[Maintaining opioid abstinence long after inpatient treatment with opioid substitution in an addictology hospital unit]. / Maintien de l'abstinence aux opioides à distance d'un sevrage de traitement de substitution aux opiacés réalisé en unité hospitalière d'addictologie.
Rev Med Brux
; 34(3): 132-40, 2013.
Article
em Fr
| MEDLINE
| ID: mdl-23951853
ABSTRACT
OBJECTIVES:
Assess the effectiveness of hospital detoxification of opiate substitution treatment (OST) in patients who failed to withdraw as outpatients.METHODS:
Retrospective study, conducted among patients admitted for withdrawal of OST in an addiction unit between 2005 and 2011. Referent physicians were interviewed about outcomes at M2, M3, M6 and M12.RESULTS:
47 patients were hospitalized for OST withdrawal. The opioid abstinence rates at 2, 6 and 12 months were 60, 28 and 21 %. No death occurred within 12 months after withdrawal. The only variables significantly associated with the M3 opioids abstinence were age at admission and among the patients admitted for buprenorphine withdrawal, a low dose of buprenorphine at admission.CONCLUSION:
OST withdrawal in a specialized inpatient unit among patients with failure of outpatient withdrawal appears as an option, with an efficacy at least comparable to other methods of detoxification. It allows a comprehensive care and to prevent the risk of overdose.
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Base de dados:
MEDLINE
Assunto principal:
Síndrome de Abstinência a Substâncias
/
Buprenorfina
/
Tratamento de Substituição de Opiáceos
/
Pacientes Internados
/
Antagonistas de Entorpecentes
Idioma:
Fr
Ano de publicação:
2013
Tipo de documento:
Article