Saving lives and saving money: hospital-based violence intervention is cost-effective

The Journal of Trauma and Acute Care Surgery
Catherine JuillardRochelle Dicker

Abstract

Victims of violence are at significant risk for injury recidivism, including fatality. We previously demonstrated that our hospital-based violence intervention program (VIP) resulted in a fourfold reduction in injury recidivism, avoiding trauma care costs of $41,000 per injury. Given limited trauma center resources, assessing cost-effectiveness of interventions is fundamental to inform use of these programs in other institutions. This study examines the cost-effectiveness of hospital-based VIP. We used a decision tree and Markov disease state modeling to analyze cost utility for a hypothetical cohort of violently injured subjects, comparing VIP versus no VIP at a trauma center. Quality-adjusted life-years (QALYs) were calculated using differences in mortality and published health state utilities. Costs of trauma care and VIP were obtained from institutional data, and risk of recidivism with and without VIP were obtained from our trial. Outcomes were QALYs gained and net costs over a 5-year horizon. Sensitivity analyses examined the impact of uncertainty in input values on results. VIP results in an estimated 25.58 QALYs and net costs (program plus trauma care) of $5,892 per patient. Without VIP, these values are 25.34 and $5,92...Continue Reading

References

Oct 16, 1996·JAMA : the Journal of the American Medical Association·M C WeinsteinL B Russell
Feb 18, 2004·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Marla G BeckerDeane Calhoun
Dec 13, 2005·The American Journal of Emergency Medicine·Leslie S ZunJodi Rosen
Jul 21, 2006·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Janel HanmerDennis G Fryback
Oct 30, 2007·Journal of the American College of Surgeons·Daniel ShibruGregory P Victorino
Dec 17, 2009·The Journal of Trauma·Rochelle A DickerMichael Texada
Jul 14, 2010·The Journal of Trauma·Ellen J MacKenzieDavid S Salkever
Nov 17, 2012·The Surgical Clinics of North America·Philip S Barie, Vanessa P Ho
Jun 20, 2013·The Journal of Trauma and Acute Care Surgery·Andrew M McCoyJeffrey A Claridge
Mar 29, 2014·Journal of Forensic Sciences·Russell L GriffinGerald McGwin

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Citations

Mar 26, 2015·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Jonathan PurtleRochelle Dicker
Jul 21, 2016·Journal for Nurses in Professional Development·Cathleen OppermanMary Harper
Oct 18, 2016·Injury Epidemiology·Fredrik RödingJack Lysholm
Sep 23, 2016·The Journal of Trauma and Acute Care Surgery·Catherine JuillardRochelle Ami Dicker
Aug 31, 2017·Journal of Community Health·Kyle R FischerMichael B Greene
Jul 27, 2018·Journal for Nurses in Professional Development·Cathleen OppermanCarol Susan Johnson
Jul 26, 2019·The Journal of Trauma and Acute Care Surgery·Michel B AboutanosNicholas D Thomson
Feb 15, 2020·Critical Care Medicine·Elinore J Kaufman, Therese S Richmond
Aug 9, 2017·The Journal of Trauma and Acute Care Surgery·Teresa M BellBen L Zarzaur
Feb 20, 2020·Trauma Surgery & Acute Care Open·Natasha M SimskeHeather A Vallier
Mar 11, 2020·Trauma Surgery & Acute Care Open·Vanessa P HoUNKNOWN Coalition for National Trauma Research Scientific Advisory Council
Dec 14, 2018·Traffic Injury Prevention·Joshua ParrecoRishi Rattan
Apr 30, 2020·The Journal of Trauma and Acute Care Surgery·William Aaron MarshallKeith R Miller
Jan 13, 2018·Revista brasileira de enfermagem·Gilvânia Patrícia do Nascimento PaixãoIgor Brasil de Araújo
Jun 27, 2018·BMC Health Services Research·Daniel SkinnerKelly J Kelleher
Jan 4, 2018·Journal of Interpersonal Violence·Angela Lumba-BrownRobert Kennedy
Mar 10, 2020·The Journal of Trauma and Acute Care Surgery·Deborah A KuhlsM Margaret Knudson
Oct 8, 2020·American Journal of Public Health·Shamsher SamraPhilippe Bourgois
Nov 19, 2020·The Western Journal of Emergency Medicine·Garth N WalkerP Quincy Moore
Nov 3, 2020·The American Surgeon·Christopher P ForanDemetrios G Demetriades
Feb 21, 2021·American Journal of Preventive Medicine·Cora Peterson, Megan C Kearns
Aug 14, 2021·Preventing Chronic Disease·Emily Ruiz EscobarCarrie M Blanchard
Aug 25, 2015·Annals of Internal Medicine·Jonathan PurtleTheodore J Corbin

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