title: Retrospective study of outcomes, for patients admitted to a drug treatment centre board.
abstract: Retrospective study of urinary heroin outcomes of a cohort (123) of patients commenced on a methadone treatment program. Significantly poorer outcomes were associated with urines positive for cocaine (OR 0.69 CI 0.59-0.81) benzodiazepines (OR 0.7 CI 0.53-0.93) with prescribing of low dose methadone (OR 0.65 CI 0.48-0.87), with urines positive for heroin at time of admission (OR 0.74 CI 0.56-0.97) and with behavioural sanctions (OR 0.8, CI 0.65-0.98). Improved outcomes were associated with granting of take away methadone (OR 1.34 CI 1.1-1.62). with an indication of improved outcomes associated with alcohol positive urines (OR 1.34 CI 0.95-1.9) and increased duration of clinic attendance (OR 1.21 CI 0.99-1.47). On multiple regression analysis low dose methadone (0.07 CI 0.01-0.33) prescribing remained negatively associated with urine heroin outcomes.
authors.affiliation: The Drug Treatment Centre Board, McCarthy Centre, Dublin. somers.ciaran09@gmail.com
authors.forename: C J
authors.initials: CJ
authors.lastname: Somers
authors.forename: J
authors.initials: J
authors.lastname: O'Connor
mesh_terms: D000328:Adult; D002186:Cannabinoids / Q000652:urine; D003042:Cocaine / Q000652:urine; D015331:Cohort Studies; D015897:Comorbidity; D005260:Female; D003932:Heroin / Q000652:urine; D006556:Heroin Dependence / Q000453:epidemiology* / Q000534:rehabilitation* / Q000652:urine; D006801:Humans; D013287:Illicit Drugs; D007297:Inpatients / Q000706:statistics & numerical data*; D008297:Male; D008691:Methadone / Q000627:therapeutic use; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D012044:Regression Analysis; D012189:Retrospective Studies; D012307:Risk Factors; D055502:Secondary Prevention; D015813:Substance Abuse Detection / Q000379:methods; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000534:rehabilitation* / Q000652:urine; D055815:Young Adult
chemical_list: D002186:Cannabinoids; D013287:Illicit Drugs; D003932:Heroin; D003042:Cocaine; D008691:Methadone