Substance Use and Related Disorders
The impact of psychiatric evaluation among patients with Infective Endocarditis and IVDU in the United States; a study of 34 center
Objectives: We sought to assess the impact of the Behavioral Medicine evaluation among patients hospitalized with infective endocarditis (IE) and have a diagnosis of Intravenous Drug Use (IVDU).
Methods: This was a retrospective multi-center multi-national design. We identified adult patients who had a diagnosis of Infective Endocarditis and IVDU in the TriNetx (Diamond Network) between January 20th2010 and December 31st, 2020. Patients were then divided into those who had Infective Endocarditis and IVDU with a Behavioral Consult and those did not. We compared all-cause mortality in the two groups as well as secondary outcomes such as HIV rate, HEP C rates and ICU admission rates.
Results: A total of 5,891 patients were included. Of those 4974 patients (84.5%) had a Behavioral Medicine consult and 917 patients (15.5%) did not have a Behavioral Consult during their initial inpatient encounter. Patients in the group that had a Behavioral Medicine evaluation during the hospitalization had statistically significant lower mortality rate during that hospitalization 64 (6.979%) compared to 90 (9.815%) in the group that did not have a Behavioral Medicine evaluation. P-value 0.0286. Patients in the Behavioral consult group tended to be more female (44.5% vs 32.6%, P<br>
Conclusion: In a large multi-national database, data shows lower mortality among patients with IE and IVDU that were evaluated by Behavioral Medicine during their hospitalization compared to patients with IE and IVDU that were not evaluated by Behavioral Medicine despite having higher rate of other comorbidities.
Alfred Tager, MD, MPH– Resident, Charleston Area Medical Center, Department of Psychiatry, Charleston, WV, United States
Frank Annie, PhD, MPA, MA– Research Scientist, Charleston Area Medical Center Health Education and Research Institute, Charleston, WV, United States
Patrick Kerr, PhD– Associate Professor/Director, WVU Behavioral Science & Psychopathology Research Division, West Virginia University School of Medicine-Charleston, Charleston, WV, United States
Adina Bowe, MD– Assistant Professor at the Department of Psychiatry, Charleston Area Medical Center, Department of Psychiatry, charleston, WV, United States