Publication:
Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients.

Research Projects
Organizational Units
Journal Issue
Abstract
Estimate the effectiveness of brief interventions in reducing trauma recidivism in hospitalized trauma patients who screened positive for alcohol and/or illicit drug use. Dynamic cohort study based on registry data from 1818 patients included in a screening and brief intervention program for alcohol and illicit drug use for hospitalized trauma patients. Three subcohorts emerged from the data analysis: patients who screened negative, those who screened positive and were offered brief intervention, and those who screened positive and were not offered brief intervention. Follow-up lasted from 10 to 52 months. Trauma-free survival, adjusted hazard rate ratios (aHRR) and adjusted incidence rate ratios (aIRR) were calculated, and complier average causal effect (CACE) analysis was used. We found a higher cumulative risk of trauma recidivism in the subcohort who screened positive. In this subcohort, an aHRR of 0.63 (95% CI: 0.41-0.95) was obtained for the group offered brief intervention compared to the group not offered intervention. CACE analysis yielded an estimated 52% reduction in trauma recidivism associated with the brief intervention. The brief intervention offered during hospitalization in trauma patients positive for alcohol and/or illicit drug use can halve the incidence of trauma recidivism.
Description
MeSH Terms
Adult
Alcohol Drinking
Cohort Studies
Female
Follow-Up Studies
Hospitalization
Humans
Illicit Drugs
Kaplan-Meier Estimate
Male
Middle Aged
Retrospective Studies
Severity of Illness Index
Spain
Trauma Centers
Wounds and Injuries
DeCS Terms
CIE Terms
Keywords
Citation