关于滥用酒精和物质的CAGE问卷与烧伤患者的人口统计和结果的关联
Kiran U Dyamenahalli1, Lauren J Shepler2, Colleen M Ryan3,4
1Division of Acute Care Surgery, Vanderbilt University Medical Center, Nashville, TN, United States.
概括
酒精和物质使用障碍显著影响烧伤幸存者,与更长的住院时间和更多的手术有关. 阳性CAGE屏幕显示出较高的风险,导致不良结果和心理痛苦.
科学领域:
- 创伤外科 手术 创伤外科
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 酒精和物质使用障碍 (AUD/SUD) 在烧伤患者群体中构成重大负担.
- 这些疾病与较差的临床结果和医疗保健利用率的增加有关.
- CAGE问卷是一个简短的,验证的工具,用于选AUD/SUD.
研究的目的:
- 为了确定积极的CAGE选或烧伤幸存者的转化的人口和临床预测因素.
- 检查积极的CAGE查和心理社会/功能结果之间的关联.
- 了解AUD/SUD对烧伤恢复的长期影响.
主要方法:
- 利用烧伤模型系统数据库 (1994-2023) 完成CAGE查的烧伤患者.
- 分析了CAGE分数与生活满意度 (SWLS),PROMIS-焦虑,抑郁,疼痛干扰和身体功能之间的关系.
- 评估的人口,临床和物质使用变量.
主要成果:
- 阳性CAGE查与更长的住院时间 (34.0 vs 25.1天) 和更多的手术 (2.8 vs 2.2) 相联系.
- 在CAGE阳性患者中,受伤时滥用药物的比率更高 (34.9%对6.6%).
- 阳性CAGE选与12个月后较低的SWLS和更高的PROMIS-焦虑/抑郁分数相关.
结论:
- 阳性CAGE屏幕,表示AUD/SUD,与烧伤严重程度标志物有关.
- 烧伤幸存者的AUD/SUD与心理痛苦和社会功能障碍相关.
- 对AUD/SUD的早期查和干预对于改善烧伤患者的结果至关重要.
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