Inpatient treatment outcomes of aged substance-using patients admitted to a tertiary care center

Background and Aims: Studies on aged substance users are few from the Indian subcontinent, though they are likely to represent a subgroup of patients with distinct clinical needs. This study aimed to present the inpatient treatment outcomes of such aged substance-using patients admitted to a tertiar...

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Main Authors: Preethy Kathiresan, Siddharth Sarkar, Yatan Pal Singh Balhara
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Journal of Geriatric Mental Health
Subjects:
Online Access:http://www.jgmh.org/article.asp?issn=2348-9995;year=2018;volume=5;issue=2;spage=139;epage=142;aulast=Kathiresan
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author Preethy Kathiresan
Siddharth Sarkar
Yatan Pal Singh Balhara
author_facet Preethy Kathiresan
Siddharth Sarkar
Yatan Pal Singh Balhara
author_sort Preethy Kathiresan
collection DOAJ
description Background and Aims: Studies on aged substance users are few from the Indian subcontinent, though they are likely to represent a subgroup of patients with distinct clinical needs. This study aimed to present the inpatient treatment outcomes of such aged substance-using patients admitted to a tertiary care treatment facility in India. Methodology: This descriptive, retrospective chart-based study presents data of aged patients (age 50 years and above) admitted between January and December 2014 at the National Drug Dependence Treatment Centre, Ghaziabad. Results: A total of 72 aged patients were admitted during this period out of total 953 admissions (7.6% of the sample). All of them were male. Forty patients (55.6%) had a diagnosis of alcohol dependence and 32 (44.4%) had a diagnosis of opioid dependence. The mean duration of stay was 12.9 (±9.6) days. Of these 72 patients, treatment could be completed for 57 patients (79.2%), while seven patients left against medical advice, four were discharged on disciplinary grounds, three were shifted to another facility (two due to medical reasons), and one absconded. Treatment completion rate was least among aged patients with only opioid dependence (25.65%). Conclusion: Medical issues may be a consideration of premature discharge among aged patients admitted for the treatment of substance use disorders. Furthermore, treatment noncompletion is more among aged patients with opioid use disorder than among alcohol use disorder. Further studies are needed with prospective methodology for the assessment of various factors associated with treatment completion, which can help to address the treatment needs of aged patients with substance use disorders, which in turn can lead to better treatment outcomes for them.
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spelling doaj.art-aa858ba5ceff4a96ad571230b1f8fba62022-12-22T01:16:07ZengWolters Kluwer Medknow PublicationsJournal of Geriatric Mental Health2348-99952395-33222018-01-015213914210.4103/jgmh.jgmh_9_18Inpatient treatment outcomes of aged substance-using patients admitted to a tertiary care centerPreethy KathiresanSiddharth SarkarYatan Pal Singh BalharaBackground and Aims: Studies on aged substance users are few from the Indian subcontinent, though they are likely to represent a subgroup of patients with distinct clinical needs. This study aimed to present the inpatient treatment outcomes of such aged substance-using patients admitted to a tertiary care treatment facility in India. Methodology: This descriptive, retrospective chart-based study presents data of aged patients (age 50 years and above) admitted between January and December 2014 at the National Drug Dependence Treatment Centre, Ghaziabad. Results: A total of 72 aged patients were admitted during this period out of total 953 admissions (7.6% of the sample). All of them were male. Forty patients (55.6%) had a diagnosis of alcohol dependence and 32 (44.4%) had a diagnosis of opioid dependence. The mean duration of stay was 12.9 (±9.6) days. Of these 72 patients, treatment could be completed for 57 patients (79.2%), while seven patients left against medical advice, four were discharged on disciplinary grounds, three were shifted to another facility (two due to medical reasons), and one absconded. Treatment completion rate was least among aged patients with only opioid dependence (25.65%). Conclusion: Medical issues may be a consideration of premature discharge among aged patients admitted for the treatment of substance use disorders. Furthermore, treatment noncompletion is more among aged patients with opioid use disorder than among alcohol use disorder. Further studies are needed with prospective methodology for the assessment of various factors associated with treatment completion, which can help to address the treatment needs of aged patients with substance use disorders, which in turn can lead to better treatment outcomes for them.http://www.jgmh.org/article.asp?issn=2348-9995;year=2018;volume=5;issue=2;spage=139;epage=142;aulast=KathiresanAlcohol dependenceelderlyinpatientopioid dependenceoutcomes
spellingShingle Preethy Kathiresan
Siddharth Sarkar
Yatan Pal Singh Balhara
Inpatient treatment outcomes of aged substance-using patients admitted to a tertiary care center
Journal of Geriatric Mental Health
Alcohol dependence
elderly
inpatient
opioid dependence
outcomes
title Inpatient treatment outcomes of aged substance-using patients admitted to a tertiary care center
title_full Inpatient treatment outcomes of aged substance-using patients admitted to a tertiary care center
title_fullStr Inpatient treatment outcomes of aged substance-using patients admitted to a tertiary care center
title_full_unstemmed Inpatient treatment outcomes of aged substance-using patients admitted to a tertiary care center
title_short Inpatient treatment outcomes of aged substance-using patients admitted to a tertiary care center
title_sort inpatient treatment outcomes of aged substance using patients admitted to a tertiary care center
topic Alcohol dependence
elderly
inpatient
opioid dependence
outcomes
url http://www.jgmh.org/article.asp?issn=2348-9995;year=2018;volume=5;issue=2;spage=139;epage=142;aulast=Kathiresan
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