P1068 - The Impact of Inpatient Substance Use Counseling on Hospitalizations for Acute Alcoholic Pancreatitis

Scarlett Austin, DO, Brittany Vannatter, DO, Shifa Umar, MD, Suzanne Morrissey, MD
Allegheny Health Network, Pittsburgh, PA

Introduction: Alcohol-induced pancreatitis contributes to significant disease burden and recurrent hospital admissions. Current guidelines recommend a substance use consult (SUC) for alcohol use in the inpatient setting. Our hospital network provides counseling regarding substance use via multiple avenues including addiction medicine and behavioral health. We aimed to evaluate the impact of inpatient SUC on subsequent admissions for alcoholic pancreatitis.

Methods: A retrospective chart review was performed of patients admitted within our network for acute alcoholic pancreatitis from 2015 to 2021. Data was collected regarding substance use evaluations and counseling, length of stay, and subsequent admissions for alcoholic pancreatitis.

Results: There were a total of 465 admissions for alcoholic pancreatitis. SUC was completed in 120 of the admissions (25.8%); 50 consults were placed to Addiction medicine, and 70 to Behavioral Health. Of the admissions (N=120) evaluated by SUC, 28% (N=33) had a subsequent admission for alcoholic pancreatitis. In comparison to admissions which did not have an intervention (N=345), 54% had a subsequent admission for alcoholic pancreatitis.

Patients who were seen by SUC and were readmitted had an average of 138.04 days from admission date to admission date; an average of 151.38 days when seen by addiction medicine and an average of 124.72 days when seen by behavioral health. Patients who did not see an interventional service and were readmitted had an average of 179.1 days to subsequent admission. The days to subsequent admission were not significantly different in an ANOVA analysis.

Discussion: Our data suggests that SUC during hospitalization for acute alcoholic pancreatitis decreases subsequent admissions for alcoholic pancreatitis. Given the disease burden and complications associated with alcohol-induced pancreatitis, SUC should be considered on admission.



Disclosures:


Scarlett Austin, DO, Brittany Vannatter, DO, Shifa Umar, MD, Suzanne Morrissey, MD. P1068 - The Impact of Inpatient Substance Use Counseling on Hospitalizations for Acute Alcoholic Pancreatitis, ACG 2021 Annual Scientific Meeting Abstracts. Las Vegas, Nevada: American College of Gastroenterology.