NDLI: Screening adolescent patients admitted to the trauma service for high-risk behaviors: who is responsible?

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Shafii, Taraneh Rivara, Frederick P. Wang, Jin Jurkovich, Gregory J.
Description	Country affiliation: United States Author Affiliation: Shafii T ( Division of Adolescent Medicine, Department of Pediatrics, Center for AIDS and STD, University of Washington, Seattle, Washington 98104, USA. tshafii@u.washington.edu)
Abstract	BACKGROUND: Trauma remains the leading cause of death for adolescents in the United States. Adolescents are a hard to access medical population, with few opportunities for providers to screen for high-risk behaviors. The trauma team has a unique opportunity to screen for concurrent risk behaviors. The objective of this study was to assess surgeon knowledge, attitudes, and current practice of screening for high-risk behaviors in injured adolescents. METHODS: From June 2007 to September 2007, a 16-item survey was mailed to 880 trauma surgeons assess their current screening practices of their adolescent patients (14-18 years); their perception of patients' risk taking; the perceived need for additional screening; and the surgeons' willingness to add routine screening to their workup. RESULTS: The majority of trauma surgeons believed screening for risk behaviors in their adolescent patients was an important part of the trauma admission, although most thought it was not their personal responsibility. The highest rate of screening was for substance abuse, whereas the lowest was for gun ownership and sexual behavior. The majority of surgeons (74.4%) were willing to routinely consult specialists in adolescent medicine/pediatrics to assess for and manage risk behaviors in their adolescent trauma patients. CONCLUSION: The majority of trauma surgeons agree that risk screening is an important part of the trauma treatment for adolescent patients and are interested in involving adolescent medicine and pediatric specialists to ensure adequate screening, management, and follow-up of risk behaviors in their patients.
File Format	HTM / HTML
ISSN	00225282
Issue Number	6
Volume Number	67
e-ISSN	15298809
Journal	The Journal of Trauma: Injury, Infection, and Critical Care
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2009-12-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Chi-square Distribution Humans Trauma Centers Male Health Knowledge, Attitudes, Practice Attitude Of Health Personnel Risk-taking Discipline Traumatology Journal Article Physician's Practice Patterns Mass Screening Adolescent Questionnaires Female Statistics & Numerical Data Adolescent Behavior
Content Type	Text
Resource Type	Article
Subject	Surgery Critical Care and Intensive Care Medicine

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