RT Journal Article
T1 Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients.
A1 Cordovilla-Guardia, Sergio
A1 Fernández-Mondéjar, Enrique
A1 Vilar-López, Raquel
A1 Navas, Juan F
A1 Portillo-Santamaría, Mónica
A1 Rico-Martín, Sergio
A1 Lardelli-Claret, Pablo
AB 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.
YR 2017
FD 2017-08-16
LK http://hdl.handle.net/10668/11510
UL http://hdl.handle.net/10668/11510
LA en
DS RISalud
RD Apr 6, 2025