The Cost of Mental Health Comorbid Conditions in Burn Patients: A Single-site Experience

Nam, Jason; Sljivic, Sanja; Matthews, Robert W.; Pak, Joyce; Agala, Chris B.; Salamah, Hanaan; Hatch, Erica; Nizamani, Rabia; King, Booker T.; Laughon, Sarah L.; Williams, Felicia N.

doi:10.1093/jbcr/irac181

Cited by 2 publications

(2 citation statements)

References 27 publications

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“…In addition, many burn survivors suffer from psychiatric conditions long after their physical injuries have healed, and this may be more pronounced in individuals who have a history of mental health disorders prior to admission [ 26 ]. This is of importance since the development of acute mental disorders in burn patients was associated with poor clinical outcomes including decreased survival rates, longer hospitalization times and increased complication rates [ 27 ]. This retrospective work demonstrated that patients that suffered from substance abuse and patients that suffered from combined mental health illness and substance abuse demonstrated significantly higher numbers of isolated P. aeruginosa from the wounds.…”

Section: Discussionmentioning

confidence: 99%

“…Hence, in future studies, it might be prudent to follow up on the mental health of patients following treatment. A study by Nam et al [ 27 ] demonstrated that patients with mental health disorders were younger, had larger burns and had significantly longer lengths of stay which resulted in significantly higher costs; however, it was also found that patients with preexisting mental health disorders had decreased odds of mortality [ 27 ]. In contrast, Mahendraraj et al [ 26 ] demonstrated that acute mental disorder patients had a significantly longer length of hospitalization and shorter actuarial survival.…”

Section: Discussionmentioning

confidence: 99%

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Ten-Year Analysis of Bacterial Colonisation and Outcomes of Major Burn Patients with a Focus on Pseudomonas aeruginosa

Gomersall,

Mortimer,

Hassan

et al. 2023

Microorganisms

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A retrospective descriptive study included patients admitted with severe burns over the course of 10 years (2008–2018). Across all patients, there were 39 different species of bacteria, with 23 species being Gram-negative and 16 being Gram-positive bacteria, with also five different species of fungi cultured. Pseudomonas aeruginosa was the most commonly isolated organism, with 57.45% of patients having a positive culture. There was a significant difference in the number of P. aeruginosa isolated from patients that acquired their burns at work, in a garden, inside a vehicle, in a garage or in a public place. In patients that were positive for P. aeruginosa, the number of operations was higher (2.4) and the length of stay was significantly increased (80.1 days). Patients that suffered from substance abuse demonstrated significantly higher numbers of isolated P. aeruginosa (14.8%). Patients that suffered from both mental health illness and substance abuse demonstrated significantly higher numbers of P. aeruginosa isolated (18.5%). In the P. aeruginosa-negative group, there were significantly fewer patients that had been involved in a clothing fire. Furthermore, in the P. aeruginosa-negative patient cohort, the mortality rate was significantly higher (p = 0.002). Since the incidence of P. aeruginosa was also associated with a decreased mortality rate, it may be that patients admitted to hospital for shorter periods of time were less likely to be colonised with P. aeruginosa. This study demonstrates novel factors that may increase the incidence of P. aeruginosa isolated from burn patients.

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Section: Discussionmentioning

confidence: 99%