title: Reason for medical hospitalization among adult alcohol and drug abusers.
abstract: This study attempts to identify the associations between types of substance use and particular medical problems as causes of acute hospital admission on an inpatient substance abuse consultation service. Records of all consultations performed from 1994 to 1998 were analyzed. A total of 4,526 complete records were available. Cocaine (p < .01), heroin (p < .001), and injection drug (p < .001) users were more likely to be admitted to the hospital for infection. Both alcohol (p < .001) and marijuana (p < .001) users were more likely to be hospitalized for trauma related injuries. Individuals that used alcohol were also more likely to be admitted for the treatment of gastrointestinal disorders (p < .001). Clinicians who treat patients with these diagnoses should have a high index of suspicion of co-morbid substance use disorders. Effective treatment of substance use disorders can lead to a decrease in medical morbidity, improved outcomes for individual patients, and decreased costs for the health care system.
authors.affiliation: University of Maryland School of Medicine, 22 S. Greene St., Box 351, Baltimore, MD 21201, USA. eweintra@umpsy.umaryland.edu
authors.forename: E
authors.initials: E
authors.lastname: Weintraub
authors.forename: L
authors.initials: L
authors.lastname: Dixon
authors.forename: J
authors.initials: J
authors.lastname: Delahanty
authors.forename: R
authors.initials: R
authors.lastname: Schwartz
authors.forename: J
authors.initials: J
authors.lastname: Johnson
authors.forename: A
authors.initials: A
authors.lastname: Cohen
authors.forename: M
authors.initials: M
authors.lastname: Klecz
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000150:complications / Q000191:economics / Q000534:rehabilitation*; D005260:Female; D005767:Gastrointestinal Diseases / Q000150:complications / Q000191:economics / Q000534:rehabilitation; D006296:Health Services / Q000191:economics; D006304:Health Status; D006760:Hospitalization / Q000191:economics; D006801:Humans; D007902:Length of Stay; D008297:Male; D009293:Opioid-Related Disorders / Q000150:complications / Q000191:economics / Q000534:rehabilitation*; D012189:Retrospective Studies; D014947:Wounds and Injuries / Q000150:complications / Q000191:economics