A Call to Follow-Up: Results Regarding Trauma Clinic Follow-Up Patterns
| Autor: | Thomas W. Carver, Colleen M. Trevino, David Milia, Terri A. deRoon-Cassini, James C Cooros, Samantha A. Chesney |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Critical Care Attitude of Health Personnel Single visit Health Personnel MEDLINE Aftercare Follow up results Emergency Nursing Critical Care Nursing 03 medical and health sciences 0302 clinical medicine Multidisciplinary approach medicine Humans Trauma team Advanced and Specialized Nursing 030504 nursing business.industry Chronic pain 030208 emergency & critical care medicine Middle Aged medicine.disease Functional recovery Mental health United States Family medicine Practice Guidelines as Topic Female 0305 other medical science business |
| Zdroj: | Journal of Trauma Nursing. 26:290-296 |
| ISSN: | 1078-7496 |
| Popis: | The objective of this study was to assess the current practice pattern regarding posthospitalization follow-up of trauma patients among the members of the Eastern Association for the Surgery of Trauma (EAST). An anonymous online multiple-choice survey of EAST members in 2016 was conducted. Ten questions relating to the follow-up care of injured patients were presented to the Active, Senior, and Associate members of EAST. Data were screened for quantitative concerns prior to analysis. Of the 1,610 members surveyed, 289 responded (18%). Approximately 52% of respondents stated that their institution has a dedicated trauma follow-up clinic where most injured patients are seen after discharge. Less than 20% reported that nontrauma multidisciplinary providers are present in clinics. Most (89.5%) reported that follow-up is a single visit, unless a patient has long-standing issues. Only 3 respondents stated that patients are regularly seen 3+ months out from injury, and a significant minority (17.7%) acknowledged no set follow-up timeline. Only 3.6% of participants indicated that they have a psychologist embedded in the trauma team, and 11.5% reported that no system is currently in place to manage mental health. Despite more than 20 years of literature highlighting the long-term physical and mental health sequelae after trauma, these survey results demonstrate that there is a lack of standardized and multidisciplinary follow-up. Given the improvement in outcomes with the identification and treatment of these sequelae, greater attention should be paid to functional recovery, social and psychological well-being, and chronic pain. |
| Databáze: | OpenAIRE |
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