"Before medically advised" hospital discharge and the risk of subsequent drug overdose: A case-crossover analysis.

ABSTRACT:

Background

Patient-initiated or "before medically advised" (BMA) hospital discharge is more common among people who use drugs. Transitions of care can be destabilizing and might increase the risk of subsequent illicit drug overdose.

Objectives

This study sought to evaluate whether BMA discharge is associated with an increased risk of subsequent drug overdose (primary objective) and whether physician-advised discharge is associated with an increased risk of subsequent drug overdose (secondary objective).

Methods

We performed a case-crossover analysis of population-based linked administrative health data for individuals experiencing an overdose between 2016 and 2019 in British Columbia, Canada. Using conditional logistic regression, we compared the likelihood of hospita

SUBMITTER: Staples JA 

PROVIDER: S-EPMC11797548 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature