| Trauma patients return to productivity. | |
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MedLine Citation:
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PMID: 2056547 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Economic issues threaten the development of a national trauma system. Much work has focused on the cost of trauma care; little has been done to define society's long-term economic return. We asked three questions about high cost trauma patients: (1) Do they survive?, (2) Do they continue to require expensive care?, and (3) Do they return to productivity? Of 6,129 consecutive trauma admissions, 114 had hospital charges over $100,000 (mean = $143,000), 102 (89.5%) were discharged alive, and 10 (8.8%) were lost to followup. Ninety-two patients or families were interviewed at least 1 year (mean = 2.6 year) after discharge. There were 88 survivors and 4 deaths (3.5%). Of the 88 survivors 73% had no limitation of ADLs, 67% received rehabilitation, 58% were still improving, and 37% were involved in litigation. Five survivors (5.7%) were confined to a nursing home, 48 (54.5%) had returned to productivity (RTP), 35 (39.8%) were unemployed, and five of these still require medical therapy. We conclude: (1) The majority of high cost patients survive (89.5%) and return to productivity (54.5%); (2) the severity of injury predicts survival but not return to productivity; and (3) the RTP rate may be increased by addressing nonmedical need. |
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Authors:
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J A Morris; A A Sanchez; S M Bass; E J MacKenzie |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of trauma Volume: 31 ISSN: 0022-5282 ISO Abbreviation: J Trauma Publication Date: 1991 Jun |
Date Detail:
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Created Date: 1991-07-29 Completed Date: 1991-07-29 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0376373 Medline TA: J Trauma Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 827-33; discussion 833-4 Citation Subset: AIM; IM |
Affiliation:
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Division of Trauma, Vanderbilt University School of Medicine, Nashville, TN 37212. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living Adult Education Employment* Follow-Up Studies Hospitalization / economics Humans Injury Severity Score Middle Aged Nursing Homes Outcome and Process Assessment (Health Care) United States Wounds and Injuries / economics* |
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