{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,30]],"date-time":"2025-08-30T08:40:01Z","timestamp":1756543201615,"version":"3.44.0"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Stimulant use poses significant challenges in burn care, complicating pain management and leading to poorer outcomes, including longer hospital stays, higher complication rates, and increased healthcare costs. This study evaluates burn-related outcomes in stimulant-positive patients, as well as tabulates how frequently addiction medicine consultations are used in burn patients with positive stimulant screens. Patients with positive urine toxicology screens for stimulants, including amphetamines and cocaine, were identified. The primary predictor variable was stimulant use, while primary outcomes included length of hospital stay, burn severity, complications, and overall outcomes of care. Out of 3403 burn patients (34% female, 66% male, with a mean age of 39.2 \u00b1 22.8 years), 572 patients (16.8%) had positive urine toxicology screens for stimulants. Stimulant-positive patients had significantly longer hospital stays compared to stimulant-negative patients (17.7 vs. 10.7 days, P &amp;lt; .001), more severe burns (P = .001), and a higher incidence of complications (15.6% vs. 11.5%, P = .006). Despite these risks, only 12.6% (72 patients) of stimulant-positive burn patients received an addiction medicine consultation during their hospitalization. The use of addiction medicine consultations increased over time, rising from 3 consults in 2015 to 42 in 2023. A multidisciplinary approach that includes addiction medicine can help address both the complexities of pain management and substance use, leading to improved patient outcomes. Early involvement of addiction medicine could enhance pain management and recovery, emphasizing the need for more systematic integration of addiction medicine into burn care protocols.<\/jats:p>","DOI":"10.1093\/jbcr\/iraf049","type":"journal-article","created":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T08:30:41Z","timestamp":1755246641000},"page":"725-729","source":"Crossref","is-referenced-by-count":0,"title":["Integrating Addiction Medicine Into Burn Care: Optimizing Pain Management in Stimulant-Positive Patients"],"prefix":"10.1093","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0063-8584","authenticated-orcid":false,"given":"Eloise W","family":"Stanton","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Los Angeles General Medical Center , Los Angeles, CA 90033,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Artur","family":"Manasyan","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Los Angeles General Medical Center , Los Angeles, CA 90033,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2987-7562","authenticated-orcid":false,"given":"Michael I","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Los Angeles General Medical Center , Los Angeles, CA 90033,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4872-6500","authenticated-orcid":false,"given":"Sunnie","family":"Wong","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Los Angeles General Medical Center , Los Angeles, CA 90033,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2176-7274","authenticated-orcid":false,"given":"Maxwell B","family":"Johnson","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Los Angeles General Medical Center , Los Angeles, CA 90033,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9410-6030","authenticated-orcid":false,"given":"Justin","family":"Gillenwater","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Los Angeles General Medical Center , Los Angeles, CA 90033,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,19]]},"reference":[{"key":"2025083004164795300_CIT0001","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1111\/j.1749-6632.2001.tb03558.x","article-title":"Modulation of the behavioral and neurochemical effects of psychostimulants by kappa-opioid receptor systems","volume":"937","author":"Shippenberg","year":"2001","journal-title":"Ann N Y Acad Sci"},{"key":"2025083004164795300_CIT0002","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1002\/jcph.1918","article-title":"Pharmacology of drugs used as stimulants","volume":"61","author":"Docherty","year":"2021","journal-title":"J Clin Pharmacol"},{"key":"2025083004164795300_CIT0003","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1093\/jbcr\/iraa087","article-title":"Stimulant abuse in burn patients is associated with an increased use of hospital resources","volume":"41","author":"Hulsebos","year":"2020","journal-title":"J Burn Care Res"},{"key":"2025083004164795300_CIT0004","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1016\/0305-4179(95)80008-c","article-title":"Alcohol and drug abuse in burn injuries","volume":"21","author":"Haum","year":"1995","journal-title":"Burns"},{"key":"2025083004164795300_CIT0005","doi-asserted-by":"publisher","first-page":"390","DOI":"10.1111\/ajad.13068","article-title":"Addiction psychiatry and addiction medicine: the evolution of addiction physician specialists","volume":"29","author":"Nunes","year":"2020","journal-title":"Am J Addict"},{"key":"2025083004164795300_CIT0006","first-page":"313","article-title":"Buprenorphine therapy for opioid use disorder","volume":"97","author":"Zoorob","year":"2018","journal-title":"Am Fam Physician"},{"key":"2025083004164795300_CIT0007","doi-asserted-by":"publisher","first-page":"714","DOI":"10.1093\/pm\/pnz356","article-title":"Understanding