Substance Use Disorders Are Prevalent in Adults With Congenital Heart Disease and Are Associated With Increased Healthcare Use
Section snippets
Methods
The Oregon APAC database from January 2014 to October 2017 was queried to identify patients between the ages of 18 and 65 with an International Classification of Diseases (ICD) Ninth Revision (ICD-9) and ICD-Tenth Revision (ICD-10) code consistent with CHD (codes 745 to 747, Q20-Q25, I27.83). In evaluating CHD, we considered diagnosis codes from any year in the dataset and all claims. We applied a hierarchical algorithm to (1) exclude patients who only had evidence of diagnoses with low
Results
A total of 12,366 adults with CHD were identified, 51.9% of whom were women. A total of 3,243 patients (26.2%) had moderate-complex CHD; others had CHD of mild complexity. The overall prevalence of SUD was 15.7% (n = 1,945). A total of 477 adults with CHD (3.9%) had isolated disordered alcohol use, 608 used opioids (4.9%), 414 used amphetamines (3.3%), 80 used cocaine (0.6%; Table 1).
Compared with those without SUD, those with SUD were more likely to be men (RR 1.35, 95% confidence interval
Discussion
There are 3 major findings of this investigation. First, 15.7% of adults with CHD in this statewide sample have concomitant SUD. This proportion is representative of a population which is engaged with healthcare and likely underestimates the true prevalence of SUD. Second, those with SUD constitute a complex population with both medical and socioeconomic challenges, as evidenced by a high burden of co-morbidities and greater reliance on Medicaid insurance. Third, adults with CHD and SUD are
Disclosures
The authors have no conflicts of interest to declare.
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