Violence Prevention Programs Are Effective When Initiated During the Initial Workup of Patients in an Urban Level I Trauma Center
Bibliographic Data
| ID | 21748580 |
|---|---|
| Authors | Yalaunda M Thomas (Advocate Christ Medical Center), Sheila C Regan (CeaseFire Chicago, Chicago, IL, USA), Elena Quintana (CeaseFire Chicago, Chicago, IL, USA), Elise Wisnieski (CeaseFire Chicago, Chicago, IL, USA), Steven L Salzman (Advocate Christ Medical Center), Steven Salzman (Advocate Christ Medical Center), Kevin L Chow (0000-0002-8698-0999, University of Illinois Chicago), Charles F Mack (University of Illinois Chicago), LeVon Stone (University of Illinois Chicago), Barbara Giloth (CeaseFire Chicago, Chicago, IL, USA), Eduardo Smith-Singares (0000-0002-0169-2788, Kadlec Regional Medical Center, corresponding author) |
| Year | 2022 |
| Volume | 16 |
| Issue | 5 |
| Pages | 15579883221125007-15579883221125007 |
| Publication date | 2022-09-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | American Journal of Men s Health (JOURNAL) |
| Journal identifiers | ISSN: 1557-9883 • E-ISSN: 1557-9891 |
| Publisher | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1177/15579883221125007 |
| PMID | 36114706 |
| OpenAlex | W4296162063 |
| Language | EN |
| References cited | 23 |
This study represents the first attempt at evaluating the ability of the CureViolence Hospital-Response Intervention Program (previously CeaseFire) to disrupt the pattern of violent reinjury. The clinical data points of 300 African American men who presented to our trauma center with a gunshot wound and received intervention at the bedside between 2005 and 2007 (with a 48-month follow-up) were collected. This cohort was matched with a post hoc historical control group using hospital records from 2003 to 2005. The mean age for both groups was 23.9 years. Odds ratios and 95% confidence intervals were obtained. Using a binary logistical regression model, we assessed the performance of three variables of interest: age at the time of the initial injury, treatment group, and initial disposition group to predict recidivism. We utilized the Nagelkerke R square method, which described the proportion of the variance of the reinjury rate and validated our findings using the Hosmer–Lemeshow test (for goodness-of-fit). Six percent ( n = 18) of subjects in the treatment group and 11% ( n = 33) in the control group returned with a new injury, yielding a total reinjury rate of 8.5%. Most patients returned only once with another violent injury. Individuals who did not receive CureViolence services were nearly twice as likely (odds ratio = 1.94; 95% confidence interval = 1.065, 3.522) to return with a violent reinjury. This finding suggests that Hospital-Response Intervention Programs (HRIP) have a protective effect in violently injured patients. We therefore conclude our HRIP positively affected at-risk patients and prevented violent reinjury
Cohort · Confidence interval · Injury prevention · Injury Severity Score · Logistic regression · Odds ratio · Poison control · Psychiatry · Recidivism · Retrospective cohort study · Trauma center · Gun Ownership and Violence Research · Injury Epidemiology and Prevention · Medicine · Trauma and Emergency Care Studies · Emergency Medicine · Internal Medicine
| Highly cited | No |
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