Exploring the Burn Model System National Database: Burn injuries, substance misuse, and the CAGE questionnaire

Grant, Gordon; Wolfe, Audrey E; Thorpe, Catherine R.; Gibran, Nicole S.; Carrougher, Gretchen J.; Wiechman, Shelley A.; Holavanahalli, Radha; Stoddard, Frederick J.; Sheridan, Robert L.; Kazis, Lewis E.; Schneider, Jeffrey C.; Ryan, Colleen M

doi:10.1016/j.burns.2019.12.016

Cited by 5 publications

(3 citation statements)

References 9 publications

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“…With a mean age of 40 years, a gender distribution of 72% males and 28% females and a mean TBSA of 9%, our patients were comparable to other burn survivor collectives. Sheckter et al reviewed 493 adult burn survivors with a median age 46, mean %TBSA of 14, and 72% males [ 14 ], and Grant et al compared burn survivors with (age 42, 69% male, 21% TBSA) and without (age 48, 67% male, 18% TBSA) problematic substance abuse [ 15 ]. The collective reviewed by Palmu et al had similar mean age, gender distribution, and %TBSA.…”

Section: Discussionmentioning

confidence: 99%

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Life after Burn, Part II: Substance Abuse, Relationship and Living Situation of Burn Survivors

2022

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Background and Objectives: After burns, social reintegration is a primary long-term objective. At the same time, substance-abuse disorders are more common in burn patients. The aim of this study was to assess prevalence of substance abuse pre- and postburn as well as living situation and relationship status relative to patient-reported health-related quality of life (HRQoL). Patients and Methods: Burn survivors treated as inpatients between 1 January 2012 and 31 December 2019 were retrospectively identified. Collected clinical data included: age, gender, time since injury, burn extent (%TBSA), and substance abuse. Patient-reported living situation, relationship status, smoking habits, alcohol and drug consumption pre- and postburn as well as the SF-36 study were ascertained via telephone survey. Inductive statistical analysis comprised uni- and multivariate testing. A p < 0.05 was considered as statistically significant. Results: A total of 128 patients, 93 (72.7%) men, with a mean age of 40.0 ± 15.7 years were included. Mean TBSA was 9.2 ± 11.0% and significantly lower in women (p = 0.005). General health SF-36 scores were significantly lower in women (67.6 ± 29.8) than men (86.0 ± 20.8, p = 0.002). Smoking decreased from 38.8% pre- to 31.1% postburn. A significant reduction in alcohol consumption was noted over time (p = 0.019). The rate of never-drinkers was 18.0% pre- and 27.3% postburn. Drug abuse was rare both pre- (7.8%) and postburn (5.3%). Living situation remained stable. None of the participants depended on assisted living or lived in a care facility postburn. In total, 75.8% and 67.2% were in a relationship pre- and postburn. Patients with higher alcohol consumption postburn were significantly more often male (p = 0.013) and had higher SF-36 general health scores (p < 0.001). Conclusions: HRQoL is better in men than in women after burn injury. A slight decrease in substance abuse postburn was noted. The connection between HRQoL and substance abuse after burn injuries needs to be investigated further in the future.

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Section: Discussionmentioning

confidence: 99%

“…There is limited data available in medical literature concerning alcohol and drug abuse in burn survivors, although preburn substance-abuse disorders have been associated with impaired outcome on multiple occasions [ 15 , 24 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

Life after Burn, Part II: Substance Abuse, Relationship and Living Situation of Burn Survivors

2022

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“…Positive CAGE scores at a later follow-up imply that substance abuse continues in the majority of these people even after treatment for the acute burn injury. Additionally, a sizable portion of those people who did not have substance abuse problems prior to the injury, as determined by the CAGE at acute burn discharge, tested positive for substance abuse at follow-up over the course of the following few years (9). Findings from the retrospective cohort study showed that overall, the prevalence of substance misuse was 34%.…”

Section: Reflection From Literaturementioning

confidence: 98%

Relationship of Substance Abuse and Living Situation on Burn Survivors

Alzahrani¹,

Alharazi²,

Alzahran³

et al. 2022

JOHS

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Burn injuries are associated with high morbidity and fatality. Severe burns are complicated by an inflammatory and immunological response, metabolic abnormalities, and distributive shock that can cause multiple organ failure and be difficult to manage. Burns pose a considerate impact on patient's quality of life, mental and physical health. A burn injury frequently necessitates a lifelong healing procedure. Changes in survivors' mobility, appearance, and capacity to carry out activities of daily living have an influence on them. Burn injury trauma can persist for years, giving survivors anxiety and making daily life more difficult. Evidence points to substance-abuse disorders and psychiatric comorbidities as having an effect on social reintegration postburn, in addition to damage severity and physical comorbidities. Additionally, increased prevalence of substance addiction and psychiatric illnesses are reported among burn patients and survivors. Long-term and frequently complex hospital care as well as prolonged and unsuccessful postburn rehabilitation have been linked to substance misuse and psychiatric illnesses. Psychiatric rehabilitation is impacted by the stigma attached to burns, substance abuse, mental illness, and pain. Burn patients are commonly prescribed opioids in clinical practice for the management of pain. However, long-term opioid use, albeit beneficial, leads to opioid dependence and may also be associated with other mental health problems. Psychological assessments of burn survivors can also help in prevention of substance abuse. The purpose of this research is to review the available information about relationship of substance abuse and living situation of burn survivors.

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Outpatient Burn Care

Stewart

Gibran

2023

Essential Burn Care for Non-Burn Specialists

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Exploring the Burn Model System National Database: Burn injuries, substance misuse, and the CAGE questionnaire

Cited by 5 publications

References 9 publications

Life after Burn, Part II: Substance Abuse, Relationship and Living Situation of Burn Survivors

Life after Burn, Part II: Substance Abuse, Relationship and Living Situation of Burn Survivors

Relationship of Substance Abuse and Living Situation on Burn Survivors

Outpatient Burn Care

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