Sarvesh Logsetty1, Amir Shamlou2, Justin P Gawaziuk3, Justin March4, Malcolm Doupe5, Dan Chateau6, Mike Hoppensack7, Sazzadul Khan8, Maria Medved9, William D Leslie10, Murray W Enns11, Murray B Stein12, Gordon J G Asmundson13, Jitender Sareen14. 1. Manitoba Firefighters' Burn Unit, Winnipeg, Manitoba, Canada; Department of Surgery, Sections of General and Plastic Surgery, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. Electronic address: logsetty@umanitoba.ca. 2. Department of Psychiatry, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. Electronic address: amir.h.shamlou@gmail.com. 3. Manitoba Firefighters' Burn Unit, Winnipeg, Manitoba, Canada; Department of Surgery, Sections of General and Plastic Surgery, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. Electronic address: jgawaziuk@live.com. 4. Department of Physical Medicine & Rehabilitation, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. Electronic address: justin.march16@gmail.com. 5. Department of Community Health Sciences & Manitoba Centre for Health Policy, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. Electronic address: malcolm_doupe@cpe.umanitoba.ca. 6. Department of Community Health Sciences & Manitoba Centre for Health Policy, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. Electronic address: dan_chateau@cpe.umanitoba.cam. 7. Department of Surgery, Section of General Surgery, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. Electronic address: mhoppensack@exchange.hsc.mb.ca. 8. Department of Community Health Sciences & Manitoba Centre for Health Policy, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. Electronic address: sazzadul_khan@cpe.umanitoba.ca. 9. Department of Psychology, Faculty of Arts, University of Manitoba, Winnipeg, Canada; Department of Psychology, American University of Paris, Paris, France. Electronic address: medved@cc.umanitoba.ca. 10. Departments of Radiology and Internal Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. Electronic address: bleslie@sbgh.mb.ca. 11. Department of Psychiatry, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada; Department of Community Health Sciences, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. Electronic address: menns@exchange.hsc.mb.ca. 12. VA San Diego Healthcare System, CA, USA; University of California, San Diego, CA, USA. Electronic address: mstein@ucsd.edu. 13. Department of Psychology, University of Regina, Regina, Saskatchewan, Canada. Electronic address: gordon.asmundson@uregina.ca. 14. Department of Psychiatry, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada; Department of Community Health Sciences, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. Electronic address: sareen@cc.umanitoba.ca.
Abstract
PURPOSE: This study investigates the increased risk of mental health outcomes and health care utilization associated with burn with two year of follow-up using a longitudinal population-based matched cohort design. METHODS: Adult burn survivors (n=157) were identified from a provincial burn registry and matched 1:5 with non-burn control subjects from the general population (matching variables age and gender). The prevalence of mental health outcomes and the rates of health care utilization between the groups were compared for the 2years pre and post index date using anonymously linked population-based administrative health care data. Rates were adjusted for age, gender and sociodemographic characteristics. RESULTS: While the burn cohort had an increased prevalence of mental health problems after burn compared to the control cohort, the burn group also had an increased prevalence of pre-burn depression (16.6% vs 7.8%; p=0.0005) and substance use disorders (8.9% vs 3.2%; p=0.001) when compared to controls. Once the pre-existing prevalence of mental illness was taken into account there was no significant change in the prevalence of mental health problems when comparing the burn group to controls over time. CONCLUSIONS: Although burns may not increase rates of mental health issues and health care utilization, burn survivors are a vulnerable group who already demonstrate increased rates of psychopathology and need for care. The present study highlights the importance of assessment and treatment of mental health outcomes in this population.
PURPOSE: This study investigates the increased risk of mental health outcomes and health care utilization associated with burn with two year of follow-up using a longitudinal population-based matched cohort design. METHODS: Adult burn survivors (n=157) were identified from a provincial burn registry and matched 1:5 with non-burn control subjects from the general population (matching variables age and gender). The prevalence of mental health outcomes and the rates of health care utilization between the groups were compared for the 2years pre and post index date using anonymously linked population-based administrative health care data. Rates were adjusted for age, gender and sociodemographic characteristics. RESULTS: While the burn cohort had an increased prevalence of mental health problems after burn compared to the control cohort, the burn group also had an increased prevalence of pre-burn depression (16.6% vs 7.8%; p=0.0005) and substance use disorders (8.9% vs 3.2%; p=0.001) when compared to controls. Once the pre-existing prevalence of mental illness was taken into account there was no significant change in the prevalence of mental health problems when comparing the burn group to controls over time. CONCLUSIONS: Although burns may not increase rates of mental health issues and health care utilization, burn survivors are a vulnerable group who already demonstrate increased rates of psychopathology and need for care. The present study highlights the importance of assessment and treatment of mental health outcomes in this population.
Authors: Olivia R Stockly; Audrey E Wolfe; Richard Goldstein; Kimberly Roaten; Shelley Wiechman; Nhi-Ha Trinh; Jeremy Goverman; Frederick J Stoddard; Ross Zafonte; Colleen M Ryan; Jeffrey C Schneider Journal: J Burn Care Res Date: 2022-07-01 Impact factor: 1.819
Authors: Marc G Jeschke; Margriet E van Baar; Mashkoor A Choudhry; Kevin K Chung; Nicole S Gibran; Sarvesh Logsetty Journal: Nat Rev Dis Primers Date: 2020-02-13 Impact factor: 52.329
Authors: Keith T S Tung; Rosa S Wong; Frederick K Ho; Ko Ling Chan; Wilfred H S Wong; Hugo Leung; Ming Leung; Gilberto K K Leung; Chun Bong Chow; Patrick Ip Journal: JMIR Public Health Surveill Date: 2022-08-18