Heart failure & cardiomyopathies

Trends in urine drug screening and positivity among patients with heart failure: Insights from a large health system

Am Heart JPublished Retrospective cohort study

Authors' conclusion

Findings suggest that substance use, particularly opioids and cannabinoids, may be common in patients with HF.

Study context

Population
Adults with a urine drug screen in a large academic health system in Colorado (Epic EHR)6,725 (8.9%) with HF
Participants
75,166 adults
Exposure
Patients with HF vs without HF who had a urine drug screening (UDS)
  • HFn = 6,725
Outcome
UDS positivity (any positive result)
Methodological detailssingle health system
  • Single health system

Main finding

As reported in the abstract

Any positive UDS

Observational data: associations, not effects.

Further findings

Positivity by substance (HF)
42.4% · Opiates · Cannabinoids 29.0% · Benzodiazepines 28.0% · Cocaine 11.0%

Characteristics associated with HF among tested patients

Tested patients more likely to have HF if older, male, Black and Medicare beneficiaries

Original publication

Trends in urine drug screening and positivity among patients with heart failure: Insights from a large health system. Am Heart J. Published 10 July 2025. doi:10.1016/j.ahj.2025.07.008

Composed by AI from the published abstract and checked against it. How Briefs are made →

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