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.


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.

Must Reads in Addiction Medicine

Acute Illness and Cannabis Use in Adults, Ann Intern Med; ePub 2019 Mar 26; Monte, et al

Dual Receipt of Rx Opioids & Overdose Death, Ann Intern Med; ePub 2019 Mar 12; Moyo, et al

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