Association of the CAGE Questionnaire for Alcohol and Substance Misuse With Burn Patient Demographics and Outcomes
Rattachement africain : us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
The burden of alcohol and substance use disorder is disproportionately high among patients with burn injuries and portends worse clinical outcomes. The Cut down, Annoyed, Guilty, and Eye-opener (CAGE) questionnaire is a validated 4-question screen for alcohol and drug use. This study aimed to identify demographic and clinical variables that predict positive CAGE screens or negative-to-positive screen conversion in burn survivors and to examine psychosocial and functional outcomes. The Burn Model System database was used to assess characteristics of patients with burn injuries who completed a CAGE screen at discharge (1994-2023). The relationship between CAGE scores and Satisfaction with Life Scale (SWLS), PROMIS (Patient Reported Outcomes Measurement Information System)-Anxiety, -Depression, -Pain Interference, and -Physical Function were analyzed. Mean length of hospital stay was longer in patients with positive CAGE screens (34.0 vs 25.1 days, P < .001). Mean number of surgeries demonstrated a similar association (2.8 vs 2.2, P < .001). Significant differences were also observed by ethnicity, race, employment status, burn mechanism, marital status, and insurance type. Drug misuse at the time of injury was significantly higher in CAGE-positive patients (34.9% vs 6.6%, P < .001). Younger age (P = .004) and unemployment (P = .001) were significantly associated with transition to a positive CAGE screen within 24 months. At 12 months, a positive CAGE screen was associated with lower SWLS (P < .001) and higher (detrimental) PROMIS-Anxiety (P = .006) and -Depression (P = .019) scores. These data suggest significant associations between positive CAGE screens, as a surrogate for drug and alcohol misuse, and measures of burn severity (length of stay and number of surgeries), psychological stress (anxiety and depression), and social dysfunction (unemployment).
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Association of the CAGE Questionnaire for Alcohol and Substance Misuse With Burn Patient Demographics and Outcomes
- Date Crossref
- 20/02/2026
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Vanderbilt University Medical Center Department of Surgery pays non établi dans la noticeÉtablissement de santé
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Spaulding Rehabilitation Hospital pays non établi dans la noticeÉtablissement de santé
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Massachusetts General Hospital Sumner M. Redstone Burn Center pays non établi dans la noticeÉtablissement de santé
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Shriners Hospitals for Children - Boston pays non établi dans la noticeÉtablissement de santé
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University of Southern California pays non établi dans la noticeUniversité ou école supérieure
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Boston University pays non établi dans la noticeUniversité ou école supérieure
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University of Washington Department of Rehabilitation Medicine pays non établi dans la noticeUniversité ou école supérieure
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Shriners Children’s-Boston pays non établi dans la noticeInstitution
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Keck School of Medicine Division of Plastic Surgery pays non établi dans la noticeUniversité ou école supérieure
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Massachusetts General Brigham Academic Medical Center Department of Psychiatry pays non établi dans la noticeÉtablissement de santé
Department of Surgery — Vanderbilt University Medical Center, Spaulding Rehabilitation Hospital et Sumner M. Redstone Burn Center — Massachusetts General Hospital, avec 7 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.