Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

HF Hospitalizations & Substance Abuse Disorders

Am J Med; ePub 2018 Dec 15; Snow, et al

Among patients hospitalized for heart failure (HF), tobacco or substance use disorders are more common among males, younger age groups, lower socioeconomic status, and select racial/ethnic minorities. This according to a recent study that calculated the proportion of primary HF hospitalizations in the 2014 National Inpatient Sample with tobacco or substance use disorders, accounting for demographic factors. Researchers found:

  • 15.5% of HF hospitalizations (n=152,965) in the US had documented tobacco (12.1%) or substance (6.2%) use disorder.
  • Female sex was associated with lower rates of tobacco and substance use disorder.
  • Tobacco or substance use disorders were more common among males and highest for hospitalization aged <55 years.
  • Enhanced screening for tobacco and substance use disorders in hospitalized HF patients may reveal opportunities for treatment and secondary prevention.

Citation:

Snow SC, Fonarow GC, Ladapo JA, Washington DL, Hoggatt KJ, Ziaeian B. National rate of tobacco and substance use disorders among hospitalized heart failure patients. [Published online ahead of print December 15, 2018]. Am J Med. doi:10.1016/j.amjmed.2018.11.038.

This Week's Must Reads

AHA Statement: Accurate Measurement of BP, Hypertension; ePub 2019 Mar 4; Muntner, et al

Coffee Consumption & Plasma Biomarkers, Am J Clin Nutr; ePub 2019 Mar 5; Hang, et al

Is Adding Aspirin to Warfarin Therapy Beneficial? , JAMA Intern Med; ePub 2019 Mar 4; Schaefer, et al

Urinary Oxalate Excretion & Risk of CKD Progression, JAMA Intern Med; ePub 2019 Mar 4; Waikar, et al

Psychosocial Stress & CV Health in Older Women, Circulation; ePub 2019 Feb 28; Burroughs-Peña, et al

Must Reads in Addiction Medicine

Opioid-Related Mortality in US by Opioid Type, JAMA Netw Open; 2019 Feb 22; Kiang, et al

Disparities in the Prescription of Opioids, JAMA Intern Med; ePub 2019 Feb 11; Friedman, et al

Prevention of Prescription Opioid Misuse in the US, JAMA Netw Open; 2019 Feb 1; Chen, et al

E-cigarettes & Risk of Tobacco Cigarette Initiation, JAMA Netw Open; 2019 Feb 1; Berry, et al

Opioid-Involved Overdose Deaths in the US, MMWR; 2019 Jan 4; Scholl, Seth, et al