Patient-reported Outcomes at 6 to 12 Months Among Survivors of Firearm Injury in the United States.

Annals of Surgery
Juan P Herrera-EscobarDeepika Nehra

Abstract

Assess outcomes in survivors of firearm injuries after 6 to 12 months and compared them with a similarly injured trauma population. For every individual in the United States who died of a firearm injury in 2017, three survived, living with the burden of their injury. Current firearm research largely focuses on mortality and short-term health outcomes, while neglecting the long-term consequences. We contacted adult patients with a moderate-to-severe injury from a firearm or motor vehicle crash (MVC) treated at 3 level I trauma centers in Boston between 2015 and 2018. Patients were contacted 6 to 12 months postinjury to measure: presence of daily pain; screening for post-traumatic stress disorder (PTSD); new functional limitations; return to work; and physical and mental health-related quality of life. We matched each firearm injury patient to MVC patients using Coarsened Exact Matching. Adjusted Generalized Linear Models were used to compare matched patients. Of 177 eligible firearm injury survivors, 100 were successfully contacted and 63 completed the study. Among them, 67.7% reported daily pain, 53.2% screened positive for PTSD, 38.7% reported a new functional limitation in an activity of daily living, and 59.1% have not retur...Continue Reading

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Jun 17, 2021·The American Surgeon·Rachel M BorthwellVincent E Chong

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