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{
    "pk": 14735,
    "title": "Emergency Department Visits by Patients with Substance Use Disorder in the United States",
    "subtitle": null,
    "abstract": "Introduction:\n We aimed to characterize emergency department (ED) utilization and clinical characteristics of patients with substance use disorder (SUD) seeking emergency care for all reasons.\nMethods:\n Using 2016–2017 ED data from the National Hospital Ambulatory Medical Care Survey, we investigated demographics, ED resource utilization, and clinical characteristics of patients with SUD vs those without SUD. \nResults:\n Of all adult ED visits (N = 27,609) in the US in 2016–2017, 11.1% of patients had SUD. Among ED patients with SUD, they were mostly non-Hispanic White (62.5%) and were more likely to be male (adjusted odds ratio [aOR] 1.80 confidence interval [CI], 1.66-1.95). Emergency department patients with SUD were also more likely to return to the ED within 72 hours (aOR 1.32, CI, 1.09-1.61) and more likely to be admitted to the hospital (aOR 1.28, CI, 1.14-1.43) and intensive care unit (aOR 1.40, CI, 1.05-1.85).\nConclusion:\n Patients with SUD have specific demographic, socioeconomic, and clinical characteristics associated with their ED visits. These findings highlight the importance of recognizing co-existing SUD as risk factors for increasing morbidity in acutely ill and injured patients, and the potential role of the ED as a site for interventions aimed at reducing harm from SUD.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Behavioral Health",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/5z5303j4",
    "frozenauthors": [
        {
            "first_name": "Xingyu",
            "middle_name": "",
            "last_name": "Zhang",
            "name_suffix": "",
            "institution": "University of Michigan School of Nursing, Department of Systems, Populations, and Leadership, Ann Arbor, Michigan, United States of America; University of Pittsburgh Medical Center, Thomas E. Starzl Transplantation Institute, Pittsburgh, Pennsylvania, United States of America",
            "department": "None"
        },
        {
            "first_name": "Ningyuan",
            "middle_name": "",
            "last_name": "Wang",
            "name_suffix": "",
            "institution": "University of Michigan, College of Literature, Science, and the Arts; Ann Arbor, Michigan, United States of America",
            "department": "None"
        },
        {
            "first_name": "Fengsu",
            "middle_name": "",
            "last_name": "Hou",
            "name_suffix": "",
            "institution": "Shenzhen Kangning Hospital, Department of Public Health, Shenzhen, Guangdong Province, China",
            "department": "None"
        },
        {
            "first_name": "Yaseen",
            "middle_name": "",
            "last_name": "Ali",
            "name_suffix": "",
            "institution": "University of Michigan, College of Literature, Science, and the Arts; Ann Arbor, Michigan, United States of America",
            "department": "None"
        },
        {
            "first_name": "Aaron",
            "middle_name": "",
            "last_name": "Dora-Laskey",
            "name_suffix": "",
            "institution": "Michigan State University College of Human Medicine, Department of Emergency Medicine, East Lansing, Michigan, United States of America",
            "department": "None"
        },
        {
            "first_name": "Chin",
            "middle_name": "Hwa",
            "last_name": "Dahlem",
            "name_suffix": "",
            "institution": "University of Michigan School of Nursing, Department of Health Behavior and Biological Sciences, Ann Arbor, Michigan, United States of America",
            "department": "None"
        },
        {
            "first_name": "Sean",
            "middle_name": "Esteban",
            "last_name": "McCabe",
            "name_suffix": "",
            "institution": "University of Michigan School of Nursing, Department of Health Behavior and Biological Sciences, Ann Arbor, Michigan, United States of America; University of Michigan, Institute for Social Research, Ann Arbor, Michigan",
            "department": "None"
        }
    ],
    "date_submitted": "2020-11-10T01:31:34+05:30",
    "date_accepted": "2020-11-10T01:31:34+05:30",
    "date_published": "2021-08-20T03:38:29+05:30",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/14735/galley/7502/download/"
        }
    ]
}