Assessment of Substances Abuse in Burn Patients by Using Drug Abuse Screening Test
-
Seyed Hamid Salehi
,
Kamran As'adi
,
Jaber Musavi
,
Faride Ahrari
,
Parviz Nemazi
,
Bita Kamranfar
,
Kobra Gaseminegad
,
Somaie Faramarzi
,
Saeed Shoar
Abstract
There has been an increase in the frequency of substance abuse among hospitalized burn injury patients. However, few studies have investigated substance abuse among burn patients. This study was aimed to identify the incidence of substance abuse in burn injury patients using the "Drug Abuse Screening Test" (DAST-20). We determined the validity of DAST-20 in spring 2010. Subsequently, this descriptive study was performed on 203 burn injury patients who fit the study’s inclusion criteria. We chose a score of 6 as the cutoff and thus achieved a sensitivity of 89% and a specificity of 85% for the DAST-20. During the study, we gathered demographic data, burn features and DAST-20 results for all patients. Patients with scores of 6 or more were considered to be substances abusers. A statistical analysis was conducted using SPSS v16 software. According to the DAST-20 results, 33% of the patients were in the user group. The mean score of DAST-20 was significantly higher among users than it was among nonusers (P<0.05). The level of substance abuse was severe in 77% of users. No significant differences were found among the substances, with the exception of alcohol. Substance abuse is an important risk factor for burn patients. In addition, this study showed that DAST-20 is a valid screening measure for studies on burn patients.
Jones JD, Barber B, Engrav L, Heimbach D.Alcohol use and burn injury. J Burn Care Rehabil1991;12(2): 48-52.
Brezel BS, Kassenbrock JM, Stein JM.Burns in substance abusers and in neurologically and mentally impaired patients. J Burn Care Rehabil 1988;9(2):169-71.
Kelley D, Lynch JB.Burns in alcohol and drug users result in longer treatment times with more complications. J BurnCare Rehabil 1992;13(2 Pt 1):218-20.
Thombs BD, Singh VA, Halonen J, Diallo A, Milner SM.The effects of preexisting medical comorbidities on mortality and length of hospital stay in acute burn injury: evidence from a national sample of 31,338 adult patients. Ann Surg 2007;245(4):629-34.
Grobmyer SR, Maniscalco SP, Purdue GF, Hunt JL.Alcohol, drug intoxication, or both at the time of burninjury as a predictor of complications and mortality in hospitalized patients with burns. J Burn Care Rehabil 1996;17(6 Pt 1):532-9.
Howland J, Hingson R.Alcohol as a risk factor for injuries or death due to fires and burns: review of the literature.Public Health Rep 1987;102(5):475-83.
Brodzka W, Thornhill HL, Howard S.Burns: causes and risk factors. Arch Phys Med Rehabil1985;66(11):746-52.
MacArthur JD, Moore FD.Epidemiology of burns. The burn-prone patient. JAMA 1975;231(3):259-63.
Hunt JL, Arnoldo BD, Purdue GF. Prevention of burn injuries. In: Herndon DN,editor. Total Burn Care. 3rd ed. China: Saunders Elsevier Inc 2007. p. 34-5.
Runyan CW, Bangdiwala SI, Linzer MA, Sacks JJ, Butts J.Risk factors for fatal residential fires. N Engl J Med 1992;327(12):859-63.
Choudhry MA, Chaudry IH.Alcohol, burn injury, and the intestine. J Emerg Trauma Shock 2008;1(2):81-7.
Silver GM, Albright JM, Schermer CR, Halerz M, Conrad P, Ackerman PD, Lau L, Emanuele MA, Kovacs EJ, Gamelli RL.Adverse clinical outcomes associated with elevated blood alcohol levels at the time of burn injury.J Burn Care Res 2008;29(5):784-9.
Swenson JR, Dimsdale JE, Rockwell E, Carroll W, Hansbrough J.Drug and alcohol abuse in patients with= acute burn injuries. Psychosomatics 1991;32(3):287-93.
Skinner HA.The drug abuse screening test. Addict Behav 1982;7(4):363-71.
Tabares R, Peck MD.Chemical dependency in patients with burn injuries: a fortress of denial. J Burn Care Rehabil 1997;18(3):283-6.
Santos AP, Wilson AK, Hornung CA, Polk HC Jr,Rodriguez JL, Franklin GA.Methamphetamine laboratory explosions: a new and emerging burn injury. J Burn Care Rehabil 2005;26(3):228-32.
Centers for Disease Control (CDC).Cigarette smoking in the United States, 1986. MMWR Morb Mortal Wkly Rep 1987;36(35):581-5.
Fortmann SP, Killen JD, Telch MJ, Newman B. Minimal contact treatment for smoking cessation. A placebo controlled trial of nicotine polacrilex and self-directed relapse prevention: initial results of the Stanford Stop Smoking Project. JAMA 1988;260(11):1575-80.
McNagny SE, Parker RM.High prevalence of recent cocaine use and the unreliability of patient selfreport in an inner-city walk-in clinic. JAMA 1992;267(8):1106-8.
Selzer ML.The Michigan alcoholism screening test: thequest for a new diagnostic instrument. Am J Psychiatry 1971;127(12):1653-8.
Ewing JA.Detecting alcoholism. The CAGE questionnaire. JAMA 1984;252(14):1905-7.
Brown RL, Leonard T, Saunders LA, Papasouliotis O.A two-item conjoint screen for alcohol and other drug problems. J Am Board FamPract 2001;14(2):95-106.
Gavin DR, Ross HE, Skinner HA.Diagnostic validity of the drug abuse screening test in the assessment of DSM-III drug disorders. Br J Addict 1989;84(3):301-7.
Carey KB, Carey MP, Chandra PS.Psychometric evaluation of the alcohol use disorders identification test and short drug abuse screening test with psychiatric patients in India. J Clin Psychiatry 2003;64(7):767-74.
McCann BS, Simpson TL, Ries R, Roy-Byrne P.Reliability and validity of screening instruments for drug and alcohol abuse in adults seeking evaluation for attention-deficit/hyperactivity disorder. Am J Addict 2000;9(1):1-9.
Skinner HA, Goldberg AE.Evidence for a drug dependence syndrome among narcotic users. Br J Addict 1986;81(4):479-84.
Saltstone R, Halliwell S, Hayslip MA.A multivariate evaluation of the Michigan Alcoholism Screening Test and the Drug Abuse Screening Test in a female offender population. Addict Behav 1994;19(5):455-62.
Bohn MJ, Babor TF, Kranzler HR. Validity of the drug abuse screenings test (DAST-10-)in inpatient substance abusers.Proceedings of the 53rd Annual Scientific Meeting The Committee on Problems of Drug Dependence Inc DHHS Publication No ADM 921888 NIDA Research Monograph. Department of Health and Human Services, 1991.
Kemper KJ, Greteman A, Bennett E, Babonis TR.Screening mothers of young children for substance abuse. J DevBehavPediatr 1993;14(5):308-12.
Yudko E, Lozhkina O, Fouts A.A comprehensive review of the psychometric properties of the Drug Abuse Screening Test. J Subst Abuse Treat 2007;32(2):189-98.
| Files | ||
| Issue | Vol 50, No 4 (2012) | |
| Section | Original Article(s) | |
| Keywords | ||
| Substances abuse Drug abuse screening test Burn patients | ||
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