RESUMEN
OBJECTIVE: This study examined if emergency department (ED) operational metrics, such as wait time or length of stay, are associated with interest in substance use disorder (SUD) treatment referral among patients at high risk of opioid overdose. METHODS: In this observational study, 648 ED patients at high risk of opioid overdose completed a baseline questionnaire. Operational metrics were summarized using electronic health record data. The association between operational metrics and treatment interest was estimated with multivariable logistic regression. RESULTS: Longer time to room (adjusted odds ratio [AOR]=1.12, 95% confidence interval [CI]=1.01-1.25) and length of stay (AOR=1.02, 95% CI=1.00-1.05) were associated with treatment referral interest. Time to provider and number of treating providers showed no significant association. CONCLUSION: Longer rooming wait times and longer ED visits were associated with increased SUD treatment referral interest. This suggests patients who wait for longer periods may be motivated for treatment and warrant further resource investment.
Asunto(s)
Servicio de Urgencia en Hospital , Tiempo de Internación , Derivación y Consulta , Humanos , Servicio de Urgencia en Hospital/estadística & datos numéricos , Rhode Island , Femenino , Masculino , Adulto , Persona de Mediana Edad , Derivación y Consulta/estadística & datos numéricos , Tiempo de Internación/estadística & datos numéricos , Trastornos Relacionados con Sustancias/terapia , Trastornos Relacionados con Sustancias/epidemiología , Encuestas y Cuestionarios , Trastornos Relacionados con Opioides/terapia , Trastornos Relacionados con Opioides/epidemiología , Sobredosis de Droga/terapia , Adulto Joven , Factores de Tiempo , Modelos LogísticosRESUMEN
Lactobacillus iners is a common member of the human vaginal microbiota, with a genome size smaller than that of other lactobacilli. Here, we report the complete genome sequences of six L. iners strains isolated from different vaginal swab specimens. Three strains were found to harbor â¼100-kbp plasmids, which were not known previously.