title: Factors associated with seeking readmission among clients admitted to medical withdrawal management.
abstract: <p>The objectives of the present paper were to determine the rate and factors associated with seeking readmission among the clients admitted to an inpatient medical withdrawal management program, Vancouver Detox (VD). All clients who were admitted to VD between July 1, 2003, and June 30, 2004, were included in the study, and were followed up for 1 year. Multinomial logistic regression was performed to investigate the potential risk factors associated with short-term (1 month) and long-term (2 to 12 months) requests for readmission simultaneously. The risk factor associated with short-term request for readmission was leaving VD against medical advice (AMA) during the index admission. Clients who reported to have hepatitis C virus (HCV) infection, whose primary preferred substance was alcohol, and those who were poly-drug users were more likely to request readmission in long-term. Clients with no fixed address were less likely to seek readmission between months 2 and 12.</p>
authors.affiliation: Department of Healthcare and Epidemiology, University of British Columbia, Vancouver, BC, Canada.
authors.forename: Xin
authors.initials: X
authors.lastname: Li
authors.forename: Huiying
authors.initials: H
authors.lastname: Sun
authors.forename: David C
authors.initials: DC
authors.lastname: Marsh
authors.forename: Aslam H
authors.initials: AH
authors.lastname: Anis
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000437:Alcoholism / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D001955:British Columbia; D015897:Comorbidity; D005260:Female; D019698:Hepatitis C, Chronic / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D010359:Patient Readmission / Q000706:statistics & numerical data*; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data*; D013375:Substance Withdrawal Syndrome / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D055815:Young Adult