Category: Federal Forum Posters
Purpose: Alcohol use disorder (AUD) is a significant issue among military veterans, leading to frequent hospitalizations, morbidity, and mortality due to both acute and chronic causes. Many patients with AUD have co-occurring psychiatric disorders that affect their likelihood of establishing and maintaining good clinical outcomes. The Veterans Affairs and Department of Defense have published guidelines for management of substance use disorder (SUD) which include strong recommendations for medication assisted treatments (MAT) for AUD. The aim of this study is to evaluate the impact of MAT for AUD in patients enrolled in residential addiction treatment on readmission rates related to alcohol use.
Methods: This study will be a retrospective chart review of veterans with AUD discharged from the Captain James A. Lovell Federal Health Care Center’s residential addiction treatment program (ATP). Electronic medical records will be reviewed to identify patients initiated on MAT during treatment and compared to those not initiated on MAT who are receiving psychosocial intervention (PSI) alone.
The primary outcome comparing days until alcohol-related hospitalization within one year of discharge from ATP will be measured with a Kaplan–Meier survival analysis and log-rank test, with and without adjusting for confounding variables (Cox analysis). Secondary outcomes will compare differences between groups on specific MAT utilized, comorbid psychiatric disorders, medication adherence by using medication possession ratios (MPR) and proportion of days covered (PDC), as well as participation in recommended PSI and outpatient aftercare programming.
Descriptive statistics will be used to summarize findings with mean and standard deviation values reported for continuous variables, and frequencies and percentages for categorical variables. Baseline characteristics and secondary outcomes will be compared between groups using chi-square analyses for categorical and analysis of variance (ANOVA) for continuous variables.
Results: Not applicable
Conclusion: Not applicable
Sundus Awan– PGY1 Pharmacy Resident, CAPTAIN JAMES A. LOVELL FEDERAL HEALTH CARE CENTER, Waukegan, IL