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Trauma

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Research Brief

How to Improve Mental Health Care for Veterans

Aug 13, 2019

Veterans, especially those who deployed overseas, face elevated risks of mental health conditions. Those who have served since 9/11 are particularly vulnerable. About one in five experiences mental health problems. Are veterans getting the high-quality care that they need?
Essay

Childhood Trauma Is More Common Than You Think. This School-Based Intervention Can Help

Apr 23, 2019

A program developed at RAND helps children exposed to trauma confront and subdue their stress and anxiety. The program grew out of the 1990s street violence of South Los Angeles and has since helped kids from Newtown to Fukushima. Researchers are tailoring this intervention for children in Puerto Rico whose lives were upended by hurricanes.

Explore Trauma

Research Brief

Post 9/11 Trends in Medical Separation and Separation for Service Members with Posttraumatic Stress Disorder and Traumatic Brain Injury

Trends in military medical discharges and disability ratings can help the U.S. Department of Defense set goals for diagnosing, treating, and evaluating service members with posttraumatic stress disorder or traumatic brain injury.

May 10, 2021
Report

Evolution of Department of Defense Disability Evaluation and Management of Posttraumatic Stress Disorder and Traumatic Brain Injury: Overview of Policy Changes, 2001–2018

The authors review major policy changes to the military's disability evaluation system between 2001 and 2018 with a particular focus on changes to policies related to posttraumatic stress disorder and traumatic brain injury.

May 10, 2021
Report

Trends in Department of Defense Disability Evaluation System Ratings and Awards for Posttraumatic Stress Disorder and Traumatic Brain Injury, 2002–2017

The authors conduct an empirical analysis of trends in diagnosis, treatment, and disability evaluation for posttraumatic stress disorder and traumatic brain injury among military service members between 2002 and 2017.

May 10, 2021
Research Brief

2018 Health Related Behaviors Survey: Physical Health and Functional Limitations Among the Active Component

The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This brief reviews results for physical health and functional limitations among active component members.

Apr 28, 2021
Research Brief

2018 Health Related Behaviors Survey: Physical Health and Functional Limitations Among the Reserve Component

The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This brief reviews results for physical health and functional limitations among reserve component members.

Apr 28, 2021
Journal Article

A Trauma Mortality Prediction Model Based on the ICD-10-CM Lexicon: TMPM-ICD10

The authors constructed an outcome prediction model using only ICD-10-CM acute injury codes and compared its performance with that of the injury severity score.

Jan 28, 2021
Journal Article

Survival Rates in Trauma Patients Following Health Care Reform in Massachusetts

This article examines the effect of Massachusetts health care reform on survival rates of injured patients.

Jan 28, 2021
Journal Article

Ranking Trauma Center Quality: Can Past Performance Predict Future Performance?

This article explores whether trauma center quality metrics based on historical data can reliably predict future trauma center performance.

Jan 28, 2021
Journal Article

Trauma Care Does Not Discriminate: The Association of Race and Health Insurance with Mortality Following Traumatic Injury

Using data from a sample of patients admitted to hospitals for traumatic injury, this article examines the effects of race and insurance coverage on mortality using two logistic regression models, for patients younger and older than 65 years.

Jan 28, 2021
Journal Article

A Comparison of the Injury Severity Score and the Trauma Mortality Prediction Model

We compared the performance of the Trauma Mortality Prediction Model with the Injury Severity Score and other measures of injury severity in a single cohort of patients.

Jan 28, 2021
Journal Article

Impact of Obesity on Mortality and Complications in Trauma Patients

This article examines the association between obesity and outcomes in injured patients.

Jan 27, 2021
Journal Article

Injury Scoring: Then, Now, and Into the 21st Century

In this essay we review the recent history of injury outcome prediction and suggest how the future may play out.

Jan 21, 2021
Journal Article

Variation in Readmission Rates Among Hospitals Following Admission for Traumatic Injury

We wished to determine if hospitals differed in their adjusted readmission rates following an index hospital admission for traumatic injury.

Jan 20, 2021
Report

Australia's Third Action Plan of the National Plan to Reduce Violence Against Women and Their Children, Priority Area 2: Aboriginal and Torres Strait Islander Women and Their Children — Final Report

The authors discuss their evaluation of the Australian government's Third Action Plan of the National Plan to Reduce Violence Against Women and Their Children, designed to address family violence in Aboriginal and Torres Strait Islander communities.

Jan 20, 2021
Journal Article

Comparison of Two Prognostic Models in Trauma Outcome

This study compared the anatomical injury components of the Trauma Audit and Research Network model with the Trauma Mortality Prediction Model.

Jan 15, 2021
Journal Article

The Differential Mortality of Glasgow Coma Score in Patients with and Without Head Injury

This article determines if the association of Glasgow Coma Score with mortality is influenced by the presence of traumatic brain injury.

Dec 31, 2020
Report

Mitigating the Effects of Blast-Related Burn Injuries from Prolonged Field Care to Rehabilitation and Resilience: Proceedings and Expert Findings from a U.S. Department of Defense International State-of-the-Science Meeting

Blast-related burns, which accounted for most burns suffered by service members in the recent conflict in Afghanistan, are difficult to treat. These conference proceedings describe a meeting held at RAND to identify gaps in blast-injury research.

Dec 23, 2020
Multimedia

Benefits and Applications of a Standardized Definition of High-Quality Care

RAND senior policy researcher Carrie Farmer presents several ways in which a standardized definition of high-quality care could be used by health care organizations, veterans, and payers.

Dec 17, 2020
Journal Article

Effectiveness of Nonpublic Report Cards for Reducing Trauma Mortality

Nonpublic reporting of hospital risk-adjusted mortality rates does not lead to improved in-hospital mortality outcomes in trauma patients.

Dec 17, 2020
Journal Article

Trends in Racial Disparities for Injured Patients Admitted to Trauma Centers

We performed an observational cohort study to determine whether outcome disparities between black and white trauma patients have decreased over the last 10 years.

Dec 10, 2020

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