Curr Probl Cardiol. 2022 Mar 25:101189. doi: 10.1016/j.cpcardiol.2022.101189. Online ahead of print.
There is limited evidence demonstrating whether cannabis, cocaine, amphetamine, or other stimulants use contributes to HF readmissions. We used the National Readmissions Database years 2016-2018 to identify patients with HF with and without SUD (defined as a composite of cannabis, cocaine, or other stimulant use disorders). The main outcome was to assess the risk of 30-day readmissions in HF patients with and without SUD. Of 978,217 HF hospitalizations that met the inclusion criteria, 34,717 (3.5%) had concomitant SUD. HF patients with SUD had significantly higher hazard for 30-day all-cause readmissions [aHR 1.16 (1.12-1.21); p < 0.01] compared to HF patients without SUD. In conclusion, HF patients with SUD have an elevated risk of 30-day all-cause readmissions, mainly driven by cocaine and other stimulant disorders. Screening for substance use in hospitalized HF patients as well as timely referral for treatment are important to prevent HF readmissions.
Source: ncbi 2