Journal article
Methamphetamine-Related Burns in the Cornbelt
Journal of burn care & research, Vol.29(4), pp.574-579
2008
DOI: 10.1097/BCR.0b013e31817db832
PMID: 18535481
Abstract
Methamphetamine (MA) is a highly addictive drug that is easily manufactured from everyday household products and chemicals found at local farm stores. The proliferation of small MA labs has led to a dramatic increase in patients sustaining thermal injury while making and/or using MA. We hypothesized that these patients have larger injuries with longer hospital stays, and larger, nonreimbursed hospital bills compared with burn patients not manufacturing or using MA. In a retrospective case–control study, all burn patients ≥16 years of age admitted to our burn center from January 2002 to December 2005 were stratified into two groups based on urine MA status. Of the 660 burn patients ≥16 years of age admitted during this 4 year period, urine drug screens were obtained at admission on 410 patients (62%); 10% of urine drug screens were MA (+). MA (+) patients have larger burns compared with MA (−) patients (9.3 vs 8.6% body surface area burns), have higher rates of inhalation injuries (20.4 vs 9.3%, P = .015), and more nonthermal trauma (13.0 vs 3.1%, P = .001). When compared with MA (−) patients, MA (+) patients require longer hospital stays (median 9.5 vs 7.0 days, P = .036), accrue greater hospital bills per day ($4292 vs $2797, P = .01), and lack medical insurance (66.7 vs 17.7%, P < .0001). The epidemic of MA use and its manufacture mandates that burn centers monitor patients for MA use and develop and institute protocols to ensure proper care of this increasingly costly population.
Details
- Title: Subtitle
- Methamphetamine-Related Burns in the Cornbelt
- Creators
- Bridget A BURKE - Division of Trauma, Burns, and Surgical Critical Care, Department of Surgery, University of Iowa Hospitals and Clinics, United StatesRobert W LEWIS - Division of Trauma, Burns, and Surgical Critical Care, Department of Surgery, University of Iowa Hospitals and Clinics, United StatesBarbara A LATENSER - Division of Trauma, Burns, and Surgical Critical Care, Department of Surgery, University of Iowa Hospitals and Clinics, United StatesJoseph Y CHUNG - Division of Trauma, Burns, and Surgical Critical Care, Department of Surgery, University of Iowa Hospitals and Clinics, United StatesClark WILLOUGHBY - Division of Trauma, Burns, and Surgical Critical Care, Department of Surgery, University of Iowa Hospitals and Clinics, United StatesG. Patrick KEALEY - Division of Trauma, Burns, and Surgical Critical Care, Department of Surgery, University of Iowa Hospitals and Clinics, United StatesLucy A WIBBENMEYER - Division of Trauma, Burns, and Surgical Critical Care, Department of Surgery, University of Iowa Hospitals and Clinics, United States
- Resource Type
- Journal article
- Publication Details
- Journal of burn care & research, Vol.29(4), pp.574-579
- DOI
- 10.1097/BCR.0b013e31817db832
- PMID
- 18535481
- NLM abbreviation
- J Burn Care Res
- ISSN
- 1559-047X
- eISSN
- 1559-0488
- Publisher
- Lippincott Williams & Wilkins; Philadelphia, PA
- Language
- English
- Date published
- 2008
- Academic Unit
- Surgery; Injury Prevention Research Center
- Record Identifier
- 9984051983102771
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