Brief report: Cannabis and opioid use disorder among heart failure admissions, 2008-2018.

<h4>Background</h4>In the United States, both cannabis use disorder (CUD) and opioid use disorder (OUD) have increased in prevalence. The prevalence, demographics, and costs of CUD and OUD are not well known in heart failure (HF) admissions. This study aimed to use a national database to...

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Autores principales:	Fouad Chouairi, Clancy W Mullan, Neal Ravindra, Katherine A A Clark, Edward M Jaffe, Jasjit Bhinder, Michael Fuery, Avirup Guha, Tariq Ahmad, Nihar R Desai
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b13ba0a1df994579bc9fe09a805b4a6d
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spelling	oai:doaj.org-article:b13ba0a1df994579bc9fe09a805b4a6d2021-12-02T20:07:57ZBrief report: Cannabis and opioid use disorder among heart failure admissions, 2008-2018.1932-620310.1371/journal.pone.0255514https://doaj.org/article/b13ba0a1df994579bc9fe09a805b4a6d2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255514https://doaj.org/toc/1932-6203<h4>Background</h4>In the United States, both cannabis use disorder (CUD) and opioid use disorder (OUD) have increased in prevalence. The prevalence, demographics, and costs of CUD and OUD are not well known in heart failure (HF) admissions. This study aimed to use a national database to examine the prevalence, demographics, and costs associated with CUD and OUD in HF.<h4>Methods</h4>This study used the National Inpatient Sample from 2008 to 2018 to identify all primary HF admissions with and without the co-diagnosis of OUD or CUD using International Classification for Diagnosis, diagnosis codes. Demographics, costs, and trends were examined.<h4>Results</h4>Between 2008 and 2018, we identified 11,692,995 admissions for HF of which 84,796 (0.8%) had a co-diagnosis of CUD only, and 67,137 (0.6%) had a co-diagnosis of OUD only. The proportion of HF admissions with CUD significantly increased from 0.3% in 2008 to 1.3% in 2018 (p<0.001). The proportion of HF admissions with OUD significantly increased from 0.2% in 2008 to 1.1% in 2018 (p<0.001). Patients admitted with HF and either CUD or OUD were younger, more likely to be Black, and from lower socioeconomic backgrounds (p<0.001, all). HF admissions with OUD or CUD had higher median costs compared to HF admissions without associated substance abuse diagnoses ($8,611 vs. $8,337 for CUD HF and $10,019 vs. $8,337 for OUD HF, p<0.001 for both).<h4>Conclusions</h4>Among discharge records for HF, CUD and OUD are increasing in prevalence, significantly affect underserved populations and are associated with higher costs of stay. Future research is essential to better delineate the cause of these increased costs and create interventions, particularly in underserved populations.Fouad ChouairiClancy W MullanNeal RavindraKatherine A A ClarkEdward M JaffeJasjit BhinderMichael FueryAvirup GuhaTariq AhmadNihar R DesaiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0255514 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Fouad Chouairi Clancy W Mullan Neal Ravindra Katherine A A Clark Edward M Jaffe Jasjit Bhinder Michael Fuery Avirup Guha Tariq Ahmad Nihar R Desai Brief report: Cannabis and opioid use disorder among heart failure admissions, 2008-2018.
description	<h4>Background</h4>In the United States, both cannabis use disorder (CUD) and opioid use disorder (OUD) have increased in prevalence. The prevalence, demographics, and costs of CUD and OUD are not well known in heart failure (HF) admissions. This study aimed to use a national database to examine the prevalence, demographics, and costs associated with CUD and OUD in HF.<h4>Methods</h4>This study used the National Inpatient Sample from 2008 to 2018 to identify all primary HF admissions with and without the co-diagnosis of OUD or CUD using International Classification for Diagnosis, diagnosis codes. Demographics, costs, and trends were examined.<h4>Results</h4>Between 2008 and 2018, we identified 11,692,995 admissions for HF of which 84,796 (0.8%) had a co-diagnosis of CUD only, and 67,137 (0.6%) had a co-diagnosis of OUD only. The proportion of HF admissions with CUD significantly increased from 0.3% in 2008 to 1.3% in 2018 (p<0.001). The proportion of HF admissions with OUD significantly increased from 0.2% in 2008 to 1.1% in 2018 (p<0.001). Patients admitted with HF and either CUD or OUD were younger, more likely to be Black, and from lower socioeconomic backgrounds (p<0.001, all). HF admissions with OUD or CUD had higher median costs compared to HF admissions without associated substance abuse diagnoses ($8,611 vs. $8,337 for CUD HF and $10,019 vs. $8,337 for OUD HF, p<0.001 for both).<h4>Conclusions</h4>Among discharge records for HF, CUD and OUD are increasing in prevalence, significantly affect underserved populations and are associated with higher costs of stay. Future research is essential to better delineate the cause of these increased costs and create interventions, particularly in underserved populations.
format	article
author	Fouad Chouairi Clancy W Mullan Neal Ravindra Katherine A A Clark Edward M Jaffe Jasjit Bhinder Michael Fuery Avirup Guha Tariq Ahmad Nihar R Desai
author_facet	Fouad Chouairi Clancy W Mullan Neal Ravindra Katherine A A Clark Edward M Jaffe Jasjit Bhinder Michael Fuery Avirup Guha Tariq Ahmad Nihar R Desai
author_sort	Fouad Chouairi
title	Brief report: Cannabis and opioid use disorder among heart failure admissions, 2008-2018.
title_short	Brief report: Cannabis and opioid use disorder among heart failure admissions, 2008-2018.
title_full	Brief report: Cannabis and opioid use disorder among heart failure admissions, 2008-2018.
title_fullStr	Brief report: Cannabis and opioid use disorder among heart failure admissions, 2008-2018.
title_full_unstemmed	Brief report: Cannabis and opioid use disorder among heart failure admissions, 2008-2018.
title_sort	brief report: cannabis and opioid use disorder among heart failure admissions, 2008-2018.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/b13ba0a1df994579bc9fe09a805b4a6d
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Brief report: Cannabis and opioid use disorder among heart failure admissions, 2008-2018.

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