Long-term social dysfunction after trauma: What is the prevalence, risk factors, and associated outcomes?
Herrera-Escobar JP, Rivero R, Apoj M, Geada A, Villanyi M, Blake D, Nehra D, Velmahos G, Kaafarani HMA, Salim A, Haider AH, Kasotakis G. Long-term social dysfunction after trauma: What is the prevalence, risk factors, and associated outcomes? Surgery 2019, 166: 392-397. PMID: 31104807, DOI: 10.1016/j.surg.2019.04.004.Peer-Reviewed Original ResearchConceptsLonger hospital stayAfrican American raceHospital stayPost-traumatic stress disorderRisk factorsLogistic regression modelsFunctional limitationsSocial dysfunctionLower educationStress disorderBackward logistic regression modelStepwise backward logistic regression modelMultiple logistic regression modelPast psychiatric illnessIndependent risk factorSocial functioningLower mean ageRegression modelsMechanical ventilationMultivariable analysisMean agePsychiatric illnessMedicaid beneficiariesLevel IDysfunctionLower education and income predict worse long-term outcomes after injury.
Herrera-Escobar JP, Seshadri AJ, Rivero R, Toppo A, Al Rafai SS, Scott JW, Havens JM, Velmahos G, Kasotakis G, Salim A, Haider AH, Nehra D. Lower education and income predict worse long-term outcomes after injury. Journal Of Trauma And Acute Care Surgery 2019, 87: 104-110. PMID: 31033884, DOI: 10.1097/ta.0000000000002329.Peer-Reviewed Original ResearchConceptsLong-term outcomesWorse long-term outcomesPosttraumatic stress disorderWork/schoolLow educational levelChronic painSocioeconomic statusEducational levelLevel I trauma centerPoor long-term outcomesInjury Severity ScoreLow socioeconomic statusLogistic regression modelsIndividual socioeconomic statusLower SES statusMost patientsBlunt injuryTrauma patientsTrauma centerHigh morbidityMean ageFunctional statusSeverity scoreDifferent socioeconomic measuresFunctional limitations