample of drug-related visits to hospital EDs in the U.S. We computed weighted multinomial logistic regression models to estimate discharge dispositions over time and to examine associations between gender and the relative risk of discharge dispositions, controlling for patient characteristics. Results: The final pooled sample included approximately 1.2 million ED visits between 2004 and 2011. Men accounted for more than half (57.6%) of all ED visits involving drug misuse and abuse. Compared with women, men had a greater relative risk of being released to the police/jail, being referred to outpatient detox or other treatment, and leaving against medical advice than being discharged home. The relative risk of being referred to outpatient detox/drug treatment than discharged home increased over time for men versus women. Conclusions: Greater understanding of gender-based factors involved in substance-related ED visits and treatment needs may inform discharge planning and preventive interventions.

    Original languageEnglish (US)
    Article number28
    JournalSubstance Abuse: Treatment, Prevention, and Policy
    Volume12
    Issue number1
    DOIs
    StatePublished - May 30 2017

    Fingerprint

    Substance-Related Disorders
    Hospital Emergency Service
    Patient Discharge
    Pharmaceutical Preparations
    Outpatients
    Logistic Models
    Sampling Studies
    Emergency Treatment
    Police
    Therapeutics

    Keywords

    • Discharge disposition
    • Emergency department
    • Gender
    • Substance abuse

    ASJC Scopus subject areas

    • Health Policy
    • Psychiatry and Mental health

    Cite this

    Gender differences in discharge dispositions of emergency department visits involving drug misuse and abuse-2004-2011. / Manuel, Jennifer I.; Lee, Jane.

    In: Substance Abuse: Treatment, Prevention, and Policy, Vol. 12, No. 1, 28, 30.05.2017.

    Research output: Contribution to journalArticle

    @article{9c88290349ef49cfbca519663d454437,
    title = "Gender differences in discharge dispositions of emergency department visits involving drug misuse and abuse-2004-2011",
    abstract = "Background: Drug use-related visits to the emergency department (ED) can undermine discharge planning and lead to recurrent use of acute services. Yet, little is known about where patients go post discharge. We explored trends in discharge dispositions of drug-involved ED visits, with a focus on gender differences. Methods: We extracted data from the 2004-2011 Drug Abuse Warning Network, a national probability sample of drug-related visits to hospital EDs in the U.S. We computed weighted multinomial logistic regression models to estimate discharge dispositions over time and to examine associations between gender and the relative risk of discharge dispositions, controlling for patient characteristics. Results: The final pooled sample included approximately 1.2 million ED visits between 2004 and 2011. Men accounted for more than half (57.6{\%}) of all ED visits involving drug misuse and abuse. Compared with women, men had a greater relative risk of being released to the police/jail, being referred to outpatient detox or other treatment, and leaving against medical advice than being discharged home. The relative risk of being referred to outpatient detox/drug treatment than discharged home increased over time for men versus women. Conclusions: Greater understanding of gender-based factors involved in substance-related ED visits and treatment needs may inform discharge planning and preventive interventions.",
    keywords = "Discharge disposition, Emergency department, Gender, Substance abuse",
    author = "Manuel, {Jennifer I.} and Jane Lee",
    year = "2017",
    month = "5",
    day = "30",
    doi = "10.1186/s13011-017-0114-5",
    language = "English (US)",
    volume = "12",
    journal = "Substance Abuse: Treatment, Prevention, and Policy",
    issn = "1747-597X",
    publisher = "BioMed Central",
    number = "1",

    }

    TY - JOUR

    T1 - Gender differences in discharge dispositions of emergency department visits involving drug misuse and abuse-2004-2011

    AU - Manuel, Jennifer I.

    AU - Lee, Jane

    PY - 2017/5/30

    Y1 - 2017/5/30

    N2 - Background: Drug use-related visits to the emergency department (ED) can undermine discharge planning and lead to recurrent use of acute services. Yet, little is known about where patients go post discharge. We explored trends in discharge dispositions of drug-involved ED visits, with a focus on gender differences. Methods: We extracted data from the 2004-2011 Drug Abuse Warning Network, a national probability sample of drug-related visits to hospital EDs in the U.S. We computed weighted multinomial logistic regression models to estimate discharge dispositions over time and to examine associations between gender and the relative risk of discharge dispositions, controlling for patient characteristics. Results: The final pooled sample included approximately 1.2 million ED visits between 2004 and 2011. Men accounted for more than half (57.6%) of all ED visits involving drug misuse and abuse. Compared with women, men had a greater relative risk of being released to the police/jail, being referred to outpatient detox or other treatment, and leaving against medical advice than being discharged home. The relative risk of being referred to outpatient detox/drug treatment than discharged home increased over time for men versus women. Conclusions: Greater understanding of gender-based factors involved in substance-related ED visits and treatment needs may inform discharge planning and preventive interventions.

    AB - Background: Drug use-related visits to the emergency department (ED) can undermine discharge planning and lead to recurrent use of acute services. Yet, little is known about where patients go post discharge. We explored trends in discharge dispositions of drug-involved ED visits, with a focus on gender differences. Methods: We extracted data from the 2004-2011 Drug Abuse Warning Network, a national probability sample of drug-related visits to hospital EDs in the U.S. We computed weighted multinomial logistic regression models to estimate discharge dispositions over time and to examine associations between gender and the relative risk of discharge dispositions, controlling for patient characteristics. Results: The final pooled sample included approximately 1.2 million ED visits between 2004 and 2011. Men accounted for more than half (57.6%) of all ED visits involving drug misuse and abuse. Compared with women, men had a greater relative risk of being released to the police/jail, being referred to outpatient detox or other treatment, and leaving against medical advice than being discharged home. The relative risk of being referred to outpatient detox/drug treatment than discharged home increased over time for men versus women. Conclusions: Greater understanding of gender-based factors involved in substance-related ED visits and treatment needs may inform discharge planning and preventive interventions.

    KW - Discharge disposition

    KW - Emergency department

    KW - Gender

    KW - Substance abuse

    UR - http://www.scopus.com/inward/record.url?scp=85019772719&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=85019772719&partnerID=8YFLogxK

    U2 - 10.1186/s13011-017-0114-5

    DO - 10.1186/s13011-017-0114-5

    M3 - Article

    C2 - 28558808

    AN - SCOPUS:85019772719

    VL - 12

    JO - Substance Abuse: Treatment, Prevention, and Policy

    JF - Substance Abuse: Treatment, Prevention, and Policy

    SN - 1747-597X

    IS - 1

    M1 - 28

    ER -