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High Inpatient Health Care Utilization and Charges Associated With Injection Drug Use-Related Infections: A Cohort

Alison B Rapoport1,2, Danielle R Fine1,3, Jennifer M Manne-Goehler1,3

  • 1Harvard Medical School, Boston, Massachusetts, USA.

Open Forum Infectious Diseases
|March 17, 2021
PubMed

Insights

Patients with injection drug use-related infections required intensive healthcare, leading to frequent readmissions, high costs, and extended hospital stays during the opioid epidemic.

Area of Science:

  • Infectious Diseases
  • Public Health
  • Epidemiology

Background:

  • The opioid epidemic has led to an increase in injection drug use (IDU).
  • IDU is associated with a high risk of serious infections requiring hospitalization.
  • Understanding the healthcare burden of these infections is crucial for resource allocation.

Purpose of the Study:

  • To characterize patients hospitalized with injection drug use-related infections.
  • To analyze the healthcare utilization and costs associated with these hospitalizations.
  • To identify trends over a multiyear period in a region heavily affected by the opioid epidemic.

Main Methods:

  • Retrospective analysis of hospitalized patients with IDU-related infections.
  • Data collection on patient demographics, infection types, length of stay, readmission rates, and hospitalization costs.
  • Analysis of data over a specified multiyear period.

Main Results:

  • Patients were a young cohort with significant intensive healthcare needs.
  • High rates of hospital readmission were observed.
  • Prolonged lengths of stay and high hospitalization costs were common.

Conclusions:

  • Hospitalizations for injection drug use-related infections represent a substantial burden on the healthcare system.
  • This patient population requires intensive and prolonged medical care, contributing to high healthcare expenditures.
  • Effective interventions are needed to reduce the incidence and impact of these infections.

Keywords:
endocarditishealth care utilizationinjection drug useopioid use disorderpersons who inject drugs

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