Powers P S, Stevens B, Arias F, Cruse C W, Krizek T, Daniels S
USF College of Medicine, Department of Psychiatry, Tampa, FL 33613.
J Burn Care Rehabil. 1994 Jul-Aug;15(4):386-91. doi: 10.1097/00004630-199407000-00017.
A burn injury so severe that inpatient treatment is necessary is a crisis in any patient's life. For patients who also suffer from an alcohol use disorder, hospitalization may offer a unique opportunity to facilitate entry into appropriate treatment. In this study, 442 hospitalized patients with burns were evaluated, and 50 (11%) were diagnosed with an alcohol use disorder by DSM-III-R criteria. All but one of the injuries were deemed preventable. The average length of stay in hospital was 9 days longer for the alcohol group compared with the average stay in the burn center, resulting in additional costs of $337,500. Referral for treatment of the underlying alcohol disorder was recommended for fewer than half the patients. Thus, although the patients with alcohol use disorders had lengthy hospitalizations and were in circumstances that might permit the characteristic denial of alcoholism to be relinquished, the treatment team usually did not capitalize on this opportunity.
严重到需要住院治疗的烧伤对任何患者来说都是人生中的一场危机。对于同时患有酒精使用障碍的患者，住院治疗可能会提供一个独特的契机，便于他们接受恰当的治疗。在这项研究中，对442名住院烧伤患者进行了评估，其中50名（11%）根据《精神疾病诊断与统计手册》第三版修订版（DSM-III-R）标准被诊断为患有酒精使用障碍。除了一处损伤外，其他所有损伤都被认为是可预防的。与烧伤中心的平均住院时间相比，酒精组患者的平均住院时间长9天，额外费用达33.75万美元。建议接受潜在酒精障碍治疗的患者不到半数。因此，尽管患有酒精使用障碍的患者住院时间长，且处于可能促使他们放弃对酗酒典型否认态度的环境中，但治疗团队通常没有利用这个机会。
