Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients.
Estimate the effectiveness of brief interventions in reducing trauma recidivism in hospitalized trauma patients who screened positive for alcohol and/or illicit drug use.Dynamic cohort study based on registry data from 1818 patients included in a screening and brief intervention program for alcohol...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2017-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC5559089?pdf=render |
| _version_ | 1818480356410523648 |
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| author | Sergio Cordovilla-Guardia Enrique Fernández-Mondéjar Raquel Vilar-López Juan F Navas Mónica Portillo-Santamaría Sergio Rico-Martín Pablo Lardelli-Claret |
| author_facet | Sergio Cordovilla-Guardia Enrique Fernández-Mondéjar Raquel Vilar-López Juan F Navas Mónica Portillo-Santamaría Sergio Rico-Martín Pablo Lardelli-Claret |
| author_sort | Sergio Cordovilla-Guardia |
| collection | DOAJ |
| description | Estimate the effectiveness of brief interventions in reducing trauma recidivism in hospitalized trauma patients who screened positive for alcohol and/or illicit drug use.Dynamic cohort study based on registry data from 1818 patients included in a screening and brief intervention program for alcohol and illicit drug use for hospitalized trauma patients. Three subcohorts emerged from the data analysis: patients who screened negative, those who screened positive and were offered brief intervention, and those who screened positive and were not offered brief intervention. Follow-up lasted from 10 to 52 months. Trauma-free survival, adjusted hazard rate ratios (aHRR) and adjusted incidence rate ratios (aIRR) were calculated, and complier average causal effect (CACE) analysis was used.We found a higher cumulative risk of trauma recidivism in the subcohort who screened positive. In this subcohort, an aHRR of 0.63 (95% CI: 0.41-0.95) was obtained for the group offered brief intervention compared to the group not offered intervention. CACE analysis yielded an estimated 52% reduction in trauma recidivism associated with the brief intervention.The brief intervention offered during hospitalization in trauma patients positive for alcohol and/or illicit drug use can halve the incidence of trauma recidivism. |
| first_indexed | 2024-12-10T11:22:25Z |
| format | Article |
| id | doaj.art-8e86296c1f5748c79d9c63217724c48a |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-10T11:22:25Z |
| publishDate | 2017-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-8e86296c1f5748c79d9c63217724c48a2022-12-22T01:50:53ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01128e018244110.1371/journal.pone.0182441Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients.Sergio Cordovilla-GuardiaEnrique Fernández-MondéjarRaquel Vilar-LópezJuan F NavasMónica Portillo-SantamaríaSergio Rico-MartínPablo Lardelli-ClaretEstimate the effectiveness of brief interventions in reducing trauma recidivism in hospitalized trauma patients who screened positive for alcohol and/or illicit drug use.Dynamic cohort study based on registry data from 1818 patients included in a screening and brief intervention program for alcohol and illicit drug use for hospitalized trauma patients. Three subcohorts emerged from the data analysis: patients who screened negative, those who screened positive and were offered brief intervention, and those who screened positive and were not offered brief intervention. Follow-up lasted from 10 to 52 months. Trauma-free survival, adjusted hazard rate ratios (aHRR) and adjusted incidence rate ratios (aIRR) were calculated, and complier average causal effect (CACE) analysis was used.We found a higher cumulative risk of trauma recidivism in the subcohort who screened positive. In this subcohort, an aHRR of 0.63 (95% CI: 0.41-0.95) was obtained for the group offered brief intervention compared to the group not offered intervention. CACE analysis yielded an estimated 52% reduction in trauma recidivism associated with the brief intervention.The brief intervention offered during hospitalization in trauma patients positive for alcohol and/or illicit drug use can halve the incidence of trauma recidivism.http://europepmc.org/articles/PMC5559089?pdf=render |
| spellingShingle | Sergio Cordovilla-Guardia Enrique Fernández-Mondéjar Raquel Vilar-López Juan F Navas Mónica Portillo-Santamaría Sergio Rico-Martín Pablo Lardelli-Claret Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients. PLoS ONE |
| title | Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients. |
| title_full | Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients. |
| title_fullStr | Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients. |
| title_full_unstemmed | Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients. |
| title_short | Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients. |
| title_sort | effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients |
| url | http://europepmc.org/articles/PMC5559089?pdf=render |
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