Extended-release Buprenorphine Administered at Discharge in Hospitalized Persons With Opioid Use Disorder: A Case Series

INTRODUCTION

Monthly subcutaneous injectable buprenorphine (XR-Bup) is an option for treatment of opioid use disorder (OUD) that addresses some sublingual buprenorphine adherence barriers and is infrequently offered to hospitalized patients with OUD.

METHODS

A retrospective case series was performed for patients receiving XR-Bup upon discharge from 1 academic medical center. Demographic information, diagnoses, follow-up, and documented factors informing the selection of XR-Bup were extracted from the electronic health record.

RESULTS

In 1 year, 37 hospitalized patients with OUD received XR-Bup at discharge. The average age was 37.6 years, and patients were primarily Medicaid insured with an injection-related infection. The most common documented factors informing the selection of XR-Bup were as follows: previous sublingual buprenorphine adherence barriers, concurrent stimulant use disorder, and patient preference. Sixty-four percent of patients scheduled for follow-up attended appointments, and 55% received a second dose of XR-Bup.

CONCLUSIONS

Subcutaneous injectable buprenorphine is an option for OUD treatment among hospitalized patients providing 30 or more days of buprenorphine coverage in the postdischarge period.

Using stars for remote sensing of the Earth's stratosphere

A new UV-visible spectrometer system that measures the absorption of light from stars and planets by constituents in the Earth's atmosphere is described. Because it can be used to make measurements at night, the system has a significant advantage for measuring polar constituents in winter, when conditions that might give rise to ozone loss are initiated. Other advantages arise from the use of a cooled two-dimensional CCD array as the detector: an array detector avoids spectral noise resulting from scintillation of stars or from clouds passing overhead and allows for the possibility of measuring several constituents simultaneously; its second dimension permits auroral light from the atmosphere adjacent to the star to be measured simultaneously and subtracted from the stellar light, and a modern low-noise CCD allows us to use a telescope of modest diameter. The few previous measurements of constituents made by the use of stellar absorption did not have these advantages. The instrument was configured for simplicity and ease of use in field measurements and was deployed outside in winter in Northern Sweden in 1991. Examples of ozone measurements are shown.