The impact of methadone on consumption of inpatient care and mortality, with special reference to HIV status. NLM AIDSLINE Important note: Information in this article was accurate in 1999. The state of the art may have changed since the publication date.

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The impact of methadone on consumption of inpatient care and mortality, with special reference to HIV status.

Subst Use Misuse. 1998 Dec;33(14):2819-34. Unique Identifier : AIDSLINE MED/99084791
Stenbacka M; Leifman A; Romelsjo A; Department of Clinical Neuroscience, Center for Clinic of; Dependence Disorders, Karolinska Institute, Stockholm, Sweden.


Abstract: This study investigates the impact of methadone treatment on inpatient care admissions and mortality among 331 methadone-maintained patients compared with 1,483 similar untreated opiate misusers. The methadone patients manifested a lower mortality during treatment than the comparison group and those patients who had left their treatment. The annual incidence rate decreased from 1.4 inpatient care admissions per year for those who had stayed 0-1 year, less than 1 for those who stayed more than 2 years, and 0.3 for those who had stayed longer (>4 years) in methadone treatment. A similar decrease occurred in both sexes. The incidence rate decreased more among the HIV-negative than the HIV-positive patients. The low incidence of inpatient care during treatment may be due to treatment but may also be partly due to selection factors.
Keywords: JOURNAL ARTICLE Adult Female Hospitalization/*STATISTICS & NUMER DATA Human *HIV Infections HIV Seropositivity Length of Stay Male Methadone/*THERAPEUTIC USE Mortality/*TRENDS Narcotics/*THERAPEUTIC USE Opioid-Related Disorders/COMPLICATIONS/*THERAPY Sex Factors Support, Non-U.S. Gov'tKWDjournalarticleadultfemalehospitalization/KWDstatistics&numerdatahumanKWDhivinfectionshivseropositivitylengthofstaymalemethadone/KWDtherapeuticusemortality/KWDtrendsnarcotics/KWDtherapeuticuseopioid-relateddisorders/complications/KWDtherapysexfactorssupport,non-uKWDsKWDgov't
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