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• W4319073200 abstract "Abstract Objective: The goal of this study was to 1) Describe the patient population of a newly implemented addiction medicine consult service (AMCS); 2) Evaluate referrals to community-based addiction support services and acute health service use, over time; 3) Provide lessons learned. Methods: A retrospective observational analysis was conducted at Health Sciences North in Sudbury, Ontario, Canada, with a newly implemented AMCS from November 2018 and July 2021. Data were collected using the hospital's electronic medical records. The primary outcome was the number of referrals to community-based addiction support services over time. The secondary outcomes included the number of emergency department visits, inpatient admissions and re-visits over time. An interrupted time-series analysis was performed to measure the effect of AMCS implementation on acute health service use at Health Sciences North. Results: From November 2019 to December 2020, 833 unique patients were assessed through the AMCS. A total of 1,294 referrals were made to community-based addiction support services, with the highest proportion of referrals between August and October 2020. The post-intervention trend for ED visits, ED re-visits, ED length of stay, inpatient visits, re-visits and inpatient length of stay did not significantly differ from the pre-intervention period. Conclusion:Implementation of an AMCS provides a focused service for patients using substances of diagnosed with substance use disorders. The service resulted in a high referral rate to community-based addiction support services and limited changes in health service usage." @default.
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• W4319073200 date "2023-02-03" @default.
• W4319073200 modified "2023-10-04" @default.
• W4319073200 title "Building an inpatient addiction medicine consult service in Sudbury, Canada: preliminary data and lessons learned in the era of COVID-19" @default.
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• W4319073200 doi "https://doi.org/10.21203/rs.3.rs-2493081/v1" @default.
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