دورية أكاديمية
أعرض في EDS

Recovery Services for Interpersonal Violence Victims on Healthcare Use at a Trauma Center.

التفاصيل البيبلوغرافية
العنوان: Recovery Services for Interpersonal Violence Victims on Healthcare Use at a Trauma Center.
المؤلفون: Sun KJ; MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio., Zhu KY; MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio., Moon TJ; MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio., Breslin MA; MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio., Ho VP; MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio., Vallier HA; MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio. Electronic address: heathervallier@yahoo.com.
المصدر: The Journal of surgical research [J Surg Res] 2024 Jan; Vol. 293, pp. 443-450. Date of Electronic Publication: 2023 Oct 09.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Academic Press Country of Publication: United States NLM ID: 0376340 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1095-8673 (Electronic) Linking ISSN: 00224804 NLM ISO Abbreviation: J Surg Res Subsets: MEDLINE
أسماء مطبوعة: Publication: New York, NY : Academic Press
Original Publication: Philadelphia [etc.]
مواضيع طبية MeSH: Trauma Centers* , Emergency Service, Hospital*, Female ; Humans ; Male ; Length of Stay ; Violence ; Delivery of Health Care ; Retrospective Studies
مستخلص: Introduction: Treatment of interpersonal violence (IPV) patients is often complicated by social and mental health comorbidities. New American College of Surgeons (ACS) requirements include provision of psychosocial support services for recovery after injury. We aim to describe utilization and patient outcomes after provision of Trauma Recovery Services (TRS) at our institution for the IPV population. These services include assistance with food, housing, criminal justice, and advocacy.
Methods: IPV patients were identified between September 6, 2018 and December 20, 2020. Demographic information was collected. TRS utilization and specific services rendered were identified. Primary outcome measures included initial length of stay (LOS), number of subsequent emergency department (ED) visits, and outpatient visits within 1 y after the initial injury. Statistical analyses included t-tests, Chi-squared tests, and multivariate regression analyses.
Results: A total of 502 patients were included in the final cohort, and 394 patients (78.5%) accepted the utilization of TRS services after initial interaction. Patients were on average 33.4 y old, and 59.4% were females. Patients who were older (P < 0.001) and homeless (P = 0.004) were more likely to use TRS, while victims of sexual assault (P < 0.001) and single patients (P = 0.041) were less likely. Patients who utilized TRS had longer initial LOS (P < 0.001), more ED visits (P < 0.001), and more outpatient visits (P = 0.01) related to the initial complaint, independent of potential confounders on multivariate linear regression. Food and housing service utilization associated with LOS (P = 0.01), ED visits (P < 0.001), and outpatient visits (P < 0.001). Additionally, transportation services were associated with longer LOS (P = 0.01) while patient advocacy services were associated with more ED visits (P = 0.03).
Conclusions: TRS was extensively utilized by IPV patients, and associated with more follow-up appointments, ED visits, and longer LOS. Emphasis on injury mechanisms, baseline demographics, and social features may further characterize patients in need who tend toward utilization.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Outcomes; Recovery services; Trauma; Utilization; Victims of crime
تواريخ الأحداث: Date Created: 20231009 Date Completed: 20231127 Latest Revision: 20231211
رمز التحديث: 20231215
DOI: 10.1016/j.jss.2023.08.037
PMID: 37812878
قاعدة البيانات: MEDLINE
الوصف
تدمد:1095-8673
DOI:10.1016/j.jss.2023.08.037