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Related Experiment Videos

Trauma patients return to productivity.

J A Morris1, A A Sanchez, S M Bass

  • 1Division of Trauma, Vanderbilt University School of Medicine, Nashville, TN 37212.

The Journal of Trauma
|June 1, 1991
PubMed
Summary
This summary is machine-generated.

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Most high-cost trauma patients survive and return to productivity. Injury severity impacts survival, not productivity. Addressing nonmedical needs may improve return to productivity rates for trauma survivors.

Area of Science:

  • Health Economics
  • Trauma Surgery
  • Rehabilitation Medicine

Background:

  • Economic factors significantly impact national trauma system development.
  • Existing research primarily focuses on the cost of trauma care, with limited data on long-term societal economic returns.

Purpose of the Study:

  • To evaluate the survival, ongoing care needs, and return to productivity of high-cost trauma patients.
  • To understand the long-term economic impact of severe trauma on patients and society.

Main Methods:

  • Analysis of 6,129 consecutive trauma admissions, identifying 114 patients with hospital charges exceeding $100,000.
  • Follow-up interviews with 92 patients/families at least 1 year post-discharge to assess outcomes.
  • Assessment of survival, activities of daily living (ADLs) limitations, rehabilitation, employment status, and need for further medical therapy.

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Main Results:

  • Of 114 high-cost patients, 89.5% survived hospitalization. At follow-up (mean 2.6 years), 88 patients survived (96.5% of discharged).
  • Among survivors, 54.5% returned to productivity (RTP), 39.8% were unemployed, and 5.7% required nursing home confinement.
  • Injury severity predicted survival but not the likelihood of returning to productivity. Litigation was a factor for 37% of survivors.

Conclusions:

  • The majority of high-cost trauma patients survive and demonstrate a substantial rate of return to productivity.
  • Factors beyond injury severity, such as nonmedical needs, may influence a patient's ability to return to work.
  • Interventions addressing nonmedical needs could potentially enhance the return to productivity rates for trauma survivors, improving their long-term economic contribution.