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E-consultation for medications to treat opioid use disorders: a pilot study
Natasha D Perez-Rivera1,2, Grace Chang1,2,3
1VA Boston Healthcare System, Boston, MA, USA.
Background And Objectives:
An electronic consultation to provide expert guidance on medications to treat opioid use disorders [MOUD] was piloted.
Methods:
Medical record review of the first 100 unique patients receiving consultation with 6-month follow-up. Descriptive statistics, chi-square, and Fisher's exact tests of significance were calculated as appropriate.
Results:
Most consultation requests originated from inpatient psychiatry (66%). Patients (67%) and consultants (33%) preferred buprenorphine/naloxone most often (p < 0.0001). Half of the patients received MOUD prior to discharge. Three quarters of the half who kept their first outpatient appointments received the recommended treatment (p < 0.0001). At 6 months, four patients died and four others overdosed only. Type of MOUD was not associated with either overdose or death, but those who overdosed used cannabis, sedative-hypnotics, or stimulants (all, p < 0 .05).
Discussion And Conclusions:
Guidance for MOUD offered via e-consultation may have increased outpatient treatment engagement following inpatient treatment.
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