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Mortality and employment after in-patient opiate detoxification

Published online by Cambridge University Press:  15 April 2020

A. Naderi-Heiden ,
A. Gleiss ,
C. Bäcker ,
D. Bieber ,
H. Nassan-Agha ,
S. Kasper  and
R. Frey
A. Naderi-Heiden*
Affiliation:
Division of Biological Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Waehringer Guertel 18-20, 1090Vienna, Austria
A. Gleiss
Affiliation:
Core Unit for Medical Statistics and Informatics, Section of Clinical Biometrics, Medical University of Vienna, Spitalgasse 23, 1090Vienna, Austria
C. Bäcker
Affiliation:
Division of Biological Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Waehringer Guertel 18-20, 1090Vienna, Austria
D. Bieber
Affiliation:
Division of Biological Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Waehringer Guertel 18-20, 1090Vienna, Austria
H. Nassan-Agha
Affiliation:
Division of Biological Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Waehringer Guertel 18-20, 1090Vienna, Austria
S. Kasper
Affiliation:
Division of Biological Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Waehringer Guertel 18-20, 1090Vienna, Austria
R. Frey
Affiliation:
Division of Biological Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Waehringer Guertel 18-20, 1090Vienna, Austria
*
*Corresponding author. Tel.: +43 1 40 400 3568; fax: +43 1 40 400 3099. E-mail address: angela.naderi-heiden@meduniwien.ac.at (A. Naderi-Heiden).
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Abstract

Aim

We considered that completed opiate detoxification resulted in increased life expectancy and earning capacity as compared to non-completed detoxification.

Methods

The cohort study sample included pure opioid or poly-substance addicts admitted for voluntary in-patient detoxification between 1997 and 2004. Of 404 patients, 58.7% completed the detoxification program and 41.3% did not. The Austrian Social Security Institution supplied data on survival and employment records for every single day in the individual observation period between discharge and December 2007. Statistical analyses included the calculation of standardized mortality rates for the follow-up period of up to 11 years.

Results

The standardized mortality ratios (SMRs) were between 13.5 and 17.9 during the first five years after discharge, thereafter they fell clearly with time. Mortality did not differ statistically significantly between completers and non-completers. The median employment rate was insignificantly higher in completers (12.0%) than in non-completers (5.5%). The odds for being employed were higher in pure opioid addicts than in poly-substance addicts (p = 0.003).

Conclusions

The assumption that completers of detoxification treatment have a better outcome than non-completers has not been confirmed. The decrease in mortality with time elapsed since detoxification is interesting. Pure opioid addicts had better employment prospects than poly-substance addicts.

Keywords

MortalityEmploymentOpiate detoxificationOpioid dependencePoly-substance dependence
Type
Original articles
Information
European Psychiatry , Volume 27 , Issue 4 , May 2012 , pp. 294 - 300
Copyright
Copyright © Elsevier Masson SAS 2012

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