Abstract：
Background: The burden of firearm injury (FI) extends beyond hospitalization; however, literature focuses mostly on short-term physical outcomes. This study aimed to assess changes in patient-reported outcomes following firearm-related trauma. We hypothesized long-term patient-reported socioeconomic, mental health, and quality-of-life (QoL) outcomes are worse post-FI compared to pre-FI.Methods: This was a retrospective study where a phone survey was conducted with FI survivors admitted between January 2017 and August 2022 at a level 1 trauma center. Survey questions assessed demographics, socioeconomics, and mental and physical health pre-FI vs ≥ 6 months post-FI; the McNemar test was used for comparisons. The PROMIS-29 + 2v2.1 NIH validated instrument was used to assess long-term QoL. Standardized NIH PROMIS T-scores were calculated using the HealthMeasures Scoring Service.Results: Of 204 eligible FI survivors, 71 were successfully contacted and 38 surveyed. Respondents were male (86.8%), Black (76%), and aged 18-29 (55.3%), and 68.4% had high school level education. Post-FI, patients were more likely to be unemployed (55.2% vs 13.2%, P < .001) and report increased mental health needs (84.2% vs 21%, P < .001) compared to pre-FI. Most (73.7%) also reported lasting physical disability. Similarly, the PROMIS instrument demonstrated largely worse health-related QoL scores post-FI, particularly high anxiety/fear (T-score 60.2, SE 3.1, CI 54.6-66.3, Table 2), pain resulting in life interference (T-score 60.0, SE 2.3, CI 55.7-63.9), and worse physical function (T-score 42.5, SE 3.0, CI 38.2-46.9).Conclusions: Firearm injury survivors had more unemployment and worse mental health post-FI compared to pre-FI. Firearm injury survivors also reported significantly worse health-related QoL metrics including pain, anxiety, and physical function 6 months following their trauma. These long-term patient-reported outcomes are a framework to build future outpatient resources.Level of Evidence: IV.
摘要：
背景：枪支伤害（FI）的负担超出了住院；但是，文献主要关注短期身体结果。这项研究旨在评估枪支相关创伤后患者报告结果的变化。我们假设长期患者报告的社会经济，心理健康,与FI前相比，FI后生活质量（QoL）结果更差。方法：这是一项回顾性研究，对2017年1月至2022年8月在1级创伤中心收治的FI幸存者进行了电话调查。调查问题评估了人口统计，社会经济学,以及FI前与FI后≥6个月的身心健康；McNemar检验用于比较。PROMIS-29+2v2.1NIH验证仪器用于评估长期QoL。使用HealthMeasures评分服务计算标准化NIHPROMIST评分。结果：在204名符合条件的FI幸存者中，成功联系了71人，调查了38人。受访者为男性（86.8%），黑色（76%），18-29岁(55.3%)，68.4%的人受过高中教育。Post-FI,患者更有可能失业(55.2%vs13.2%，P<.001）并报告心理健康需求增加（84.2%vs21%，P<.001）与FI前相比。大多数（73.7％）还报告了持久的身体残疾。同样，PROMIS仪器在FI后显示出与健康相关的QoL分数在很大程度上较差，特别高的焦虑/恐惧（T评分60.2，SE3.1，CI54.6-66.3，表2），疼痛导致生活干扰（T评分60.0，SE2.3，CI55.7-63.9），身体功能较差（T评分42.5，SE3.0，CI38.2-46.9）。结论：与FI前相比，FI后枪支伤害幸存者的失业率更高，心理健康更差。枪支伤害幸存者还报告了与健康相关的QoL指标，包括疼痛，焦虑,创伤后6个月的身体机能。这些长期患者报告的结果是建立未来门诊资源的框架。证据等级：IV。
