Evaluating the Impact of the Bridge Clinic in Patients With Opioid Use Disorder

Vanderbilt University Medical Center335 enrolled

Overview

This study aims to determine whether referral to the Bridge Clinic reduces overall index hospital length of stay when compared to direct referral to a long-term outpatient addiction provider for patients with active opioid use disorder (OUD) being considered for medications-for-addiction treatment (MAT).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Enrollment

335

Conditions

Opioid Use Opioid-use Disorder

Interventions

Bridge ClinicOTHER

Referral to the Bridge Clinic for temporary outpatient addiction treatment while the bridge clinic identifies an outpatient addiction treatment provider to accept the patient for long term treatment.

Usual CareOTHER

Referral to an outpatient provider for addiction treatment.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Inpatients at VUH with active OUD being considered for MAT. * Patient accepting a transitional prescription for buprenorphine-naloxone or IM naltrexone whose outpatient plans are not fixed Exclusion Criteria: * Deemed ineligible for referral to outpatient Bridge Clinic by the Addiction Consult Team (examples include but are not limited to patients with severe, active co-occurring psychiatric disorders requiring a higher level of psychiatric care or patients for whom methadone maintenance is deemed the best choice of MAT). * Patients previously randomized in this study.

Locations (1)

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Outcomes

Primary Outcomes

Hospital Length of Stay

Overall index hospital length of stay measured in days

Time frame: approximately 3 to 42 days

Secondary Outcomes

Combined Cost of Index Admission and Subsequent Admissions During the Study Period

Total costs, and costs for each admission and care resource used measured in dollars. This includes the cost of the index hospital admission along with any subsequent admissions during the 16-week follow up period.