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Risk Factors for Residual Medical Needs after Pediatric Trauma Injury

儿童创伤后剩余医疗需求的风险因素

基本信息

批准号：
9896461
负责人：
Teresa Maria Bell
金额：
$ 6.22万
依托单位：
INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-03-01 至 2020-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9896461
关键词：
Accident and Emergency department Acute Address Adolescent Adult Alcohol or Other Drugs use Appointments and Schedules Attention Caregivers Caring Child Childhood Childhood Injury Complex Data Diagnosis Evaluation Face Foundations Functional disorder Future Goals Guidelines Health Health Services Health Services Accessibility Healthcare Hospitals Impaired cognition Impairment Injury Inpatients Intervention Knowledge Lead Life Logistics Measurement Medical Mental Health Musculoskeletal Outcome Outpatients Pain Parents Patient Care Patient Outcomes Assessments Patients Pattern Performance Pharmaceutical Cares Phase Physical activity Physicians Population Prevalence Provider Public Health Radiology Specialty Recovery Reporting Research Residual state Risk Risk Factors Schools Secondary Prevention Secondary to Services Sleep disturbances Surveys Survivors Trauma Trauma patient Traumatic injury Visit Work acute care barrier to care base behavioral health care systems clinical risk data acquisition design disability evidence base experience follow-up functional outcomes health care service utilization improved injured mortality multi-component intervention patient oriented patient subsets pediatric patients pediatric trauma physical conditioning prevent prospective psychosocial severe injury social survivorship tertiary prevention trauma centers traumatic event

项目摘要

PROJECT SUMMARY Approximately 300,000 children are hospitalized for nonfatal, traumatic injuries each year. Trauma has the potential to lead to a life-long decrease in the quality of a child's life and place them at increased risk for disability and early mortality. Trauma survivors can experience lasting deficits in physical and mental health, leading to secondary conditions including pain, musculoskeletal dysfunction, cognitive impairment, psychosocial difficulties, and sleep disturbances. These conditions can further lead to decreased participation in physical activities, poor school performance, and substance use. To date, little knowledge exists about the health care needs of pediatric survivors of traumatic injury, which are likely distinct from the adult population. There is a critical need to develop an evidence base to inform later guidelines for physicians to improve follow- up care after childhood injury. The long-term goal of this research is to determine unmet health needs of the pediatric trauma population and to design healthcare interventions that improve functional outcomes and reduce disability. Improving these long-term outcomes requires better follow-up data acquisition: both acquiring unbiased pre-injury baseline measurements and assessing post-acute care services. A major obstacle to improving long-term outcomes of children with traumatic injury is the lack of reliable, longitudinal data on pediatric patients after hospital discharge. The objective of this proposal is to identify patterns of healthcare utilization for two years following injury and to assess parent-perceived health needs of injured children. The aims of this exploratory study are to 1) identify long-term patterns of healthcare utilization in children after a critical injury, 2) determine whether injured children are receiving recommended follow-up care after leaving the hospital, 3) characterize parents' real-world barriers to post-acute care after traumatic injury, and 4) determine whether parents report unmet health needs of children beyond the acute phase of recovery. This research is significant because the proposed studies lay the foundation for improved follow-up care that will not only help achieve better outcomes for injured children, but may also prevent future health problems as adults. We anticipate that these findings will provide evidence to support the integration of acute and post- acute services into a “seamless system of care” for injured patients and will provide data essential to developing patient-centered guidelines for post-acute care after childhood trauma.

项目总结