Readmission and Dropout in Outpatient Centers: An Analysis of Real‑World Data in Patients with Dual‑Diagnosis

Substance use disorder treatment faces challenges such as dropout, relapse, and readmission. This study aims to identify factors associated with readmission and those influencing dropout among dual diagnosis (DD) patients (those with both a substance use disorder and another psychiatric disorder) at...

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Detalles Bibliográficos
Autores: Mancheño Velasco, Cinta, Narváez Camargo, Marta, Lozano Rojas, Óscar Martín, Sánchez García, Manuel
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universidad de Huelva (UHU)
Repositorio:Arias Montano. Repositorio Institucional de la Universidad de Huelva
Idioma:inglés
OAI Identifier:oai:ariasmontano.uhu.es:10272/24076
Acceso en línea:https://hdl.handle.net/10272/24076
Access Level:acceso abierto
Palabra clave:Dual diagnosis, readmission, drop out, substance use disorder, real world data, therapeutic outcomes
Dual diagnosis
Readmission
Dropout
Substance use disorder
Real world data
Therapeutic outcomes
61 Psicología
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spelling Readmission and Dropout in Outpatient Centers: An Analysis of Real‑World Data in Patients with Dual‑DiagnosisMancheño Velasco, CintaNarváez Camargo, MartaLozano Rojas, Óscar MartínSánchez García, ManuelDual diagnosis, readmission, drop out, substance use disorder, real world data, therapeutic outcomesDual diagnosisReadmissionDropoutSubstance use disorderReal world dataTherapeutic outcomes61 PsicologíaSubstance use disorder treatment faces challenges such as dropout, relapse, and readmission. This study aims to identify factors associated with readmission and those influencing dropout among dual diagnosis (DD) patients (those with both a substance use disorder and another psychiatric disorder) attending outpatient addiction centers. Retrospective cohort study using the electronic health records of 8383 outpatients diagnosed with DD. Bivariate analysis and regression analysis were applied to control for the variables. Age, incarceration for 30 days prior to admission, and specific patterns of consumption increased the likelihood of readmission. Specifically, individuals who reported no substance use in the 30 days before admission or those diagnosed with an opioid or cocaine use disorder were particularly susceptible to readmission. Of the dual diagnoses, patients with personality disorders were more likely to be readmitted. In relation to dropout, opioid dependence and frequency of use were associated with a higher probability of dropout. Patients with poorer adherence to treatment and previous readmissions were also more likely to drop out. Enhancing treatment adherence and reducing dropout and readmission rates poses a challenge in managing patients with DD. Leveraging electronic health records offers enhanced ecological validity concerning the outpatient treatment requirements for such patients. Therapeutic adherence, alongside specific sociodemographic variables and consumption patterns, emerges as pivotal factors in this context. Identifying and understanding these variables facilitates the customization of outpatient treatment strategies to better meet the needs of patients with comorbidities. Springer20242024-07-0120242024-07-01journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10272/24076reponame:Arias Montano. Repositorio Institucional de la Universidad de Huelvainstname:Universidad de Huelva (UHU)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ariasmontano.uhu.es:10272/240762026-06-02T14:58:11Z
dc.title.none.fl_str_mv Readmission and Dropout in Outpatient Centers: An Analysis of Real‑World Data in Patients with Dual‑Diagnosis
title Readmission and Dropout in Outpatient Centers: An Analysis of Real‑World Data in Patients with Dual‑Diagnosis
spellingShingle Readmission and Dropout in Outpatient Centers: An Analysis of Real‑World Data in Patients with Dual‑Diagnosis
Mancheño Velasco, Cinta
Dual diagnosis, readmission, drop out, substance use disorder, real world data, therapeutic outcomes
Dual diagnosis
Readmission
Dropout
Substance use disorder
Real world data
Therapeutic outcomes
61 Psicología
title_short Readmission and Dropout in Outpatient Centers: An Analysis of Real‑World Data in Patients with Dual‑Diagnosis
title_full Readmission and Dropout in Outpatient Centers: An Analysis of Real‑World Data in Patients with Dual‑Diagnosis
title_fullStr Readmission and Dropout in Outpatient Centers: An Analysis of Real‑World Data in Patients with Dual‑Diagnosis
title_full_unstemmed Readmission and Dropout in Outpatient Centers: An Analysis of Real‑World Data in Patients with Dual‑Diagnosis
title_sort Readmission and Dropout in Outpatient Centers: An Analysis of Real‑World Data in Patients with Dual‑Diagnosis
dc.creator.none.fl_str_mv Mancheño Velasco, Cinta
Narváez Camargo, Marta
Lozano Rojas, Óscar Martín
Sánchez García, Manuel
author Mancheño Velasco, Cinta
author_facet Mancheño Velasco, Cinta
Narváez Camargo, Marta
Lozano Rojas, Óscar Martín
Sánchez García, Manuel
author_role author
author2 Narváez Camargo, Marta
Lozano Rojas, Óscar Martín
Sánchez García, Manuel
author2_role author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Dual diagnosis, readmission, drop out, substance use disorder, real world data, therapeutic outcomes
Dual diagnosis
Readmission
Dropout
Substance use disorder
Real world data
Therapeutic outcomes
61 Psicología
topic Dual diagnosis, readmission, drop out, substance use disorder, real world data, therapeutic outcomes
Dual diagnosis
Readmission
Dropout
Substance use disorder
Real world data
Therapeutic outcomes
61 Psicología
description Substance use disorder treatment faces challenges such as dropout, relapse, and readmission. This study aims to identify factors associated with readmission and those influencing dropout among dual diagnosis (DD) patients (those with both a substance use disorder and another psychiatric disorder) attending outpatient addiction centers. Retrospective cohort study using the electronic health records of 8383 outpatients diagnosed with DD. Bivariate analysis and regression analysis were applied to control for the variables. Age, incarceration for 30 days prior to admission, and specific patterns of consumption increased the likelihood of readmission. Specifically, individuals who reported no substance use in the 30 days before admission or those diagnosed with an opioid or cocaine use disorder were particularly susceptible to readmission. Of the dual diagnoses, patients with personality disorders were more likely to be readmitted. In relation to dropout, opioid dependence and frequency of use were associated with a higher probability of dropout. Patients with poorer adherence to treatment and previous readmissions were also more likely to drop out. Enhancing treatment adherence and reducing dropout and readmission rates poses a challenge in managing patients with DD. Leveraging electronic health records offers enhanced ecological validity concerning the outpatient treatment requirements for such patients. Therapeutic adherence, alongside specific sociodemographic variables and consumption patterns, emerges as pivotal factors in this context. Identifying and understanding these variables facilitates the customization of outpatient treatment strategies to better meet the needs of patients with comorbidities.
publishDate 2024
dc.date.none.fl_str_mv 2024
2024-07-01
2024
2024-07-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10272/24076
url https://hdl.handle.net/10272/24076
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv reponame:Arias Montano. Repositorio Institucional de la Universidad de Huelva
instname:Universidad de Huelva (UHU)
instname_str Universidad de Huelva (UHU)
reponame_str Arias Montano. Repositorio Institucional de la Universidad de Huelva
collection Arias Montano. Repositorio Institucional de la Universidad de Huelva
repository.name.fl_str_mv
repository.mail.fl_str_mv
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