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首页> 外文期刊>Journal of substance abuse treatment >Exploring mortality among drug treatment clients: The relationship between treatment type and mortality
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Exploring mortality among drug treatment clients: The relationship between treatment type and mortality

机译：探索药物治疗客户的死亡率：治疗类型与死亡率之间的关系

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Abstract Aims Studies consistently identify substance treatment populations as more likely to die prematurely compared with age-matched general population, with mortality risk higher out-of-treatment than in-treatment. While opioid-using pharmacotherapy cohorts have been studied extensively, less evidence exists regarding effects of other treatment types, and clients in treatment for other drugs. This paper examines mortality during and following treatment across treatment modalities. Methods A retrospective seven-year cohort was utilised to examine mortality during and in the two years following treatment among clients from Victoria, Australia, recorded on the Alcohol and Drug Information Service database by linking with National Death Index. 18,686 clients over a 12-month period were included. Crude (CMRs) and standardised mortality rates (SMRs) were analysed in terms of treatment modality, and time in or out of treatment. Results Higher risk of premature death was associated with residential withdrawal as the last type of treatment engagement, while mortality following counselling was significantly lower than all other treatment types in the year post-treatment. Both CMRs and SMRs were significantly higher in-treatment than post-treatment. Conclusion Better understanding of factors contributing to elevated mortality risk for clients engaged in, and following treatment, is needed to ensure that treatment systems provide optimal outcomes during and after treatment. Highlights ? This study examines crude (CMR) and standardised mortality rates (SMR) in sample of alcohol and drug treatment clients. ? CMRs and SMRs were highest in treatment and in first two months after treatment cessation. ? Clients discharged from residential withdrawal were at increased risk of death in the first year out of treatment. ? Clients discharged from counselling experienced lower risk of death in the first year out of treatment.
机译：摘要目的研究始终如例识别与年龄匹配的一般人群过早死亡的物质治疗群体，死亡率风险高于治疗的疗程更高。虽然表述药物治疗队列进行了广泛的研究，但较少的证据存在关于其他治疗类型的影响，以及其他药物治疗的效果。本文在治疗方式中检查了死亡率和治疗后的死亡率。方法采用回顾性七年的群组在通过与国家死亡指数联系在澳大利亚维多利亚州维多利亚州维多利亚州的客户端期间和两年内的死亡率。包括18,686个客户超过12个月的客户。原油（CMR）和标准化的死亡率（SMRS）在治疗方式和时间内或治疗中分析。结果早期死亡风险较高与住宅撤回有关，作为最后一类治疗接合，咨询后的死亡率明显低于治疗后所有其他治疗类型。 CMRS和SMR两者的治疗方法显着高于治疗后。结论需要更好地了解有助于提高致电的客户对从事和后续治疗后的死亡风险的因素，以确保治疗系统在治疗期间和后提供最佳结果。强调 ？本研究将粗（CMR）和标准化死亡率（SMR）检测在酒精和药物治疗客户样品中。还CMRS和SMR在治疗后最高，治疗后的前两个月。还从住宅撤回中排出的客户在治疗后的第一年增加死亡风险。还从咨询中解雇的客户在治疗后第一年经历了较低的死亡风险。

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