The Trauma Collaborative Care Study (TCCS)

被引:35
|
作者
Wegener, Stephen T. [1 ]
Pollak, Andrew N. [2 ]
Frey, Katherine P. [3 ]
Hymes, Robert A. [4 ]
Archer, Kristin R. [5 ,6 ]
Jones, Clifford B. [7 ]
Seymour, Rachel B. [8 ]
O'Toole, Robert V. [2 ]
Castillo, Renan C. [3 ]
Huang, Yanjie [3 ]
Scharfstein, Daniel O. [9 ]
MacKenzie, Ellen J. [3 ]
机构
[1] Johns Hopkins Sch Med, Dept Phys Med & Rehabil, Baltimore, MD USA
[2] Univ Maryland, Sch Med, Dept Orthopaed, R Adams Cowley Shock Trauma Ctr, Baltimore, MD 21201 USA
[3] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Baltimore, MD USA
[4] Inova Fairfax Med Campus, Dept Orthopaed Surg, Orthopaed Trauma, In ova Fairfax Med Campus, Fairfax, VA USA
[5] Vanderbilt Univ, Med Ctr, Dept Orthopaed Surg, Nashville, TN USA
[6] Vanderbilt Univ, Med Ctr, Dept Phys Med & Rehabil, Nashville, TN USA
[7] Univ Arizona, CORE Inst, Coll Med, Banner Univ,Med Ctr, Phoenix, AZ USA
[8] Carolinas Med Ctr, Dept Orthopaed Surg, Charlotte, NC 28203 USA
[9] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Biostat, Baltimore, MD USA
关键词
collaborative care; orthopaedic trauma; patient-centered care; psychosocial consequences; POSTTRAUMATIC-STRESS-DISORDER; RANDOMIZED CONTROLLED-TRIAL; LOWER-EXTREMITY TRAUMA; 12-ITEM HEALTH SURVEY; PSYCHOMETRIC PROPERTIES; SURVIVORS NETWORK; TERM OUTCOMES; DEPRESSION; INJURY; QUESTIONNAIRE;
D O I
10.1097/BOT.0000000000000792
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Previous research suggests that the care provided to trauma patients could be improved by including early screening and management of emotional distress and psychological comorbidity. The Trauma Collaborative Care (TCC) program, which is based on the principles of well-established models of collaborative care, was designed to address this gap in trauma center care. This article describes the TCC program and the design of a multicenter study to evaluate its effectiveness for improving patient outcomes after major, high-energy orthopaedic trauma at level 1 trauma centers. The TCC program was evaluated by comparing outcomes of patients treated at 6 intervention sites (n = 481) with 6 trauma centers where care was delivered as usual (control sites, n = 419). Compared with standard treatment alone, it is hypothesized that access to the TCC program plus standard treatment will result in lower rates of poor patient-reported function, depression, and posttraumatic stress disorder.
引用
收藏
页码:S78 / S87
页数:10
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