دورية أكاديمية
أعرض في EDS

Impact of novel psychosocial programming on readmission and recidivism rates among patients with violence-related trauma.

التفاصيل البيبلوغرافية
العنوان: Impact of novel psychosocial programming on readmission and recidivism rates among patients with violence-related trauma.
المؤلفون: Simske NM; Medical College of Wisconsin, Milwaukee, WI, USA., Rivera T; Department of Orthopaedic Surgery, Case Western Reserve University, Cleveland, OH, USA., Ren BO; Department of Orthopaedic Surgery, Case Western Reserve University, Cleveland, OH, USA., Breslin MA; Department of Orthopaedic Surgery, Case Western Reserve University, Cleveland, OH, USA., Furdock R; Department of Orthopaedic Surgery, Case Western Reserve University, Cleveland, OH, USA., Vallier HA; Department of Orthopaedic Surgery, Case Western Reserve University, Cleveland, OH, USA. heathervallier@yahoo.com.
المصدر: Archives of orthopaedic and trauma surgery [Arch Orthop Trauma Surg] 2023 Dec; Vol. 143 (12), pp. 7043-7052. Date of Electronic Publication: 2023 Aug 10.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Verlag Country of Publication: Germany NLM ID: 9011043 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1434-3916 (Electronic) Linking ISSN: 09368051 NLM ISO Abbreviation: Arch Orthop Trauma Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: Berlin : Springer Verlag
Original Publication: Berlin : Springer International, c1989-
مواضيع طبية MeSH: Patient Readmission* , Wounds, Gunshot*/epidemiology, Humans ; Male ; Violence ; Trauma Centers ; Recurrence ; Retrospective Studies
مستخلص: Introduction: The Victims of Crime Advocacy and Recovery Program (VOCARP) provides advocacy, mental health resources, and educational materials. This study will report complications, readmissions, and recidivism among crime victims, and who used or did not use victim services.
Materials and Methods: Patients engaged with programming from 3/1/17 until 12/31/18 were included. Control groups were patients injured by violent trauma without VOCARP use (N = 212) and patients injured by unintentional injuries (N = 201). Readmissions, complications, reoperations, and trauma recidivism were reported.
Results: 1019 patients (83%) used VOCARP. VOCARP users were less often male (56% vs. 71%), less commonly married (12% vs. 41%), and had fewer gunshot wounds (GSWs, 26% vs. 37%) and sexual assaults (4.1% vs. 8%), all p < 0.05. Of all 1,423 patients, 6.6% had a readmission and 7.4% developed a complication. VOCARP patients had fewer complications (4.5% vs. 13.7%), infections (2% vs. 9%), wound healing problems (1% vs. 3.3%), and deep vein thromboses (0.3% vs. 1.9%), all p < 0.05, but no differences in unplanned operations (4.5%). GSW victims had the most complications, readmissions, and unplanned surgeries. Prior trauma recidivism was frequent among all groups, with crime victim patients having 40% prior violence-related injury (vs 9.0% control, p < 0.0001). Trauma recidivism following VOCARP use occurred in 8.5% (vs 5.7% for non-users, p = 0.16).
Conclusion: Crime victims differ from other trauma patients, more often with younger age, single marital status, and unemployment at baseline. Complications were lower for VOCARP patients. GSW patients had the most complications, readmissions, and unplanned secondary procedures, representing a population for future attention.
(© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
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فهرسة مساهمة: Keywords: Complication; Readmission; Rehospitalization; Traumatic injury; Violence; Violence-related injury
تواريخ الأحداث: Date Created: 20230809 Date Completed: 20231113 Latest Revision: 20231129
رمز التحديث: 20240829
DOI: 10.1007/s00402-023-05019-1
PMID: 37558824
قاعدة البيانات: MEDLINE
الوصف
تدمد:1434-3916
DOI:10.1007/s00402-023-05019-1