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Sanvisens, A., Hernández-Rubio, A., Zuluaga, P., Fuster, D., Papaseit, E., Galan, S., … & Muga, R. (2021). Long-Term Outcomes of Patients With Cocaine Use Disorder: A 18-years Addiction Cohort Study. Frontiers in Pharmacology, 12, 111.
The addiction to cocaine, like other addictions felt by many people around the world, affect the ability of the people in question to productively engage in going about their normal businesses and usefully contributing to making their societies better. This is because families, friends and nations have to heavily invest in addiction management programs, sometimes, at the expense of other pressing needs that they have. The selected article considers cocaine use disorder over a long period of time, giving the researchers time to exhaustively study the cohorts selected and make the conclusions that they do.
The article cites a number of drugs and therefore comorbidities that exacerbate the problem of cocaine addiction in the victims and thus increase the likelihood that they will more likely die from their addiction to cocaine. For cocaine, and indeed many other drugs that bring about addiction, the mere fact that one uses the cocaine increases the likelihood that they would end up abusing other drugs as well. When they do so, they develop comorbidities that reduce the chances that they will effectively fight the cocaine addiction successfully. The article mentions some of these drugs that include cannabis, tobacco, alcohol, injectors and opium (Sanvisens et al., 2021).
The article notes in its findings that the patients that showed comorbidities as a result of the consistent use of these drugs were more likely to be taken into the emergency department and get hospitalized eventually. This perspective if supported by the fact that the ones that abuse multiple drugs in addition to their cocaine addiction usually end up suffering the comorbidities that make their conditions worse each time. The use of such drugs effectively interferes with their immune systems, limiting their ability to successfully mount an effective immune response fight to the problems they get. In addition, it is also likely that such people would be more prone to skipping or entirely avoiding taking drugs thus limiting their ability to effectively recover.
The rates of mortality were also noted to be higher for the patients with comorbidities than it was for the other study participants. This would be down to the fact that the patients not only have lowered immunity, but also due to the fact they hardly adhere to medical instructions due to intoxification. Following such a number for the period of time that it did needed that the researchers were able to identify and keep a large number of information, besides having the ability to analyze and come up with the right conclusions taking all the variables over the years into consideration.
The study concludes that to effectively manage addiction care (for cocaine), there is an enhanced need to stratify medical comorbidity in order to ensure that the health outcomes of the addicted population is improved (Sanvisens et al., 2021). This stratification would be essential in the sense that the caregivers would be aware of the comorbidities that the addicted people have, and therefore be able to provide comprehensive healthcare plan that takes into account all the comorbidities that are brought about by the use of other drugs and substances. This suggestion tends to imply that effective management of cocaine addiction ought to be an integrated affair to an extent that the caregivers would shun independent handling of such cases.
This article provides and invaluable insight into the management of not only cocaine addiction, but substance addiction in general. Reducing hospitalizations and the rates of mortality need that the comorbidities are all considered, with emphasis on those that are caused by indulging in other related substances that may lead to medical non-compliance and the compromising of patient immunity.

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