Raimo Palmu1, Timo Partonen2, Kirsi Suominen3, Jyrki Vuola4, Erkki Isometsä5. 1. Department of Psychiatry, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; Department of Public Health Solutions, National Institute for Health and Welfare, Helsinki, Finland. Electronic address: raimo.palmu@hus.fi. 2. Department of Public Health Solutions, National Institute for Health and Welfare, Helsinki, Finland. 3. City of Helsinki, Social Services and Healthcare, Department of Mental Health and Substance Abuse, Helsinki, Finland. 4. Helsinki Burn Center, Department of Plastic Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. 5. Department of Psychiatry, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; Department of Public Health Solutions, National Institute for Health and Welfare, Helsinki, Finland.
Abstract
OBJECTIVE: We investigated alcohol use and smoking at time of burn and their relationships with severity of burn and presence of mental disorders. METHODS: Consecutive acute burn patients (N=107) admitted to the Helsinki Burn Center were assessed with the structured clinical interview for mental disorders (SCID) at baseline and after 6 months. Information regarding being under the influence of alcohol and having smoking-related activity at burn as well as about hazardous drinking (Alcohol Use Disorders Identification Test) and heavy smoking before the burn was recorded. RESULTS: Around half (52%) of the acute burn patients were under the influence of alcohol and 19% had been both drinking and smoking at the time of the burn. Patients under the influence at the time of burn had significantly higher prevalence of lifetime mental disorders compared to those patients who were not under the influence of alcohol (73.2% vs. 45.1%, p=0.003), especially alcohol dependence (55.4% vs. 13.7%, p<0.001) and anxiety disorders (28.6% vs. 9.8%, p=0.015). Patients who had both alcohol use and smoking at burn had even more often at least one mental disorder (95.0% vs. 51.7%, p<0.001), in specific alcohol dependence (90.0% vs. 23.0%, p<0.001), or psychotic disorder (25.0% vs. 6.9%, p=0.016). The main characteristics of the burns themselves did not differ significantly between these groups. CONCLUSION: Half of the burn patients were under the influence of alcohol at the time of the burn in this study. In almost all patients where alcohol and smoking contributed to the burn a diagnosable alcohol use disorder was present. Interventions for those with alcohol use disorders and the associated risk behaviors are important for the prevention of burns.
OBJECTIVE: We investigated alcohol use and smoking at time of burn and their relationships with severity of burn and presence of mental disorders. METHODS: Consecutive acute burn patients (N=107) admitted to the Helsinki Burn Center were assessed with the structured clinical interview for mental disorders (SCID) at baseline and after 6 months. Information regarding being under the influence of alcohol and having smoking-related activity at burn as well as about hazardous drinking (Alcohol Use Disorders Identification Test) and heavy smoking before the burn was recorded. RESULTS: Around half (52%) of the acute burn patients were under the influence of alcohol and 19% had been both drinking and smoking at the time of the burn. Patients under the influence at the time of burn had significantly higher prevalence of lifetime mental disorders compared to those patients who were not under the influence of alcohol (73.2% vs. 45.1%, p=0.003), especially alcohol dependence (55.4% vs. 13.7%, p<0.001) and anxiety disorders (28.6% vs. 9.8%, p=0.015). Patients who had both alcohol use and smoking at burn had even more often at least one mental disorder (95.0% vs. 51.7%, p<0.001), in specific alcohol dependence (90.0% vs. 23.0%, p<0.001), or psychotic disorder (25.0% vs. 6.9%, p=0.016). The main characteristics of the burns themselves did not differ significantly between these groups. CONCLUSION: Half of the burn patients were under the influence of alcohol at the time of the burn in this study. In almost all patients where alcohol and smoking contributed to the burn a diagnosable alcohol use disorder was present. Interventions for those with alcohol use disorders and the associated risk behaviors are important for the prevention of burns.
Authors: Salomon Puyana; Samuel Ruiz; Francisco Amador; Elizabeth Young; Shaikh Hai; Mark Mckenney; Rizal Lim; Haaris Mir Journal: Eplasty Date: 2021-11-29
Authors: Lynne Benavides; Vivian Shie; Brennan Yee; Miranda Yelvington; Laura C Simko; Audrey E Wolfe; Kara McMullen; Janelle Epp; Ingrid Parry; Rachel Shon; Radha Holavanahalli; David Herndon; Marta Rosenberg; Laura Rosenberg; Walter Meyer; Nicole Gibran; Shelley Wiechman; Colleen M Ryan; Jeffrey C Schneider Journal: J Burn Care Res Date: 2020-02-19 Impact factor: 1.819