Arid
DOI10.1097/BCR.0000000000000319
Postdischarge Cause-of-Death Analysis of Combat-Related Burn Patients
Escolas, Sandra M.1; Archuleta, Debra J.2; Orman, Jean A.3; Chung, Kevin K.4; Renz, Evan M.5
通讯作者Archuleta, Debra J.
来源期刊JOURNAL OF BURN CARE & RESEARCH
ISSN1559-047X
EISSN1559-0488
出版年2017
卷号38期号:1页码:E158-E164
英文摘要

Combat operations in Iraq and Afghanistan have resulted in up to 8.8% of combat-related casualties suffering burns. From World War I through Desert Storm, burns have been associated with approximately 4% of the combat-related deaths. Experiencing a blast injury and exposure to killing and death while deployed has been shown to increase suicide risk. Although several studies of military populations have investigated risk factors for death among burn patients during the acute phase, no studies have reported mortality rates, cause-of-death, or the prevalence of suicide after hospital discharge. This study examined the case fatality rate, causes of death, and the prevalence of suicide among 830 combat burn patients discharged from the sole burn center in the U.S. Department of Defense, between March 7, 2003 and March 6, 2013. Cause-of-death was determined through the Armed Forces Medical Examiner’s Office and the Office of the Secretary of Defense’s National Death Index. A total of 11 deaths occurred among the 830 burn survivors, for an overall case fatality rate of 1.3%. Of the 11 who died, five deaths were related to accidental poisoning by exposure to drugs; three were related to operations of war (two after returning to the war zone), and the remaining three died from other accidental causes (one explosion and two vehicle crashes). There was no indication of suicide or suspicion of suicide as a cause-of-death for the former patients included in this study, suggesting that combat burn injury did not appear to increase the risk of death by suicide in our study population. Further research is needed to understand the factors that contribute to the apparent resilience of combat burn survivors.


类型Article
语种英语
国家USA
收录类别SCI-E ; SSCI
WOS记录号WOS:000391867500020
WOS关键词POSTTRAUMATIC-STRESS-DISORDER ; OPERATION IRAQI FREEDOM ; SUICIDAL IDEATION ; DEPRESSIVE SYMPTOMS ; ENDURING FREEDOM ; RISK ; HEALTH ; PREDICTORS ; CASUALTIES ; SOLDIERS
WOS类目Critical Care Medicine ; Dermatology ; Surgery
WOS研究方向General & Internal Medicine ; Dermatology ; Surgery
资源类型期刊论文
条目标识符http://119.78.100.177/qdio/handle/2XILL650/200238
作者单位1.US Army Med Res Directorate West, Joint Base Lewis McChord, Washington, DC USA;
2.US Army Inst Surg Res, Clin Trials & Burn Trauma Task Area, Ft Sam Houston, TX USA;
3.US Army Inst Surg Res, Dept Stat & Epidemiol, Ft Sam Houston, TX USA;
4.US Army Inst Surg Res, ISR Burn Unit, Ft Sam Houston, TX USA;
5.Brooke Army Med Ctr, Ft Sam Houston, TX 78234 USA
推荐引用方式
GB/T 7714
Escolas, Sandra M.,Archuleta, Debra J.,Orman, Jean A.,et al. Postdischarge Cause-of-Death Analysis of Combat-Related Burn Patients[J],2017,38(1):E158-E164.
APA Escolas, Sandra M.,Archuleta, Debra J.,Orman, Jean A.,Chung, Kevin K.,&Renz, Evan M..(2017).Postdischarge Cause-of-Death Analysis of Combat-Related Burn Patients.JOURNAL OF BURN CARE & RESEARCH,38(1),E158-E164.
MLA Escolas, Sandra M.,et al."Postdischarge Cause-of-Death Analysis of Combat-Related Burn Patients".JOURNAL OF BURN CARE & RESEARCH 38.1(2017):E158-E164.
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