{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T21:28:00Z","timestamp":1792704480528,"version":"4.5.0"},"reference-count":23,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T00:00:00Z","timestamp":1721347200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Alcohol withdrawal is a common reason for admission to acute care hospitals. Prescription of medications for alcohol\u2010use disorder (AUD) and close outpatient follow\u2010up are commonly recommended, but few studies report their effects on postdischarge outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The objective of this study is to evaluate the effects of medications for AUD and follow\u2010up appointments on readmission and abstinence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective cohort study evaluated veterans admitted for alcohol withdrawal to medical services at 19 Veteran Health Administration hospitals between October 1, 2018 and September 30, 2019. Factors associated with all\u2010cause 30\u2010day readmission and 6\u2010month abstinence were examined using logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 594 patients included in this study, 296 (50.7%) were prescribed medications for AUD at discharge and 459 (78.5%) were discharged with follow\u2010up appointments, including 251 (42.8%) with a substance\u2010use clinic appointment, 191 (32.9%) with a substance\u2010use program appointment, and 73 (12.5%) discharged to a residential program. All\u2010cause 30\u2010day readmission occurred for 150 patients (25.5%) and 103 (17.8%) remained abstinent at 6 months. Medications for AUD and outpatient discharge appointments were not associated with readmission or abstinence. Discharge to residential treatment program was associated with reduced 30\u2010day readmission (adjusted odds ratio [AOR]: 0.39, 95% confidence interval [95% CI]: 0.18\u20130.82) and improved abstinence (AOR: 2.50, 95% CI: 1.33\u20134.73).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Readmission and return to heavy drinking are common for patients discharged for alcohol withdrawal. Medications for AUD were not associated with improved outcomes. The only intervention at the time of discharge that improved outcomes was discharge to residential treatment program, which was associated with decreased readmission and improved abstinence.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhm.13458","type":"journal-article","created":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T09:00:01Z","timestamp":1721379601000},"page":"1122-1130","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Medications for alcohol\u2010use disorder and follow\u2010up after hospitalization for alcohol withdrawal: A multicenter study"],"prefix":"10.1002","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4941-8729","authenticated-orcid":false,"given":"Nazima","family":"Allaudeen","sequence":"first","affiliation":[{"name":"Medical Service, VA Palo Alto Healthcare System Palo Alto California USA"},{"name":"Stanford University School of Medicine Palo Alto California 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