Prevalence and variables associated with comorbilidy of mental disorders in burned patients
Abstract
Introduction: Current studies have experienced that there is a high prevalence of comorbidity of mental disorders in burned patients. In Cuba, published research on this topic is scarce.
Objective: To determine the prevalence and associated variables of comorbidity of mental disorders in burned patients admitted to the Vladimir Ilich Lenin University General Teaching Hospital.
Methods: A study was carried out from the quantitative, descriptive and cross-sectional approach. The universe consisted of 140 burned patients admitted to the Caumatology and Reconstructive Surgery service of the Vladimir Ilich Lenin University Hospital, between January 2017 and December 2019. 103 patients were selected through probabilistic sampling. The semi-structured interview, observation and documentary review were used for the evaluation. Sociodemographic variables, production mode, causal agent, hospital stay and comorbidity of mental disorders. The results were processed in the statistical packages EPIDAT 3.1 and MedCalc.
Results: The prevalence of comorbidity of mental disorders was low. However, the comorbidity between substance use disorders was high. Most were male, between 41-60 years old, white, with 9th grade, single, of urban origin, with children, living with other people, with accidental burns and direct fire, and a stay of 8-21 days. There was no significant association between the comorbidity of mental disorders and variables such as skin color, age, level of education, level of origin and having children. However, regarding sex, marital status and mode of production of burns, the results were significant.
Conclusions: The prevalence of comorbidity of mental disorders between disorders by consumption of substances was high. An association was found between comorbidity of mental disorders and the variables sex, marital status and mode of production.
DeCS: PATIENTS/psychology; BURNS/psychology; MENTAL DISORDERS; COMORBIDITY; PREVALENCE.
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1. WHO [Internet]. África: Institutional Repository for Information Sharing (IRIS); ©2018 [actualizado 05 Abr 2020; citado 06 Abr 2020]. Burns fact sheet; [aprox. 2 p.]. Disponible en: http://www.who.int/violence_injury_prevention/other_injury/burns/en/.
2. Ministerio de Salud Pública. Anuario Estadístico de Salud 2018 [Internet]. La Habana: Dirección de Registros Médicos y Estadísticas de Salud, 2019 [citado 06 Abr 2020]. Disponible en: http://files.sld.cu/bvscuba/files/2019/04/Anuario-Electrónico-Español-2018-ed-2019.pdf
3. Vera I, Ferrando E, Vidal I, Gómez-Olmeda D, González JC. Burns and Mental Disorder. Rev Psiquiatr Salud Ment (Barc.) [Internet]. 2010 [citado 06 Abr 2020];3(1):19-22. Disponible en: https://www.elsevier.es/en-revista-revista-psiquiatria-salud-mental-486-resumen-burns-mental-disorder-S2173505010700042
4. Rodríguez M, Rodríguez A, Marrero Y, Durán L, Angulo A, Díaz P. Alteraciones psicológicas en pacientes quemados durante su estadía hospitalaria. Correo cient méd [Internet]. 2019 [citado 06 Abr 2020];23(4). Disponible en: http://revcocmed.sld.cu/index.php/cocmed/article/view/3356/1467
5. Manzoor A, Wahid A, Majid A, Suhaff A, Baidya K. Comorbid psychiatric disorders in burn patients–A terciary care hospital based study. IJIRR [Internet]. 2016 [citado 06 Abr 2020];3(5):2310-2314. Disponible en: https://www.ijirr.com/sites/default/files/issues-pdf/1062.pdf
6. Smitten M, Graaf R, Van N. Prevalence and co-morbidity of psychiatric disorders 1-4 years after burn. Burns [Internet]. 2011 [citado 06 Abr 2020];37:753-761. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0-S0305417911000052.pdf
7. Chemin L, Tzung-Hai Y, Yeong-Yuh J, Wa Cheong L, Huei-Min H, Chung-Hsuan K, et al. Comorbid psychiatric diagnoses in suicide attempt by charcoal burning: a 10-year study in a general hospital in Taiwan. General Hospital Psychiatry [Internet]. 2012 [citado 06 Abr 2020];34:552-556. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0-S0163834312000850.pdf
