Substance use and misuse in burn patients: Testing the classical hypotheses of the interaction between post-traumatic symptomatology and substance use

Eiroá-Orosa, Francisco José; Giannoni-Pastor, Anna; Kinori, Sara Guila Fidel; Arguello, Jose Maria

doi:10.1080/10550887.2015.1127717

Cited by 9 publications

(5 citation statements)

References 38 publications

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“…Alcohol abuse was reported in 6.9% of patients in our study, a high rate compared to the average of 4.2% in the Spanish population in 2019 51 . These figures are consistent with those reported by Eiroa-Orosa, who showed that a higher proportion of burn patients had a history of substance abuse compared with the general population 52 .…”

Section: Discussionsupporting

confidence: 92%

Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain

Abarca,

Guilabert,

Martin

et al. 2023

Sci Rep

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Burn injuries are one of the leading causes of morbidity worldwide. Although the overall incidence of burns and burn-related mortality is declining, these factors have not been analysed in our population for 25 years. The aim of this study has been to determine whether the epidemiological profile of patients hospitalized for burns has changed over the past 25 years. We performed a retrospective cohort study of patients hospitalised between 1 January 2011 and 31 December 2018 with a primary diagnosis of burns. The incidence of burns in our setting was 3.68/105 population. Most patients admitted for burns were men (61%), aged between 35 and 45 years (16.8%), followed by children aged between 0 and 4 years (12.4%). Scalding was the most prevalent mechanism of injury, and the region most frequently affected was the hands. The mean burned total body surface (TBSA) area was 8.3%, and the proportion of severely burned patients was 9.7%. Obesity was the most prevalent comorbidity (39.5%). The median length of stay was 1.8 days. The most frequent in-hospital complications were sepsis (16.6%), acute kidney injury (7.9%), and cardiovascular complications (5.9%). Risk factors for mortality were advanced age, high abbreviated burn severity index score, smoke inhalation, existing cardiovascular disease full-thickness burn, and high percentage of burned TBSA. Overall mortality was 4.3%. Multi-organ failure was the most frequent cause of death, with an incidence of 49.5%. The population has aged over the 25 years since the previous study, and the number of comorbidities has increased. The incidence and severity of burns, and the percentage of burned TBSA have all decreased, with scalding being the most prevalent mechanism of injury. The clinical presentation and evolution of burns differs between children and adults. Risk factors for mortality were advanced age, smoke inhalation, existing cardiovascular disease, full-thickness burn, and high percentage of burned TBSA.

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Section: Discussionsupporting

confidence: 92%

Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain

Abarca,

Guilabert,

Martin

et al. 2023

Sci Rep

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“…This includes people in danger of social exclusion and already suffering serious mental health problems and illegal drug use. In both cases these groups made up almost one third of the sample, well above rates registered in other burn samples [55,12]. In these cases, the characteristics of the accident that caused the burn may be related to high risk activities such as copper theft from street lights or the drowsiness caused by the consumption of benzodiazepines.…”

Section: Discussionmentioning

confidence: 90%

The Fenix II study: A longitudinal study of psychopathology among burn patients

Kinori

Eiroá-Orosa

Giannoni-Pastor

et al. 2016

Burns

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Psychological symptoms are common among burn survivors. However, knowledge about epidemiology and predictors of psychopathology has shown great heterogeneity in this population. The Fenix-II Project was the first epidemiological study on the psychopathological consequences of burn injuries developed in Spain, providing a detailed analysis of the progression of psychological symptoms during the first six months after injury. Three hundred and thirty-three patients were monitored and 183 were included in this study. Posttraumatic, depression and anxiety symptoms showed a general decreasing tendency across time. At 6 months, 34 patients showed clinically significant Posttraumatic Stress Disorder (PTSD) symptoms (20.5% of 166 patients reached at 6 months) as measured with the MINI Neuropsychiatric Interview. Within this group of patients, anxiety, depression and hyperarousal increased at 30 days, and avoidance 90 days after injury. The most accurate predictors of PTSD were found to be being burned in a Motor Vehicle Accident, risk of social exclusion, low body-image adjustment, anterior trunk location of the burn injury and life threat perception during the burn-shock period. Considering these factors, clinicians may identify patients at risk of PTSD development, allowing an adequate follow up and preventive interventions which may minimize the psychological consequences of burn injuries.

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“…While the time until the patient was found unconscious in sauna was not known, the period recorded in other studies was 30 minutes to 1 hour [3]. In comparison with the general population, higher rates of substance abuse, misuse were seen in the patients with burn injury [8,9,10,11]. Substance abuse in burn injury patients was reported to be an aggravating condition in patients` recovery.…”

Section: Discussionmentioning

confidence: 94%

Hot Air Sauna Burns and Coma Resulted from Fentanyl Patch Overdose

Miclescu¹

2021

IJCMCR

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Substance use and misuse in burn patients: Testing the classical hypotheses of the interaction between post-traumatic symptomatology and substance use

Abstract: Background: We aimed to test whether the three classical hypotheses of the interaction between

Cited by 9 publications

References 38 publications

Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain

Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain

The Fenix II study: A longitudinal study of psychopathology among burn patients

Hot Air Sauna Burns and Coma Resulted from Fentanyl Patch Overdose

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