药物滥用对伊朗北部一家烧伤中心收治的成年烧伤患者临床结局的影响。
The Effect of Drug Abuse on Clinical Outcomes of Adult Burn Patients Admitted to a Burn Center in the North of Iran.
作者信息
Rahbar Taramsari Morteza, Mobayen Mohammadreza, Feizkhah Alireza, Letafatkar Negin, Esmailzadeh Mojdeh, Hoseinzadeh Sara, Yeganehdoost Farank, Mehdipour Fatemeh, Bagheri Toolaroud Parissa
机构信息
Department of Forensic Medicine and Toxicology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
Burn and Regenerative Medicine Research Center, Guilan University of Medical Sciences, Rasht, Iran.
出版信息
Bull Emerg Trauma. 2023;11(2):90-95. doi: 10.30476/BEAT.2023.98282.1424.
OBJECTIVE
Burn trauma is a life-threatening incident that may be accompanied by several risk factors that increase morbidity and mortality. Drug abuse is one of the lifestyle dangers on the rise globally and can have an impact on the outcomes of burn injuries. This study aimed to evaluate the effect of drug abuse on the clinical outcomes of adult burn patients who were admitted to a burn center in the North of Iran.
METHODS
This retrospective cross-sectional study included adult burn patients who were referred to Velayat Hospital, between March 1, 2021, and March 20, 2022. The hospital information system (HIS) was used to select patients with a history of drug use and then were compared with burn victims who had never used drugs before. In both groups, demographic information, the cause of the burn, the comorbid diseases, total body surface area, length of stay, and outcomes were collected and recorded for both groups.
RESULTS
This study included 114 inpatients, 90 of whom (78.95%) were men. The mean age of the patients was 43±15 years. The mean length of hospitalization in the drug-user group was significantly higher than in the non-drug abuse group (=0.004). The drug abuse group had significantly higher rates of comorbid diseases (=0.021), inhalation injury (<0.001), mortality (=0.002), and pneumonia (<0.001). However, there were no statistically significant differences in the Infection and Sir's rates (=0.583) between the groups.
CONCLUSION
Drug abuse is a risk factor in adult burn patients, which can affect the length of stay and burn-related morbidities.
目的
烧伤创伤是一种危及生命的事件，可能伴有多种增加发病率和死亡率的风险因素。药物滥用是全球范围内日益增加的生活方式危险之一，会对烧伤的治疗结果产生影响。本研究旨在评估药物滥用对入住伊朗北部一家烧伤中心的成年烧伤患者临床结局的影响。
方法
这项回顾性横断面研究纳入了2021年3月1日至2022年3月20日期间转诊至维拉亚特医院的成年烧伤患者。利用医院信息系统（HIS）选择有药物使用史的患者，然后与之前从未使用过药物的烧伤患者进行比较。收集并记录两组患者的人口统计学信息、烧伤原因、合并疾病、全身表面积、住院时间和结局。
结果
本研究纳入了114名住院患者，其中90名（78.95%）为男性。患者的平均年龄为43±15岁。药物使用者组的平均住院时间显著高于非药物滥用组（=0.004）。药物滥用组的合并疾病发生率（=0.021）、吸入性损伤发生率（<0.001）、死亡率（=0.002）和肺炎发生率（<0.001）显著更高。然而，两组之间的感染率和简化急性生理学评分（Sir's）率（=0.583）没有统计学显著差异。
结论
药物滥用是成年烧伤患者的一个风险因素，会影响住院时间和与烧伤相关的发病率。
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