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Patient Satisfaction Is Improved With Exposure to Trauma Recovery Services

Simske, Natasha M. BS; Benedick, Alex MD; Rascoe, Alexander S. MD, MBA; Hendrickson, Sarah B. MEd; Vallier, Heather A. MD

Journal of the American Academy of Orthopaedic Surgeons: October 09, 2019 - Volume Publish Ahead of Print - Issue - p
doi: 10.5435/JAAOS-D-19-00266
Research Article: PDF Only

Introduction: The purpose of this study is to assess the impact of Trauma Recovery Services (TRS), a program facilitating engagement and recovery on satisfaction after orthopaedic trauma.

Methods: Two hundred ninety-four patients with surgically managed extremity fractures were prospectively surveyed. Satisfaction was assessed after 12 months using a 13-question telephone survey, rated on a Likert scale from 1 to 5 (with five being excellent). TRS resource utilization during and after hospitalization was recorded. Eighty-eight patients (30%) used TRS.

Results: Overall satisfaction was high with a mean score of 4.32. Although no differences were observed between the control group and patients with TRS utilization in age, sex, race, insurance, smoking history, or employment status, TRS patients sustained more high-energy mechanisms (81% versus 56%) and had more associated psychiatric illness (33% versus 17%), both P < 0.01. Multivariable regression indicated general exposure to TRS to be an independent predictor of higher overall care ratings (B = 1.31; P = 0.03).

Discussion: Utilization of TRS was the greatest predictor of better overall care ratings. This study builds on existing evidence demonstrating the positive impact of Trauma Survivor Network programming. We conclude that a hospital-wide program supporting patient education and engagement can effectively increase patient satisfaction after traumatic injury.

Level of Evidence: Prognostic Level II

From the Department of Orthopaedic Surgery, MetroHealth Medical Center, Affiliated With Case Western Reserve University, Cleveland, OH.

Correspondence to Dr. Vallier: hvallier@metrohealth.org

None of the following authors or any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Ms. Simske, Dr. Benedick, Dr. Rascoe, Ms. Hendrickson, and Dr. Vallier.

© 2019 by American Academy of Orthopaedic Surgeons
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