Late Breaking Original Research
Tuesday, November 14, 2023
08:30 AM–10:00 AM
Abstract
Introduction: Nearly 2.5 million adults in the US had opioid use disorder (OUD) in 2021 and only 22.3% received medications for OUD (MOUD).
The University of Illinois Hospital & Health Sciences System implemented an inpatient pharmacist-driven, interprofessional OUD medication-assisted recovery (OUD MAR) consultation team to provide comprehensive medication management for OUD and linkage to ongoing treatment upon discharge.
Research Question or Hypothesis: What is the impact of a pharmacist-driven inpatient OUD consult service within an academic medical center?
Study Design: Single-center, retrospective, observational study
Methods: Patients were included if they received an OUD MAR consultation between July 7, 2022 and June 30, 2023 and excluded if no OUD MAR service was received. The primary outcome included comprehensive medication management recommendations, and secondary outcomes included patient-reported MOUD history, time to consult, service utilization, and MOUD follow-up coordination and completion. Descriptive statistics were used for data analysis.
Results: In the first year, 285 OUD MAR consultations were completed for 221 unique patients. The average patient was 51 (±14 SD) years old and male (61%). Pharmacists initiated MOUD for 110 patients [71 (25%) methadone and 39 (14%) buprenorphine/naloxone] and held MOUD for 50 (18%) patients for further evaluation. Approximately 31% were taking MOUD before admission for a median of 12 (IQR=20) months. Over half (53%) of patients had previously used MOUD. Consults were initiated a median of one (IQR=2) day following admission, predominantly by the internal medicine (39%), specialty (25%), and critical care services (17%). One-hundred eighty-three (72%) patients agreed to and received MOUD follow-up coordination, of which 34% completed follow-up within 30 days of discharge.
Conclusion: The inpatient pharmacist-driven OUD MAR consultation service provided access to comprehensive medication management and MOUD follow-up coordination.
Presenting Author
Alexander Infante PharmDUniversity of Illinois at Chicago College of Pharmacy
Authors
Eden Keller PharmD
University of Illinois at Chicago College of Pharmacy
Jennie Jarrett PharmD, BCPS, MMedEd, FCCP
University of Illinois at Chicago
Sarah Messmer MD
University of Illinois Chicago
Christine Neeb MD
University of Illinois Chicago
Abigail Elmes PharmD, BCPS, MHPE
University of Illinois at Chicago College of Pharmacy
Suzzane Falck MD
University of Illinois Chicago
Steven Fisher MD
University of Illinois Chicago
Kathy Wollner MD
University of Illinois Chicago College of Medicine
Jessica Richardson MD
University of Illinois at Chicago Mile Square Health Center (MSHC)
Paul Stranges PharmD
University of Illinois Chicago