Drug Abuse

Gunshot Wound Survivors Endure Elevated Charges of PTSD, Unemployment, and Substance Abuse – DocWire Information


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<p> The persistent effects of gunshot wounds (GSWs) extend well beyond mortality and economic burden, and survivors are more likely to experience cases of post-traumatic stress disorder (PTSD), unemployment and drug abuse by JAMA Surgery, according to a published study. </p>
<p> "The consequences of firearm injuries in the United States are devastating," the researchers wrote in their summary. "Although the mortality and costs of firearms have been studied, the long-term results after survival of a bullet wound (GSW) remain unstudied." </p>
<p> In a prospective cohort study, the researchers evaluated the reported results of 183 patients who had survived gunshot wounds (GSWs) in a single urban level I trauma center from January 2008 to December 2017. The participants had an average GSW time of 5.9 years and were predominantly young (mean age 27 years, black [91.8%] male 92.3%] and employed by the GSW.) The researchers tried to contact all adult patients who were discharged were at least 18 years old during the study period The primary results of this study were defined as scores for 8 PROMIS tools (Global Physical Health, Global Mental Health, Physical Function, Emotional Support, Ability to …) Participate in social roles and activities (Pain intensity, alcohol consumption and severity of substance use) and on the PTSD (Posttraumatic Stress Disorder) screen for primary care for the Diagnostic and Statistical Handbook on Mental Disorders, fifth edition The researchers performed data analyzes between data collected on June 1, 2018 analyzed until June 20, 2019. </p>
<p> According to the results of the study, combined alcohol and drug use among GSW victims increased by 13.2% (pre-GSW consumption, 56 [30.8%]post-GSW consumption, 80 [44.0%]). The participants showed mean values ​​under the population norms (50 [10]) for global physical health (45 [11]P <0.001), global mental health (48 [11]P = 0.03) and physical function (45 [12]; P <0.001) PROMIS metrics. The results showed that 48.6% of the participants had a positive screening for probable PTSD. </p>
<p> In addition, patients in need of an intensive care unit had worse mean physical function scores (42 [13] vs. 46 [11]P = .045) compared to those who did not need an intensive care unit. Survivors had a higher PTSD risk no more than 5 years after injury (38 out of 63 [60.3%] versus 51 out of 119 [42.9%]P = 0.03), but a better mean (SD). Global Physical Health (47 [11] vs. 43 [11]; P = .04) than the more than 5 years after the injury. </p>
<p lang= Let's talk about what happens to over 70,000 "lucky" bullet wound survivors in America every year.

Young lives and young families, forever changed https://t.co/wGdNs5tGPS

– Mark Seamon (@MarkSeamonMD) November 20, 2019

The researchers concluded in their conclusion: "Survivors of GSWs can have negative consequences for years after an injury. These results suggest that early detection and initiation of long-term care is of paramount importance. "

I have been waiting for this paper. This is a completely unclear aspect of the consequences of gun violence. Far more people are shot and survive discharge than they die, but in the long run they suffer from severe medical morbidity, unemployment and PTSD. https://t.co/kaPIGC045B

– Mark Hoofnagle (@MarkHoofnagle) November 20, 2019