SHM Converge Scientific Abstract ePoster Gallery-Prevalence and Predictors of Hospital Receipt of Moud: A Retrospective Cohort Study

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This retrospective cohort study examined inpatient administration of medications for opioid use disorder (MOUD) at an academic tertiary hospital in the Midwest from July 2018 to June 2024. Adults ages 18–85 were included if they had an opioid-related diagnosis or a positive fentanyl urine screen during or shortly before hospitalization. The primary outcome was receipt of at least one dose of methadone or buprenorphine during the hospital stay.<br /><br />The study found that MOUD use was influenced by both patient characteristics and hospitalization factors. Older age groups, White race, and receiving an addiction medicine (AM) consultation were associated with higher odds of inpatient MOUD treatment. In contrast, Medicare or private/other insurance and higher comorbidity burden were associated with lower odds. Discharge specialty also mattered: compared with medicine, discharge to obstetrics/gynecology increased odds of MOUD receipt, while discharge to psychiatry and trauma surgery decreased odds. The strongest predictor was AM consultation, which substantially increased the likelihood of MOUD administration. Treatment patterns also varied by medication type, with male patients more likely to receive buprenorphine but less likely to receive methadone.<br /><br />The findings suggest that inpatient MOUD implementation is shaped not only by patient needs but also by physician specialty, consultation patterns, and hospital social networks. The authors conclude that improving collaboration across specialties may help increase MOUD use and improve outcomes for hospitalized patients with opioid use disorder.

Asset Subtitle

Benjamin Hoemann

Meta Tag

Author List Alex Lane, Alex Ramsey, Alyssa Moller, Benjamin Hoemann, Corey Shy, Jing Li, Kevin Baumgartner, Laura Marks, Randy Laine, Sarah Hartz

Category Research

Concept Medication for Opioid Use Disorder

Concept Opioid Use Disorder

Concept Hospitalization

Concept Prevalence

Concept Discharge Specialty Service

Distinguished Non-Finalist

Presenter Organization Washington University in St. Louis

Presenting Author Benjamin Hoemann

Track Outcomes Research

Keywords

opioid use disorder

medications for opioid use disorder

MOUD

inpatient treatment

methadone

buprenorphine

addiction medicine consultation

hospitalization

retrospective cohort study

hospital specialty

Medication for Opioid Use Disorder

Opioid Use Disorder

Hospitalization

Prevalence

Discharge Specialty Service