Acute Injury Care Research
In 2005, CDC’s Injury Center updated its
research agenda to clearly state its highest priorities in the area of
acute care research and to focus on research that will ultimately make a
difference in improving acute injury care systems and the care
individuals receive when they are injured. To this end, the Injury
Center awarded four new research grants for fiscal year 2006-2007.
Researchers receive approximately $400,000 each for three years to
explore methods of improving care for the acutely injured. Those
projects are described here.
Nancy
Kassam-Adams
Joseph Stokes, Jr. Research Institute, Children's Hospital of
Philadelphia
Project Title: Stepped Preventive Care to Reduce the Impact of Acute
Pediatric Injury
One in six children with unintentional injuries develop persistent,
impairing symptoms of posttraumatic stress disorder (PTSD), but most go
undiagnosed and untreated. To address effects of unintentional injuries
and their emotional impacts, this study will evaluate the impact of an
intervention on PTSD and depression symptoms; evaluate the impact on
health outcomes; and provide preliminary data to inform
cost-effectiveness analyses.
Ellen
J. MacKenzie
Bloomberg School of Public Health
Johns Hopkins University School of Medicine
Project Title: Improving Trauma Outcomes: A Patient-Centered Approach
Despite substantial improvements over the last two decades in the
organization and delivery of trauma care, severe injuries often result
in poor long-term functional outcomes for working-age individuals. The
purpose of this study is to evaluate the American Trauma Society’s
Trauma Survivor Network (TSN) and the effectiveness of the TSN Program
in improving primary, secondary and intermediary outcomes for trauma
patients.
James
Frederick Holmes
University of California, Davis
Project Title: Clinical Decision Rule to Identify Children with
Intra-abdominal Injuries
Trauma is the leading cause of death in children. Intra-abdominal
injuries (IAI) are a frequent cause of morbidity and mortality due to
trauma. Some IAIs are difficult to identify and failure to identify
these injuries results in preventable deaths and disabilities. Abdominal
computerized tomography (CT) is the reference standard for the diagnosis
of IAIs. CT scanning, however, has important risks, primarily the risk
of development of radiation-induced malignancy. The objective of this
study is to develop highly sensitive, specific and generalizable
decision rules for the evaluation of children with blunt abdominal
trauma who are seen in emergency departments. These decision rules may
then serve to generate evidence-driven guidelines for the evaluation of
these children, resulting in more efficient use of CT scans.
E.
Brooke Lerner
University of Rochester
Project Title: Evaluation of the Mechanism–of-Injury Component of the
Trauma Triage Criteria
Emergency Medical Service (EMS) providers must appropriately identify
which patients will benefit from the special resources of a trauma
center. This requires them to have evidence-based trauma triage tools.
This study examines the most commonly used tool, the American College of
Surgeon's Field Triage Criteria. Specifically, the mechanism-of-injury
component of the Criteria will be evaluated to determine which
conditions are predictive of trauma center need.
Learn more about CDC-funded injury research at
http://www.cdc.gov/ncipc/erpo/default.htm
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Content Source: National Center for Injury Control and
Prevention, Division of Injury Response
Page last modified:
February 27, 2008