Format

Send to

Choose Destination
PLoS One. 2017 Aug 16;12(8):e0182441. doi: 10.1371/journal.pone.0182441. eCollection 2017.

Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients.

Author information

1
Nursing Department, Nursing and Occupational Therapy College, University of Extremadura, Cáceres, Spain.
2
Servicio de Medicina Intensiva, Complejo Hospitalario Universitario de Granada, Granada, Spain.
3
Instituto de Investigación Biosanitaria IBS, Granada, Spain.
4
Department of Personality, Evaluation and Psychological Treatment. University of Granada, Granada, Spain.
5
Addictive Disorders Network, RTA Instituto de Salud Carlos III, Spanish Ministry, Spain.
6
Mind, Brain and Behavior Research Centre, University of Granada, Granada, Spain.
7
Department of Experimental Psychology. University of Granada, Granada, Spain.
8
Servicio de Salud Mental, Hospital de la Ribera, Valencia, Spain.
9
Department of Preventive Medicine and Public Health, School of Medicine, University of Granada, Granada, Spain. CIBER of Epidemiology and Public Health. Spain.

Abstract

OBJECTIVE:

Estimate the effectiveness of brief interventions in reducing trauma recidivism in hospitalized trauma patients who screened positive for alcohol and/or illicit drug use.

METHODS:

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.

RESULTS:

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.

CONCLUSION:

The brief intervention offered during hospitalization in trauma patients positive for alcohol and/or illicit drug use can halve the incidence of trauma recidivism.

PMID:
28813444
PMCID:
PMC5559089
DOI:
10.1371/journal.pone.0182441
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Public Library of Science Icon for PubMed Central
Loading ...
Support Center