Back to Search
Start Over
Association Between Alcohol, Substance Use, and Inpatient Burn Outcomes
- Source :
- Journal of Burn Care & Research. 42:595-599
- Publication Year :
- 2021
- Publisher :
- Oxford University Press (OUP), 2021.
-
Abstract
- The use of alcohol and illicit substances has been associated with impaired judgment and health, but the effect on inpatient outcomes after burn injury remains unsettled. Our objective was to evaluate the effect of alcohol and illicit substance use on our inpatient burn outcomes. Adult patients admitted with burn injury—including inhalation injury only—between January 1, 2014 and June 30, 2019 were eligible for inclusion. Alcohol use and illicit drug use were identified on admission. Outcomes of interest included requiring mechanical ventilation, admission to the intensive care unit, length of stay, and inpatient mortality. Multivariable linear and logistic regression models were used to estimate the effects of use on inpatient outcomes. A total of 3476 patients were included in our analyses; 8% (n = 284) tested positive for alcohol, 10% (n = 364) tested positive for cocaine, and 27% (n = 930) tested positive for marijuana and at admission. Two hundred and eighty adults (18% of all positive patients) tested positive for at least two substances. Patients who tested positive for alcohol had longer lengths of stay and were more likely to be admitted to the intensive care unit. Patients who tested positive for cocaine had longer overall and intensive care unit lengths of stay. No differences in inpatient outcomes were seen among patients who tested positive for marijuana. Neither alcohol nor illicit substance use appears to affect inpatient mortality after burns. Alcohol and cocaine use significantly increased overall length of stay. Marijuana use had no impact on inpatient outcomes.
- Subjects :
- Adult
Male
medicine.medical_specialty
Burn injury
Alcohol Drinking
Substance-Related Disorders
medicine.medical_treatment
Comorbidity
Logistic regression
law.invention
03 medical and health sciences
0302 clinical medicine
Marijuana use
law
mental disorders
medicine
Humans
Impaired judgment
030212 general & internal medicine
Mechanical ventilation
Inpatients
business.industry
Rehabilitation
030208 emergency & critical care medicine
Middle Aged
Intensive care unit
Substance Abuse Detection
Alcoholism
Alcohol substance
Inhalation injury
Emergency medicine
Emergency Medicine
Surgery
Burns
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 15590488 and 1559047X
- Volume :
- 42
- Database :
- OpenAIRE
- Journal :
- Journal of Burn Care & Research
- Accession number :
- edsair.doi.dedup.....2b6c3881218e32b3499e385c527d316a
- Full Text :
- https://doi.org/10.1093/jbcr/irab069