Predictors of Inpatient Treatment Completion among Females with Opioid Use Disorder: Findings from a Tertiary Care Drug Dependence Treatment Centre of India

Abstract

Introduction:Studies have reported that females who drop out prematurely from inpatient treatment have poor treatment outcome. However, literature from India is limited in this regard.Methods:We reviewed case records of female patients admitted with opioid use disorder at NDDTC, Ghaziabad between January 1, 2008 and December 31, 2012 to study the predictors of inpatient treatment completion among female patients with opioid use disorder in relation to their sociodemographic and clinical profile.Results:Over the 5 years, 72 female patients were admitted with opioid dependence. During the study period, out of 72 patients, 44 (61.1%) were inpatient treatment completers and 28 (38.9%) were noncompleters. Mean length of ward stay was 5.1 ± 3.8 days and 16.2 ± 11.8 days for inpatient treatment noncompleters and completers, respectively, the difference being statistically significant (t = 4.845, P < 0.001). The multivariable analysis (adjusted for selected demographic characteristics as marital status, education, and employment) revealed that most women taking drug for relief from pain, having medical morbidity, and onset of opioids at age 25 years or more had a significantly greater likelihood for being treatment completers.Conclusion:Certain factors can help in identification of women opioid users who are at risk of leaving the treatment.

Predictors of and reasons for early discharge from inpatient withdrawal management settings: A scoping review

“…The remaining studies appeared to describe AMA discharges exclusively, although the term was not always explicitly defined. In addition, 13 studies had fewer than 100 participants and may have been underpowered to detect significant differences between patients who had early discharges and those who had planned discharges [27,39,43,60,63–67,70,73,77,78]. Although all included studies described their settings as inpatient withdrawal management services, there was variability in treatment duration and services offered, with average lengths of stay ranging from 3 days to 6 weeks.…”

“…Although all included studies described their settings as inpatient withdrawal management services, there was variability in treatment duration and services offered, with average lengths of stay ranging from 3 days to 6 weeks. Furthermore, the patient populations varied, with nine studies including males only [17,36–38,58,63–65,71] and five studies including females only [21,35,39,50,53]. Other studies included patients with certain types of substance use disorders.…”

“…Tobacco use : Tobacco use was infrequently examined in this body of literature. However, two recent studies found that tobacco use independently predicted early discharge [39,57].…”

Demographic and clinical profile of women receiving inpatient treatment at a deaddiction unit of a psychiatric hospital in India

“…This agrees with earlier research where unemployment has been found to be a consequence and risk factor and to predict treatment retention among women. [ 5 9 11 ] Around 60% of them hailed from urban areas and 88.5% were living in a nuclear family. Although the location of our hospital in a city might contribute urban predominance among inpatients, few research has discussed urban-rural differences in accessing treatment for SUD and utilization of SUD treatment due to rural specific challenges and barriers.…”

Therapeutic focus for women with substance use disorders: Views of experts and consumers in a tertiary hospital in India.

“…Six Indian retrospective chart reviews among women with substance use disorders (wSUDs) reported an exponential increase in the number of women seeking SUD treatment (Dayal, Sarkar, & Balhara, 2017; Grover, Irpati, Saluja, Mattoo, & Basu, 2005; Malik et al, 2015; Nagendrappa, Mallanna, & Raj, 2018; Nebhinani, Sarkar, Gupta, Mattoo, & Basu, 2013; Srivastava, Mehndi, & Patel, 2015). The rates range from 100 women in a 33-year span (1978–011; Nebhinani et al, 2013) to 40 to 50 women in reviews spanning 1 year subsequently (Malik et al, 2015; Nagendrappa et al, 2018).…”