The increasing trend in alcohol-related burns: It's impact on a tertiary burn centre |
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Authors: | William JM Holmes Phoebe HoldMalcolm I James |
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Institution: | Department of Plastic Surgery, Whiston Hospital, Warrington Road, Prescot, Merseyside, UK |
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Abstract: | IntroductionThe incidence of alcohol-related hospital admissions is a worldwide problem and currently costs the UK National Health Service approximately 4% of its annual budget. 40% of men and 22% of women drink over the recommended UK weekly allowance. The purpose of our study was to examine the trend in alcohol-related admissions to a tertiary burns unit over a 5-year period.MethodologyAll patients admitted were documented for alcohol-related burn, and history of alcohol dependence.Results1293 patients admitted between 2003 and 2008 were included in the study. The number of alcohol-related burns were as follows: 2003: 6%; 2004: 10%; 2005: 16%; 2006: 9%; 2007: 19%; 2008: 19%. This increasing trend was highly significant (p < 0.0001). Alcohol-related burns had a higher incidence of flame injury (60%) and a subsequent longer length of stay (12.5 vs. 7.9, p = 0.04). Alcohol dependence was noted in 54% of all alcohol-related burns and in 5% of the non-alcohol-related burns.DiscussionThe number of alcohol-related burns admitted to a tertiary burn unit is increasing and now comprises of nearly 20% of all admissions. This highlights the growing burden of alcohol on health and the need to address it at both a national and regional level. |
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Keywords: | Alcohol Burns Burn Intoxication Binge Alcoholic Burn outcome Alcohol withdrawal Alcohol management CIWA Paddington assessment test Binge drinking Blood alcohol Compliance |
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