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Intoxication and Flame Burn Injuries in Young Adults in the United States.
Palilonis, Mary A; Amanullah, Siraj; Gjelsvik, Annie; Schlichting, Lauren E; Cioffi, William G; Harrington, David T; Vivier, Patrick M.
Afiliação
  • Palilonis MA; Hassenfeld Child Health Innovation Institute, Brown University, Providence.
  • Amanullah S; Department of Surgery, Rhode Island Hospital, Brown University, Providence.
  • Gjelsvik A; Department of Emergency Medicine, Rhode Island Hospital, Brown University, Providence.
  • Schlichting LE; Hassenfeld Child Health Innovation Institute, Brown University, Providence.
  • Cioffi WG; Hassenfeld Child Health Innovation Institute, Brown University, Providence.
  • Harrington DT; Department of Surgery, Rhode Island Hospital, Brown University, Providence.
  • Vivier PM; Department of Surgery, Rhode Island Hospital, Brown University, Providence.
J Burn Care Res ; 40(4): 392-397, 2019 06 21.
Article em En | MEDLINE | ID: mdl-31051497
Flame injuries are the primary cause of burns in young adults. Although drug and alcohol intoxication has been associated with other types of trauma, its role in burn injury has not been well described in this population. The purpose of this study was to investigate the association of intoxication and flame burn injuries in young adults in the United States. The 2014 Nationwide Emergency Department Sample was queried for burn injury visits of young adult patients, 13-25 years old. This data is weighted to allow for national estimates. Burn mechanism and intoxication status were determined by International Classification of Diseases, Ninth Revision codes. Multivariable logistic regression analysis was used to assess the association of intoxication and emergency department (ED) visits due to flame burns, adjusting for patient age, gender, zip code median income, zip code rural-urban designation, timing of visit, and hospital region. Further analyses assessed the odds of admission or transfer, as a possible proxy of injury severity, in patients with flame or other burns, with and without intoxication adjusting for patient age, gender, primary insurance, and hospital trauma designation. There were 20,787 visits for patients 13-25 years old with burn injuries and 12.9% (n = 2678) had a codiagnosis of intoxication. There was an increasing proportion of intoxication by age (5.8% 13-17 years old, 25% 18-20 years old, 69% 21-25 years old, P < .001). ED visits for burns with a codiagnosis of intoxication had 1.34 times ([95% confidence interval (CI): 1.18, 1.52], P < .01) higher odds of having flame burns compared to other burn mechanisms. Those with flame burns and intoxication were most likely to be admitted or transferred when compared to nonflame, nonintoxication visits in the adjusted model (odds ratio [OR] 5.49, [95% CI: 4.29, 7.02], P < .01). Furthermore, the odds of admission or transfer in visits with the combined exposure of intoxication and flame mechanism were significantly higher than visits due to nonflame burns and intoxication (OR 2.75, [2.25, 3.36], P < .01) or flame burns without intoxication (OR 3.00, [95% CI: 2.61, 3.42], P < .01). This study identified a significant association between flame-burn-related ED visits and intoxication in the young adult population in the United States. In addition, the combination of flame mechanism and intoxication appears to result in more substantial injury compared with either exposure alone. The relationship seen between intoxication and flame burn injury underscores a major target for burn prevention efforts in the young adult population.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Queimaduras / Escala de Gravidade do Ferimento / Intoxicação Alcoólica / Serviço Hospitalar de Emergência Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Male País/Região como assunto: America do norte Idioma: En Revista: J Burn Care Res Assunto da revista: TRAUMATOLOGIA Ano de publicação: 2019 Tipo de documento: Article País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Queimaduras / Escala de Gravidade do Ferimento / Intoxicação Alcoólica / Serviço Hospitalar de Emergência Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Male País/Região como assunto: America do norte Idioma: En Revista: J Burn Care Res Assunto da revista: TRAUMATOLOGIA Ano de publicação: 2019 Tipo de documento: Article País de publicação: Reino Unido