Affinati Steven, Patton Desmond, Hansen Luke, Ranney Megan, Christmas A Britton, Violano Pina, Sodhi Aparna, Robinson Bryce, Crandall Marie
The Family Institute at Northwestern University, Evanston, Illinois, USA.
School of Social Work and School of Information, University of Michigan, Ann Arbor, Michigan, USA.
Trauma Surg Acute Care Open. 2016 Sep 28;1(1):e000024. doi: 10.1136/tsaco-2016-000024. eCollection 2016.
Violent injury and reinjury take a devastating toll on distressed communities. Many trauma centers have created hospital-based violent injury prevention programs (HVIP) to address psychosocial, educational, and mental health needs of injured patients that may contribute to reinjury.
To evaluate the overall effectiveness of HVIPs for violent injury prevention. We performed an evidence-based review to answer the following population, intervention, comparator, outcomes (PICO) question: Are HVIPs attending to adult patients (age 18+) treated for intentional injury more effective than the usual care at preventing: intentional violent reinjury and/or death; arrest and/or incarceration; substance abuse and/or mental issues; job and/or school attainment?
PubMed, Web of Science, Google Scholar, and the Cochrane Library were queried for salient articles by a professional librarian on two separate occasions, and related articles were identified from references.
Eligible studies examined adult patients treated for intentional injury in a hospital-based violence prevention program compared to a control group.
We used the Grading of Recommendations Assessment, Development, and Evaluation methodology to assess the breadth and quality of the evidence.
71 articles were identified. After discarding duplicates, reviews, and those articles that did not address our PICO questions, we ultimately reviewed 10 articles. We found insufficient evidence to recommend adult-focused HVIP interventions.
There was a relative paucity of data, and available studies were limited by self-selection bias and small sample sizes.
We make no recommendation with respect to adult-focused HVIP interventions.
暴力伤害和再次伤害给困境社区带来了毁灭性的影响。许多创伤中心已设立了以医院为基础的暴力伤害预防项目（HVIP），以满足受伤患者可能导致再次伤害的心理社会、教育和心理健康需求。
评估HVIP预防暴力伤害的总体效果。我们进行了一项循证综述，以回答以下人群、干预措施、对照、结局（PICO）问题：针对成年患者（18岁及以上）的HVIP在预防故意暴力再次伤害和/或死亡、逮捕和/或监禁、药物滥用和/或心理问题、工作和/或学业成就方面，是否比常规护理更有效？
专业图书馆员分两次在PubMed、科学网、谷歌学术和考克兰图书馆中查询相关重要文章，并从参考文献中识别出相关文章。
研究入选标准 参与者 干预措施：符合条件的研究将在以医院为基础的暴力预防项目中接受故意伤害治疗的成年患者与对照组进行比较。
我们使用推荐分级评估、制定和评价方法来评估证据的广度和质量。
共识别出71篇文章。在剔除重复文章、综述以及未涉及我们PICO问题的文章后，我们最终审查了10篇文章。我们发现没有足够的证据推荐以成年人为重点的HVIP干预措施。
数据相对较少，现有研究受到自我选择偏倚和样本量小的限制。
我们对以成年人为重点的HVIP干预措施不做推荐。
