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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

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

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

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

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

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
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

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
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
Commentary

All Veterans with Invisible Wounds Should Receive High-Quality Care That Meets These Standards

Millions of post-9/11 U.S. military veterans experience life-changing invisible wounds, including posttraumatic stress disorder and chronic issues resulting from traumatic brain injuries. While effective treatments are available, many veterans lack access to high-quality care. And what high-quality care means, exactly, has been elusive.

Oct 30, 2020
Research Brief

What Does High-Quality Care Mean for Veterans with Invisible Wounds?

Many veterans have difficulty accessing high-quality care for posttraumatic stress disorder and traumatic brain injury. As clinical providers and veteran-serving organizations aim to improve access, a shared definition of high-quality care for these conditions would help them better meet veterans' needs.

Oct 22, 2020
Report

Defining High-Quality Care for Veterans with Posttraumatic Stress Disorder and Mild Traumatic Brain Injury

A rigorously developed, shared definition of high-quality care for veterans with posttraumatic stress disorder and traumatic brain injury will help clinical providers and veteran-serving organizations better meet veterans' needs.

Oct 22, 2020
Report

The Effect of Blast-Related Burn Injuries from Prolonged Field Care to Rehabilitation and Resilience: A Review of the Scientific Literature

Researchers reviewed literature about blast-related burn injury, which is common among service members and is associated with infection, disability, military discharge, and mortality. Further research is needed on burn prevention and field care.

Sep 21, 2020
Journal Article

Persistent Risk-Related Worry as a Function of Recalled Exposure to the Deepwater Horizon Oil Spill and Prior Trauma

This study examined the nature and predictors of worry about ongoing impacts of the 2010 Deepwater Horizon (DH) oil spill reported by Gulf of Mexico coastal residents.

Sep 16, 2020

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