Dataset Information

The influence of substance misuse on clinical outcomes following burn.

ABSTRACT:

Introduction

Ongoing increases in the prevalence of substance misuse among burn-injured patients necessitate a contemporary analysis of the association between substance misuse and clinical outcomes in burn-injured adults.

Methods

We conducted a retrospective cohort study of 1199 patients admitted to a regional burn center. History of substance misuse was derived from a prospective clinical registry and categorized as alcohol, illicit drug, or both. The primary outcome was hospital length of stay; association of substance misuse and inpatient complications were secondary outcomes. Multivariable logistic regression was used to model the association between categories of substance misuse and each outcome, adjusting for patient and injury characteristics.

Results

The incidence of substance misuse was 34% overall. After adjustment for patient and injury characteristics, drug misuse was associated with a significantly longer length of stay (RR 1.12; 95% CI 1.00-1.25), as was alcohol misuse (RR 1.32; 95% CI 1.14-1.52), and drug/alcohol misuse (RR 1.34; 95% CI 1.16-1.56). Drug/alcohol misuse was associated with significantly higher rates of bacteremia (OR 3.84; 95% CI 1.83-8.04) and sepsis (OR 2.50; CI 1.13-5.53).

Conclusions

A history of substance misuse is associated with an increased risk of inpatient complications and longer hospital stay. Providers should be cognizant of increased complications in this cohort with a view to improving outcomes.

SUBMITTER: Rehou S

PROVIDER: S-EPMC7865207 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature

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Publications

The influence of substance misuse on clinical outcomes following burn.

Rehou Sarah S Mason Stephanie S MacDonald Jessie J Pinto Ruxandra R Jeschke Marc G MG

Burns : journal of the International Society for Burn Injuries 20170512 7

<h4>Introduction</h4>Ongoing increases in the prevalence of substance misuse among burn-injured patients necessitate a contemporary analysis of the association between substance misuse and clinical outcomes in burn-injured adults.<h4>Methods</h4>We conducted a retrospective cohort study of 1199 patients admitted to a regional burn center. History of substance misuse was derived from a prospective clinical registry and categorized as alcohol, illicit drug, or both. The primary outcome was hospita ...[more]

PMID: 28506508

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Dataset Information

The influence of substance misuse on clinical outcomes following burn.

Introduction

Methods

Results

Conclusions

Publications

The influence of substance misuse on clinical outcomes following burn.

Similar Datasets

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