{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T06:06:21Z","timestamp":1780725981479,"version":"3.54.1"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2019,7,16]],"date-time":"2019-07-16T00:00:00Z","timestamp":1563235200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1 TR001860"],"award-info":[{"award-number":["UL1 TR001860"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,10,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Previous research on burn patients who test positive for methamphetamines (meth) has yielded mixed results regarding whether meth-positive status leads to worse outcomes and longer hospitalizations. We hypothesized that meth-positive patients at our regional burn center would have worse outcomes. We reviewed burn admissions from January 2014 to December 2017 and compared total patients versus meth-positive, and matched meth-negative versus meth-positive for total BSA burn, length of stay (LOS), intensive care unit (ICU) days, days on ventilator, discharge status (lived\/died), number of operating room (OR) visits, number of procedures, socioeconomic status, comorbidities, and discharge disposition. Of 1363 total patients, 264 (19.4%) were meth-positive on toxicology screen. We matched 193 meth-positive patients with meth-negative controls based on TBSA burn, age, and inhalation injury. In the total population comparison, meth-positive patients had larger burns (15.6% vs 12.2%; P = .004), longer LOS (17.8 vs 14.3 days; P = .041), and fewer operations\/TBSA (0.12 vs 0.2; P = .04), and lower socioeconomic status. Meth-positive patients were less likely to be discharged to a skilled nursing facility, and more likely to leave against medical advice. In the matched patients, we found no significant differences in LOS or OR visits\/TBSA burn. Meth-positive patients have lower socioeconomic status, larger burns, and longer LOS compared to the total burn population. Methamphetamine use, by itself, does not appear to change outcomes. Methamphetamine use leads to larger burns in a population with fewer resources than the general population.<\/jats:p>","DOI":"10.1093\/jbcr\/irz102","type":"journal-article","created":{"date-parts":[[2019,7,16]],"date-time":"2019-07-16T05:26:02Z","timestamp":1563254762000},"page":"734-742","source":"Crossref","is-referenced-by-count":13,"title":["Clinical and Socioeconomic Differences in Methamphetamine-Positive Burn Patients"],"prefix":"10.1093","volume":"40","author":[{"given":"Eve A","family":"Solomon","sequence":"first","affiliation":[{"name":"University of California, Davis Medical School, Sacramento"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David G","family":"Greenhalgh","sequence":"additional","affiliation":[{"name":"Department of Burn Surgery, University of California, Davis, Sacramento"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soman","family":"Sen","sequence":"additional","affiliation":[{"name":"Department of Burn Surgery, University of California, Davis, Sacramento"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tina L","family":"Palmieri","sequence":"additional","affiliation":[{"name":"Department of Burn Surgery, University of California, Davis, Sacramento"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4431-2423","authenticated-orcid":false,"given":"Kathleen S","family":"Romanowski","sequence":"additional","affiliation":[{"name":"Department of Burn Surgery, University of California, Davis, Sacramento"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,7,16]]},"reference":[{"key":"2019101713493665500_CIT0001","author":"Robles","year":"2019"},{"key":"2019101713493665500_CIT0002"},{"key":"2019101713493665500_CIT0003","volume-title":"Treatment Episode Data Set (TEDS): 2005\u20132015. National admissions to substance abuse treatment services","author":"Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality","year":"2017"},{"key":"2019101713493665500_CIT0004","author":"Centers for Disease Control and Prevention","year":"2017"},{"key":"2019101713493665500_CIT0005","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.burns.2012.03.003","article-title":"Resurgence of methamphetamine related burns and injuries: a follow-up study","volume":"39","author":"Davidson","year":"2013","journal-title":"Burns."},{"key":"2019101713493665500_CIT0006","doi-asserted-by":"crossref","first-page":"e226","DOI":"10.1097\/BCR.0000000000000133","article-title":"Estimating the national cost burden from burns resulting from methamphetamine manufacturing","volume":"36","author":"Myers","year":"2015","journal-title":"J Burn Care Res."},{"key":"2019101713493665500_CIT0007","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1097\/01.BCR.0000085855.14964.01","article-title":"The methamphetamine burn patient","volume":"24","author":"Warner","year":"2003","journal-title":"J Burn Care Rehabil."},{"key":"2019101713493665500_CIT0008","first-page":"228","article-title":"Methamphetamine laboratory explosions: a new and emerging burn injury","volume":"26","author":"Santos","year":"2005","journal-title":"J Burn Care Rehabil."},{"key":"2019101713493665500_CIT0009","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1097\/BCR.0b013e31816677ee","article-title":"Slightly hypertonic saline and dextran-40 in resuscitation of methamphetamine burn patients","volume":"29","author":"Juern","year":"2008","journal-title":"J Burn Care Res."},{"key":"2019101713493665500_CIT0010","doi-asserted-by":"crossref","first-page":"1712","DOI":"10.1097\/TA.0b013e3181a0e589","article-title":"Methamphetamine production is hazardous to your health","volume":"66","author":"Blostein","year":"2009","journal-title":"J Trauma."},{"key":"2019101713493665500_CIT0011","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1097\/01.BCR.0000226056.81279.C9","article-title":"Characteristics of burn patients injured in methamphetamine laboratory explosions","volume":"27","author":"Spann","year":"2006","journal-title":"J Burn Care Res."},{"key":"2019101713493665500_CIT0012","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1097\/BCR.0b013e31817db832","article-title":"Methamphetamine-related burns in the cornbelt","volume":"29","author":"Burke","year":"2008","journal-title":"J Burn Care Res."},{"key":"2019101713493665500_CIT0013","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1016\/j.burns.2017.10.010","article-title":"Accelerant-related burns and drug abuse: challenging combination","volume":"44","author":"Leung","year":"2018","journal-title":"Burns."},{"key":"2019101713493665500_CIT0014","doi-asserted-by":"crossref","first-page":"1044","DOI":"10.1016\/j.burns.2011.01.023","article-title":"Methamphetamine laboratory-related burns in Western Australia\u2013why the explosion?","volume":"37","author":"O\u2019Neill","year":"2011","journal-title":"Burns."},{"key":"2019101713493665500_CIT0015","year":"2010"},{"key":"2019101713493665500_CIT0016","author":"Sabillo","year":"2017"},{"key":"2019101713493665500_CIT0017","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1097\/01.BCR.0000138298.30449.AA","article-title":"Methamphetamine-associated burn injuries: a retrospective analysis","volume":"25","author":"Danks","year":"2004","journal-title":"J Burn Care Rehabil."},{"key":"2019101713493665500_CIT0018","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1097\/BCR.0b013e31817112b0","article-title":"Assault and substance abuse characterize burn injuries in homeless patients","volume":"29","author":"Kramer","year":"2008","journal-title":"J Burn Care Res."},{"key":"2019101713493665500_CIT0019","author":"Buddy","year":"2018"}],"container-title":["Journal of Burn Care &amp; 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