The Effect of Illicit Drug Use on Outcomes Following Burn Injury

Erica I. Hodgman, Madhu Subramanian, Steven Wolf, Brett D. Arnoldo, Herb A. Phelan, Michael W. Cripps, Kareem R. Abdel Fattah

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Illicit drug use is common among patients admitted following burn injury. The authors sought to evaluate whether drug abuse results in worse outcomes. The National Burn Repository (NBR) was queried for data on all patients with drug testing results available. Outcomes included mortality, hospital length of stay (LOS), intensive care unit (ICU) LOS, and duration of ventilator support. Propensity score weighting was performed to control for age, alcohol use, burn size, gender, and etiology of burn. A total of 20,989 patients had drug screen data available; 11,642 (55.5%) tested positive for at least one drug of abuse. Illicit drug use was associated with a higher proportion of patients with flame burn (53.2 vs 48.4%) and larger average burn size (11.2 vs 9.5% TBSA, P <.001). Attempted suicide was more likely if the patient had used drugs (2.8 vs 1.7%, P <.001). Drug use resulted in longer hospital and ICU LOS (14.2 vs 11.4 and 8.5 vs 5.6 days, P <.001), but did not increase the risk of mortality (5.7 vs 5.2, P =.08). After propensity score weighting, drug use did not affect mortality, hospital LOS, or duration of ventilator support, but did increase the average ICU LOS by 1.2 days (P =.001). Drug use does not affect mortality, hospital LOS, or duration of ventilator support among burned patients. After controlling for burn size, age, mechanism of injury, and gender, patients with a positive drug screen had an average increase in ICU LOS by 1 day.

Original languageEnglish (US)
Pages (from-to)e89-e94
JournalJournal of Burn Care and Research
Volume38
Issue number1
DOIs
StatePublished - Jan 1 2017
Externally publishedYes

Fingerprint

Street Drugs
Length of Stay
Wounds and Injuries
Intensive Care Units
Pharmaceutical Preparations
Mechanical Ventilators
Propensity Score
Mortality
Attempted Suicide
Substance-Related Disorders
Alcohols

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Rehabilitation

Cite this

Hodgman, E. I., Subramanian, M., Wolf, S., Arnoldo, B. D., Phelan, H. A., Cripps, M. W., & Abdel Fattah, K. R. (2017). The Effect of Illicit Drug Use on Outcomes Following Burn Injury. Journal of Burn Care and Research, 38(1), e89-e94. https://doi.org/10.1097/BCR.0000000000000407

The Effect of Illicit Drug Use on Outcomes Following Burn Injury. / Hodgman, Erica I.; Subramanian, Madhu; Wolf, Steven; Arnoldo, Brett D.; Phelan, Herb A.; Cripps, Michael W.; Abdel Fattah, Kareem R.

In: Journal of Burn Care and Research, Vol. 38, No. 1, 01.01.2017, p. e89-e94.

Research output: Contribution to journalArticle

Hodgman, EI, Subramanian, M, Wolf, S, Arnoldo, BD, Phelan, HA, Cripps, MW & Abdel Fattah, KR 2017, 'The Effect of Illicit Drug Use on Outcomes Following Burn Injury', Journal of Burn Care and Research, vol. 38, no. 1, pp. e89-e94. https://doi.org/10.1097/BCR.0000000000000407
Hodgman, Erica I. ; Subramanian, Madhu ; Wolf, Steven ; Arnoldo, Brett D. ; Phelan, Herb A. ; Cripps, Michael W. ; Abdel Fattah, Kareem R. / The Effect of Illicit Drug Use on Outcomes Following Burn Injury. In: Journal of Burn Care and Research. 2017 ; Vol. 38, No. 1. pp. e89-e94.
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