buprenorphine for use in chronic pain: expert opinion","volume":"21","author":"Webster","year":"2020","journal-title":"Pain Med"},{"key":"2025083004164795300_CIT0008","doi-asserted-by":"publisher","first-page":"406","DOI":"10.1016\/j.amjmed.2024.01.022","article-title":"Buprenorphine for pain: a narrative review and practical applications","volume":"137","author":"Spinella","year":"2024","journal-title":"Am J Med"},{"key":"2025083004164795300_CIT0009","doi-asserted-by":"publisher","first-page":"360","DOI":"10.1097\/ADM.0000000000000896","article-title":"Trends in substance use disorder-related admissions at a safety-net hospital, 2008\u20132020","volume":"16","author":"Lindsay","year":"2022","journal-title":"J Addict Med"},{"key":"2025083004164795300_CIT0010","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1080\/08897077.2020.1748169","article-title":"The impact of access to addiction specialist on attitudes, beliefs and hospital-based opioid use disorder related care: a survey of hospitalist physicians","volume":"43","author":"Calcaterra","year":"2022","journal-title":"Subst Abus"},{"key":"2025083004164795300_CIT0011","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1093\/jbcr\/irae014","article-title":"Inpatient complications and outcomes for burn patients admitted with methamphetamine intoxication","volume":"45","author":"Stanton","year":"2024","journal-title":"J Burn Care Res"},{"key":"2025083004164795300_CIT0012","doi-asserted-by":"crossref","first-page":"173495","DOI":"10.1016\/j.pbb.2022.173495","article-title":"Substance use disorders and social determinants of health from electronic medical records obtained during Kentucky\u2019s \u201ctriple wave.\u201d","volume":"221","author":"Delcher","year":"2022","journal-title":"Pharmacol Biochem Behav"},{"key":"2025083004164795300_CIT0013","doi-asserted-by":"publisher","first-page":"209484","DOI":"10.1016\/j.josat.2024.209484","article-title":"A scoping review of social determinants of health\u2019s impact on substance use disorders over the life course","volume":"166","author":"Lin","year":"2024","journal-title":"J Subst Use Addict Treat"},{"key":"2025083004164795300_CIT0014","doi-asserted-by":"publisher","first-page":"584","DOI":"10.1089\/jwh.2023.0559","article-title":"Social determinants associated with substance use and treatment seeking in females of reproductive age in the United States","volume":"33","author":"Horan","year":"2024","journal-title":"J Womens Health"},{"key":"2025083004164795300_CIT0015","doi-asserted-by":"publisher","first-page":"4186","DOI":"10.1177\/00031348231180927","article-title":"Prospective assessment of social determinants of health and length of stay among emergency general surgery and trauma patients","volume":"89","author":"DePolo","year":"2023","journal-title":"Am Surg"},{"key":"2025083004164795300_CIT0016","doi-asserted-by":"publisher","first-page":"S197","DOI":"10.1016\/j.arth.2020.01.027","article-title":"The cumulative effect of substance abuse disorders and depression on postoperative complications after primary total knee arthroplasty","volume":"35","author":"Gold","year":"2020","journal-title":"J Arthroplasty"},{"key":"2025083004164795300_CIT0017","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.sopen.2024.03.006","article-title":"Association of substance-use disorder with outcomes of major elective abdominal operations: a contemporary national analysis","volume":"19","author":"Khoraminejad","year":"2024","journal-title":"Surg Open Sc"},{"key":"2025083004164795300_CIT0018","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1016\/j.bja.2017.11.086","article-title":"Efficacy and adverse effects of buprenorphine in acute pain management: systematic review and meta-analysis of randomised controlled trials","volume":"120","author":"White","year":"2018","journal-title":"Br J Anaesth"},{"key":"2025083004164795300_CIT0019","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1007\/s002130100920","article-title":"Blockade of hydromorphone effects by buprenorphine\/naloxone and buprenorphine","volume":"159","author":"Strain","year":"2002","journal-title":"Psychopharmacology (Berl)"},{"key":"2025083004164795300_CIT0020","doi-asserted-by":"crossref","first-page":"s3","DOI":"10.1191\/0269216306pm1126oa","article-title":"Opioid-induced respiratory effects: new data on buprenorphine","volume":"20","author":"Dahan","year":"2006","journal-title":"Palliat Med"}],"container-title":["Journal of Burn Care &amp; Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jbcr\/advance-article-pdf\/doi\/10.1093\/jbcr\/iraf049\/64060449\/iraf049.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jbcr\/article-pdf\/46\/4\/725\/64060449\/iraf049.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jbcr\/article-pdf\/46\/4\/725\/64060449\/iraf049.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,30]],"date-time":"2025-08-30T08:16:53Z","timestamp":1756541813000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jbcr\/article\/46\/4\/725\/8236246"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":20,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,7,19]]},"published-print":{"date-parts":[[2025,8,30]]}},"URL":"https:\/\/doi.org\/10.1093\/jbcr\/iraf049","relation":{},"ISSN":["1559-047X","1559-0488"],"issn-type":[{"type":"print","value":"1559-047X"},{"type":"electronic","value":"1559-0488"}],"subject":[],"published-other":{"date-parts":[[2025,7]]},"published":{"date-parts":[[2025,7]]}}}