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

Intensive BP Control & Risk of Dementia, JAMA; ePub 2019 Jan 28; SPRINT MIND Investigators

Outpatient Care for Adults With Primary Care, JAMA Intern Med; ePub 2019 Jan 28; Levine, et al

Antibiotic Therapy in Patients with Asthma, JAMA Intern Med; ePub 2019 Jan 28; Stefan, et al

Outpatient Benzodiazepine Prescribing in US, JAMA Netw Open; 2019 Jan 25; Agarwal, et al

Reduction of Readmissions Through Primary Care, JAMA Netw Open; 2019 Jan 25; Wiest, et al

Must Reads in Addiction Medicine

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

HF Hospitalizations & Substance Abuse Disorders, Am J Med; ePub 2018 Dec 15; Snow, et al

Secondhand Smoke Exposure in Nonsmokers, MMWR; 2018 Dec 7; Tsai, Homa, et al

USPSTF: Screen Adults for Unhealthy Alcohol Use, JAMA; 2018 Nov 13; Curry, et al

Prevalence of E-Cigarette Use Among US Adults, Ann Intern Med; 2018 Oct 2; Mirbolouk, et al