8. Feinstein AR. The pre-therapeutic classification of comorbidity in chronic disease. Journal of Chronic Disease [Internet]. 1970 [citado 06 Abr 2020];23:455-468. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/0021968170900548
9. Kessler RC, Nelson CB, McGonale KA, Swartz M, Blazer DZ. Comorbidity of DSM-III-R major depressive disorders in a general population: results from the US National Comorbidity Survey. British Journal of Psychiatry [Internet]. 1996 [citado 06 Abr 2020];168(suppl 30):17-30. Disponible en: https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/comorbidity-of-dsmiiir-major-depressive-disorder-in-the-general-population-comorbidity-survey/233D06B10E6BF4BC47D6F1E69248306B
10. Walter Duarte D, Rolim Neumann C, Seganfredo Weber E. Intentional injuries and patient survival of burns: A 10-year retrospective cohort in southern Brazil. Burns [Internet]. 2015 [citado 06 Abr 2020];41:271-278.Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0305417914002472
11. Rietschel C, Barsky J, Hahn A, Fauerbach J. Clinical and Psychiatric Characteristics of Self-Inflicted Burn Patients in the United States: Comparison with a Nonintentional Burn Group. J Burn Care Res [Internet]. 2015 [citado 06 Abr 2020];36(3). Disponible en: https://pubmed.ncbi.nlm.nih.gov/25051519/.
12. Muñoz J, Alpízar D. Prevalencia y comorbilidad del trastorno por ansiedad social. Revista Cúpula [Internet]. 2016 [citado 06 Abr 2020];30(1):40-47. Disponible en: http://www.binasss.sa.cr/bibliotecas/bhp/cupula/v30n1/art04.pdf
13. Klifto KM, Shetty PN, Slavin BR, Gurno CF, Seal SM, Asif M, et al. Impact of nicotine/smoking, alcohol, and illicit substance use on outcomes and complications of burn patients requiring hospital admission: systematic review and meta-analysis. Burns [Internet]. 2020 Nov [citado 06 Abr 2020];46(7):1498-1524. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0305417919302864
14. Hodgman EI, Subramanian M, Wolf SE, Arnoldo BD, Phelan HA, Cripps MW, et al. The effect of illicit drug use on outcomes following burn injury. J Burn Care Res [Internet]. 2017 [citado 06 Abr 2020];1:e89-94. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28009698
15. Toppi J, Cleland H, Gabbe B. Severe burns in Australian and New Zealand adults: Epidemiology and burn centre care. Burns [Internet]. 2019 [citado 06 Abr 2020];45:1456-1461. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/31053412
16. Mushin OP, Esquenazi MD, Ayazi S, Craig C, Bell DE. Self-inflicted burn injuries: Etiologies, risk factors and impact on institutional resources. Burns [Internet]. 2019 [citado 06 Abr 2020];45:213-219. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/30467036
17. Hudson A, Al S, Samargandi O, Paletz J. Pre-existing psychiatric disorder in the burn patientis associated with worse outcomes. Burns [Internet]. 2017 [citado 06 Abr 2020];43:973-982. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0-S0305417917300414.pdf?locale=es_ES&searchIndex=
18. Caine PL, Tan A, Barnes D, Dziewulski P. Self-inflicted Burns: 10 year review and comparison to national guidelines. Burns [Internet]. 2016 [citado 06 Abr 2020];42:215-221. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0-S0305417915002910.pdf?locale=es_ES&searchIndex=
19. Palmu R, Partonen T, Suominen K, Vuola J, Isometsä E. Alcohol use and smoking in burn patients at the Helsinki Burn Center. Burns [Internet]. 2018 [citado 06 Abr 2020];44:158-167. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28784340
20. Fernández FL, Puebla I, Carrillo L. Alteraciones psicológicas en pacientes ingresados por quemaduras. Multimed [Internet]. 2015 [citado 06 Abr 2020];19(1):1028-4818. Disponible en: http://www.revmultimed.sld.cu/index.php/mtm/article/view/88
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22 julio 2025