@misc{10481/95511,
year = {2017},
month = {8},
url = {https://hdl.handle.net/10481/95511},
abstract = {Objective
Estimate the effectiveness of brief interventions in reducing trauma recidivism in hospitalized
trauma patients who screened positive for alcohol and/or illicit drug use.
Methods
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.
Results
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.
Conclusion
The brief intervention offered during hospitalization in trauma patients positive for alcohol
and/or illicit drug use can halve the incidence of trauma recidivism.},
organization = {Dirección General de Tráfico, Spain [grant number:
0100DGT22389]},
organization = {Consejería de Salud, Junta de Andalucía, Spain
[grant number: PI-0691-2013]},
organization = {Individual research grant from the Spanish Ministry of
Education, Culture and Sport (FPU13/00669)},
publisher = {Plos One},
title = {Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients},
doi = {10.1371/journal.pone.0182441},
author = {Cordovilla Guardia, Sergio Alejandro and Fernández Mondéjar, Enrique Ángel and Vilar López, Raquel and Navas, Juan F. and Portillo Santamaría, Mónica and Rico Martín, Sergio and Lardelli Claret, Pablo},
}