Understanding and promoting equitable post-discharge care in firearm injury survivors: a retrospective chart review
Abstract Patients that survive firearm injuries frequently require follow-up care. This study aims to explore demographic characteristics of patients presenting to the emergency department for post-firearm injury care and to understand the reasons for their return visits. This was a retrospective ch...
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| Format: | Article |
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Nature Portfolio
2025-01-01
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| Series: | Scientific Reports |
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| Online Access: | https://doi.org/10.1038/s41598-024-83650-7 |
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| author | Claire L. Jacobson Rehan Choudhury Allison Broad Anna M. Maw Chelsea Wolf Brian Adams Anne Drabkin |
| author_facet | Claire L. Jacobson Rehan Choudhury Allison Broad Anna M. Maw Chelsea Wolf Brian Adams Anne Drabkin |
| author_sort | Claire L. Jacobson |
| collection | DOAJ |
| description | Abstract Patients that survive firearm injuries frequently require follow-up care. This study aims to explore demographic characteristics of patients presenting to the emergency department for post-firearm injury care and to understand the reasons for their return visits. This was a retrospective chart review of all emergency department and readmission patient encounters for post-firearm injury care during the study period, January 1, 2019 to December 31, 2022, at an urban safety net hospital. Seventy-four patients with 84 corresponding emergency department encounters were included in the analysis. Key findings were that patients from racial and ethnic minorities, patients insured by Medicaid, and patients experiencing homelessness were overrepresented in the study cohort. Additionally, many repeat emergency department visits were potentially avoidable, stemming primarily from insufficient pain control, wound checks, postoperative complications, and infections. The authors proposed potential interventions to improve post-firearm injury care, including the provision of wound care kits and the optimization of the discharge medication pick-up process. |
| format | Article |
| id | doaj-art-6700b98e9d844c838c4da202450e7021 |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj-art-6700b98e9d844c838c4da202450e70212025-02-02T12:16:46ZengNature PortfolioScientific Reports2045-23222025-01-011511510.1038/s41598-024-83650-7Understanding and promoting equitable post-discharge care in firearm injury survivors: a retrospective chart reviewClaire L. Jacobson0Rehan Choudhury1Allison Broad2Anna M. Maw3Chelsea Wolf4Brian Adams5Anne Drabkin6University of Colorado Anschutz Medical CampusUniversity of Colorado Anschutz Medical CampusUniversity of Colorado Anschutz Medical CampusUniversity of Colorado Anschutz Medical CampusUniversity of Colorado Anschutz Medical CampusUniversity of Colorado Anschutz Medical CampusUniversity of Colorado Anschutz Medical CampusAbstract Patients that survive firearm injuries frequently require follow-up care. This study aims to explore demographic characteristics of patients presenting to the emergency department for post-firearm injury care and to understand the reasons for their return visits. This was a retrospective chart review of all emergency department and readmission patient encounters for post-firearm injury care during the study period, January 1, 2019 to December 31, 2022, at an urban safety net hospital. Seventy-four patients with 84 corresponding emergency department encounters were included in the analysis. Key findings were that patients from racial and ethnic minorities, patients insured by Medicaid, and patients experiencing homelessness were overrepresented in the study cohort. Additionally, many repeat emergency department visits were potentially avoidable, stemming primarily from insufficient pain control, wound checks, postoperative complications, and infections. The authors proposed potential interventions to improve post-firearm injury care, including the provision of wound care kits and the optimization of the discharge medication pick-up process.https://doi.org/10.1038/s41598-024-83650-7FirearmsFirearm injuryViolence preventionHealth disparitiesSocial determinants of health |
| spellingShingle | Claire L. Jacobson Rehan Choudhury Allison Broad Anna M. Maw Chelsea Wolf Brian Adams Anne Drabkin Understanding and promoting equitable post-discharge care in firearm injury survivors: a retrospective chart review Scientific Reports Firearms Firearm injury Violence prevention Health disparities Social determinants of health |
| title | Understanding and promoting equitable post-discharge care in firearm injury survivors: a retrospective chart review |
| title_full | Understanding and promoting equitable post-discharge care in firearm injury survivors: a retrospective chart review |
| title_fullStr | Understanding and promoting equitable post-discharge care in firearm injury survivors: a retrospective chart review |
| title_full_unstemmed | Understanding and promoting equitable post-discharge care in firearm injury survivors: a retrospective chart review |
| title_short | Understanding and promoting equitable post-discharge care in firearm injury survivors: a retrospective chart review |
| title_sort | understanding and promoting equitable post discharge care in firearm injury survivors a retrospective chart review |
| topic | Firearms Firearm injury Violence prevention Health disparities Social determinants of health |
| url | https://doi.org/10.1038/s41598-024-83650-7 |
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