Medical College of Wisconsin, Milwaukee, WI, USA.
Department of Orthopaedic Surgery, Case Western Reserve University, Cleveland, OH, USA.
Arch Orthop Trauma Surg. 2023 Dec;143(12):7043-7052. doi: 10.1007/s00402-023-05019-1. Epub 2023 Aug 10.
The Victims of Crime Advocacy and Recovery Program (VOCARP) provides advocacy, mental health resources, and educational materials. This study will report complications, readmissions, and recidivism among crime victims, and who used or did not use victim services.
Patients engaged with programming from 3/1/17 until 12/31/18 were included. Control groups were patients injured by violent trauma without VOCARP use (N = 212) and patients injured by unintentional injuries (N = 201). Readmissions, complications, reoperations, and trauma recidivism were reported.
1019 patients (83%) used VOCARP. VOCARP users were less often male (56% vs. 71%), less commonly married (12% vs. 41%), and had fewer gunshot wounds (GSWs, 26% vs. 37%) and sexual assaults (4.1% vs. 8%), all p < 0.05. Of all 1,423 patients, 6.6% had a readmission and 7.4% developed a complication. VOCARP patients had fewer complications (4.5% vs. 13.7%), infections (2% vs. 9%), wound healing problems (1% vs. 3.3%), and deep vein thromboses (0.3% vs. 1.9%), all p < 0.05, but no differences in unplanned operations (4.5%). GSW victims had the most complications, readmissions, and unplanned surgeries. Prior trauma recidivism was frequent among all groups, with crime victim patients having 40% prior violence-related injury (vs 9.0% control, p < 0.0001). Trauma recidivism following VOCARP use occurred in 8.5% (vs 5.7% for non-users, p = 0.16).
Crime victims differ from other trauma patients, more often with younger age, single marital status, and unemployment at baseline. Complications were lower for VOCARP patients. GSW patients had the most complications, readmissions, and unplanned secondary procedures, representing a population for future attention.
犯罪受害者宣传和康复计划（VOCARP）提供宣传、心理健康资源和教育材料。本研究将报告犯罪受害者的并发症、再入院和累犯情况，以及使用或未使用受害者服务的情况。
纳入了 2017 年 3 月 1 日至 2018 年 12 月 31 日期间参与项目的患者。对照组为未使用 VOCARP 的暴力创伤受伤患者（N=212）和非故意伤害受伤患者（N=201）。报告了再入院、并发症、再次手术和创伤复发的情况。
1019 名患者（83%）使用了 VOCARP。VOCARP 用户中男性比例较低（56%比 71%），已婚比例较低（12%比 41%），枪伤（26%比 37%）和性侵犯（4.1%比 8%）较少，所有差异均有统计学意义（均 p<0.05）。在所有 1423 名患者中，6.6%的患者再入院，7.4%的患者发生并发症。VOCARP 患者的并发症（4.5%比 13.7%）、感染（2%比 9%）、伤口愈合问题（1%比 3.3%）和深静脉血栓形成（0.3%比 1.9%）较少，所有差异均有统计学意义（均 p<0.05），但计划性手术（4.5%）无差异。枪伤受害者的并发症、再入院和非计划性手术最多。所有组中先前的创伤复发率都很高，犯罪受害者患者中有 40%有先前与暴力相关的损伤（与对照组 9.0%相比，p<0.0001）。使用 VOCARP 后创伤复发的发生率为 8.5%（与非使用者的 5.7%相比，p=0.16）。
犯罪受害者与其他创伤患者不同，他们更常见于年轻、单身、失业的状态。VOCARP 患者的并发症较低。枪伤患者的并发症、再入院和非计划性二次手术最多，代表着未来需要关注的人群。
