Epidemiology of plastic surgery trauma in people with associated drug and alcohol dependence: developing guidelines for optimal treatment

Epidemiology of plastic surgery trauma in people with associated drug and alcohol dependence:... People addicted to drugs or alcohol are commonly referred to the plastic surgery department. We describe the challenges and epidemiology of injuries in this group and suggest an algorithm for optimal management. A retrospective study was carried out of medical records of people with drug and alcohol problems treated in the plastic surgery unit between January 2004 and December 2007 inclusive is presented. Exclusion criteria: (1) elective admissions, (2) previous, but not current drug or alcohol use, (3) a short history of excessive alcohol intake, (4) isolated burn injuries, and (5) no notes available. Injuries were sustained by 77 people. Males (64) were more commonly referred than females (13), with a mean age of 37 years (20–65) at presentation. Delayed presentation (17/77) and non-compliance with treatment (16/77) was common. Only six patients were employed, nine were homeless and two lived in prison. Psychiatric illness was commonly encountered (16/77). Trauma (26), self-harm (16), assault (14), and inadvertent injury (13) were all more common than injury directly due to injection (8). Thirteen patients self-discharged from the ward prior to completion of treatment and 61(79%) did not complete follow-up. A holistic approach of people with drug and alcohol addiction and injury is required including early referral to social services, drug and alcohol teams. Our clinical guidelines recommend single-stage treatment, early education and advice for patients to achieve an optimal outcome. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Epidemiology of plastic surgery trauma in people with associated drug and alcohol dependence: developing guidelines for optimal treatment

Loading next page...
 
/lp/springer_journal/epidemiology-of-plastic-surgery-trauma-in-people-with-associated-drug-IdtWFFN4bt
Publisher
Springer-Verlag
Copyright
Copyright © 2011 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-010-0500-y
Publisher site
See Article on Publisher Site

Abstract

People addicted to drugs or alcohol are commonly referred to the plastic surgery department. We describe the challenges and epidemiology of injuries in this group and suggest an algorithm for optimal management. A retrospective study was carried out of medical records of people with drug and alcohol problems treated in the plastic surgery unit between January 2004 and December 2007 inclusive is presented. Exclusion criteria: (1) elective admissions, (2) previous, but not current drug or alcohol use, (3) a short history of excessive alcohol intake, (4) isolated burn injuries, and (5) no notes available. Injuries were sustained by 77 people. Males (64) were more commonly referred than females (13), with a mean age of 37 years (20–65) at presentation. Delayed presentation (17/77) and non-compliance with treatment (16/77) was common. Only six patients were employed, nine were homeless and two lived in prison. Psychiatric illness was commonly encountered (16/77). Trauma (26), self-harm (16), assault (14), and inadvertent injury (13) were all more common than injury directly due to injection (8). Thirteen patients self-discharged from the ward prior to completion of treatment and 61(79%) did not complete follow-up. A holistic approach of people with drug and alcohol addiction and injury is required including early referral to social services, drug and alcohol teams. Our clinical guidelines recommend single-stage treatment, early education and advice for patients to achieve an optimal outcome.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Jun 1, 2011

References

  • Skin and soft tissue infections in injection drug users
    Ebright, JR; Pieper, B
  • Injury risk among medically identified alcohol and drug abusers
    Miller, TR; Lestina, DC; Smith, GS
  • The growing burden of injuries and trauma in Alice Springs
    Ollapallil, J; Benny, R; Jacob, AO

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off