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Brief Report: Opioid-related disorders increase patient-directed discharge in admissions for hemorrhagic or ischemic
Rohan M Shah1, Shiv Patel1, Brent Schnipke1
1Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Background And Objectives:
Opioid use has been linked to increased stroke incidence and severity; however, data on effects during acute stroke hospitalization are limited.
Methods:
We used the 2016-2020 National Inpatient Sample to evaluate the effects of opioid disorders on patient-directed discharge (PDD) and length of stay (LOS) in 3,101,545 patients.
Results:
On multivariate analysis, opioid disorders were independently associated with discharge AMA (aOR: 2.29; 95% CI: 1.98-2.65) and longer LOS (β: 1.5, SE: 0.138; p < .001).
Discussion And Conclusions:
Opioid disorders may predispose PDD and prolonged hospital courses in stroke admissions.
Scientific Significance:
Opioid disorders may warrant targeted inpatient management and health system planning in stroke.
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