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A Spatial Analysis Of Functional Outcomes And Quality Of Life Outcomes After Pediatric Injury, Nathaniel Bell, Sami Kruse, Richard K. Simons, Mariana Brussoni
A Spatial Analysis Of Functional Outcomes And Quality Of Life Outcomes After Pediatric Injury, Nathaniel Bell, Sami Kruse, Richard K. Simons, Mariana Brussoni
Faculty Publications
BACKGROUND:
Changes in health-related quality of life (HRQoL) are more regularly being monitored during the first year after injury. Monitoring changes in HRQoL using spatial cluster analysis can potentially identify concentrations of geographic areas with injury survivors with similar outcomes, thereby improving how interventions are delivered or in how outcomes are evaluated.
METHODS:
We used a spatial scan statistic designed for oridinal data to test two different spatial cluster analysis of very low, low, high, and very high HRQoL scores. Our study was based on HRQoL scores returned by children treated for injury at British Columbia Children's Hospital and discharged …
Routine Versus Ad Hoc Screening For Acute Stress Following Injury: Who Would Benefit And What Are The Opportunities For Prevention, Nathaniel Bell, Boris Sobolev, Stephen Anderson, Robert Hewko, Richard K. Simons
Routine Versus Ad Hoc Screening For Acute Stress Following Injury: Who Would Benefit And What Are The Opportunities For Prevention, Nathaniel Bell, Boris Sobolev, Stephen Anderson, Robert Hewko, Richard K. Simons
Faculty Publications
BACKGROUND:
Screening for acute stress is not part of routine trauma care owing in part to high variability of acute stress symptoms in identifying later onset of posttraumatic stress disorder (PTSD). The objective of this pilot study was to assess the sensitivity, specificity, and power to predict onset of PTSD symptoms at 1 and 4 months using a routine screening program in comparison to current ad hoc referral practice.
METHODS:
Prospective cross-sectional observational study of a sample of hospitalized trauma patients over a four-month period from a level-I hospital in Canada. Baseline assessments of acute stress (ASD) and subsyndromal ASD …