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Incidence And Cost Of Acute Kidney Injury In Hospitalized Patients With Infective Endocarditis, Victor M. Ortiz-Soriano, Katherine Donaldson, Gaixin Du, Ye Li, Joshua Lambert, Dan Cleland, Alice C. Thornton, Laura C. Fanucchi, Moises A. Huaman, Javier A. Neyra
Incidence And Cost Of Acute Kidney Injury In Hospitalized Patients With Infective Endocarditis, Victor M. Ortiz-Soriano, Katherine Donaldson, Gaixin Du, Ye Li, Joshua Lambert, Dan Cleland, Alice C. Thornton, Laura C. Fanucchi, Moises A. Huaman, Javier A. Neyra
Internal Medicine Faculty Publications
Acute kidney injury (AKI) is a frequent complication of hospitalized patients with infective endocarditis (IE). Further, AKI in the setting of IE is associated with high morbidity and mortality. We aimed to examine the incidence, clinical parameters, and hospital costs associated with AKI in hospitalized patients with IE in an endemic area with an increasing prevalence of opioid use. This retrospective cohort study included 269 patients admitted to a major referral center in Kentucky with a primary diagnosis of IE from January 2013 to December 2015. Of these, 178 (66.2%) patients had AKI by Kidney Disease Improving Global Outcomes (KDIGO) …
Opioid Use Disorder At Delivery Hospitalization In Maine: Prevalence And Characteristics (2009-2017), Sarah Gabrielson
Opioid Use Disorder At Delivery Hospitalization In Maine: Prevalence And Characteristics (2009-2017), Sarah Gabrielson
Thinking Matters Symposium Archive
A recent multi-state analysis found Maine had the second highest average annual increase in opioid use disorder (OUD) at delivery hospitalization, with 34.1 OUD per 1,000 delivery hospitalizations in 2012. The objective of this analysis is to describe the prevalence and characteristics of OUD deliveries in Maine using recent data. We used International Statistical Classification of Diseases and Related Health Problems diagnosis and procedure codes (9th & 10th revisions) to identify deliveries among all hospital discharges in Maine, 2009-2017 (n=109,004), and to categorize deliveries according to prevalence of OUD and selected medical conditions. We ran log-binomial regression to assess trends …
Opioid Use Treatment Via Telemedicine: Treatment Options For Rural Maine, Benjamin Knapp
Opioid Use Treatment Via Telemedicine: Treatment Options For Rural Maine, Benjamin Knapp
Thinking Matters Symposium Archive
The ongoing opioid crisis has overwhelmed the traditional opioid use disorder (OUD) treatment resources across America. The treatment resources in rural communities have been especially hard hit as geographic and financial barriers limit service capacity. Telemedicine, or medicine delivered via remote means, has been proposed as a potential solution to the lack of conventional opioid treatment resources in rural Maine. Current legalities in the US prohibit telemedicine being used to prescribe opioid agonist drugs, and insurance reimbursement for telemedicine remains a major barrier. This qualitative content analysis looks at the existing research on telemedicine's treatment efficacy for use with OUD …
Polysubstance Opioid Use In A Justice-Involved Population: An Analysis Of Patterns And Reentry Outcomes, Amanda Marie Bunting
Polysubstance Opioid Use In A Justice-Involved Population: An Analysis Of Patterns And Reentry Outcomes, Amanda Marie Bunting
Theses and Dissertations--Sociology
The public health crisis surrounding opioid use is pronounced among justice-involved populations, who face high rates of overdose mortality as well as HIV, and hepatitis C due to injection drug use. The majority of opioid-related overdoses are due to polysubstance use (PSU), and a better understanding of the prevalence and patterns of PSU are necessary in order to inform interventions. This dissertation project has three aims: (1) understand the patterns of opioid PSU among a justice-involved population, (2) identify PSU patterns most at-risk for post-release relapse, and (3) examine engagement in post-release health service utilization. Post-release aims are guided by …