Journal article
Mortality in Treatment-seeking Older Adults Receiving Medications for Opioid Use Disorder
Journal of addiction medicine, Vol.18(2), pp.185-187
03/01/2024
DOI: 10.1097/ADM.0000000000001256
PMID: 38084854
Abstract
ObjectivesOlder adults (OAs; age 55+ years) are increasingly seeking specialty treatment of opioid use disorder. Previous analyses of the Treatment Episode Data Set-Discharges (TEDS-D) database have reported higher rates of in-treatment mortality for those receiving medications for opioid use disorder (MOUD). We evaluate current trends in mortality for treatment-seeking OAs.MethodsUsing the 2020 TEDS-D, logistic regression predicted in-treatment mortality for OAs from planned MOUD, service level, and interaction terms.ResultsOf the 26,993 OA treatment discharges, 679 people were discharged due to death (2.52%). OAs with MOUD (3.65%, 95% confidence interval [CI], 3.37%-3.95%) were significantly more likely to discharge due to death than those without MOUD (0.82%; 95% CI, 0.66%-1.01%). Most records were for nonintensive outpatient (83.7%; n = 22,588), which had the highest mortality (2.89%; 95% CI, 2.68%-3.11%); intensive services (n = 4405) had a mortality rate of 0.61% (95% CI, 0.42%-0.89%). Among OAs, planned MOUD with nonintensive outpatient services had a mortality rate of 4.17% (95% CI, 3.56%-4.9%).ConclusionsThis TEDS-D analysis extends previous literature highlighting a significant interaction between planned MOUD and service intensity on in-treatment mortality for OAs. Additional research is needed to address the causal mechanisms behind these interactions and inform the delivery of safe effective care in the growing OA population.
Details
- Title: Subtitle
- Mortality in Treatment-seeking Older Adults Receiving Medications for Opioid Use Disorder
- Creators
- Andrea N. Weber - Univ Iowa, Iowa City, IA USAStephan Arndt - University of IowaBenjamin Miskle - Univ Iowa, Iowa City, IA USANicholas L. Bormann - Mayo Clin, Rochester, MN USA
- Resource Type
- Journal article
- Publication Details
- Journal of addiction medicine, Vol.18(2), pp.185-187
- DOI
- 10.1097/ADM.0000000000001256
- PMID
- 38084854
- ISSN
- 1932-0620
- eISSN
- 1935-3227
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 3
- Language
- English
- Date published
- 03/01/2024
- Academic Unit
- Psychiatry; Biostatistics; Addiction Medicine; Nursing; Pharmacy Practice and Science; Injury Prevention Research Center; Internal Medicine
- Record Identifier
- 9985132070002771
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