Alcohol use and smoking in burn patients at the Helsinki Burn Center

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http://hdl.handle.net/10138/298621

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Palmu , R , Partonen , T , Suominen , K , Vuola , J & Isometsä , E 2018 , ' Alcohol use and smoking in burn patients at the Helsinki Burn Center ' , Burns , vol. 44 , no. 1 , pp. 158-167 . https://doi.org/10.1016/j.burns.2017.05.019

Title: Alcohol use and smoking in burn patients at the Helsinki Burn Center
Author: Palmu, Raimo; Partonen, Timo; Suominen, Kirsi; Vuola, Jyrki; Isometsä, Erkki
Contributor: University of Helsinki, Department of Psychiatry
University of Helsinki, HUS Psychiatry
University of Helsinki, Plastiikkakirurgian yksikkö
University of Helsinki, Department of Psychiatry
Date: 2018-02
Language: eng
Number of pages: 10
Belongs to series: Burns
ISSN: 0305-4179
URI: http://hdl.handle.net/10138/298621
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. (C) 2017 Published by Elsevier Ltd.
Subject: Alcohol use and smoking at burn
Risk drinking
Heavy smoking
Burn patients
Mental disorders
IDENTIFICATION TEST AUDIT
ABUSE
INJURIES
TRAUMA
CONSUMPTION
DRINKING
3126 Surgery, anesthesiology, intensive care, radiology
3124 Neurology and psychiatry
3142 Public health care science, environmental and occupational health
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