Effectiveness of the P.A.R.T.Y. (Prevent Alcohol and Risk-Related Trauma in Youth) Program in Preventing Traumatic Injuries: A 10-Year Analysis

Banfield, Joanne; Gómez, M. J. Lázaro; Kiss, Alex; Redelmeier, Donald A.; Brenneman, Frederick D.

doi:10.1097/ta.0b013e31820783a3

Cited by 29 publications

(35 citation statements)

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“…42,43 Early intervention and education while young males are at school has become a focus of prevention strategies to address this, 44 as well as other programs, such as the prevention of alcohol-related trauma in youth, which was found to effectively reduce the incidence of traumatic injuries among its participants, although more so in women than men. 45 There are several limitations of the current research. It only included those injured individuals admitted to one of the 12 major trauma centres, some of which were only able to provide information on severely injured patients.…”

Section: Discussionmentioning

confidence: 99%

Major trauma: the unseen financial burden to trauma centres, a descriptive multicentre analysis

Curtis

Lam²,

Mitchell³

et al. 2014

Aust. Health Review

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Objective. This research examines the existing funding model for in-hospital trauma patient episodes in New South Wales (NSW), Australia and identifies factors that cause above-average treatment costs. Accurate information on the treatment costs of injury is needed to guide health-funding strategy and prevent inadvertent underfunding of specialist trauma centres, which treat a high trauma casemix.Methods. Admitted trauma patient data provided by 12 trauma centres were linked with financial data for 2008-09. Actual costs incurred by each hospital were compared with state-wide Australian Refined Diagnostic Related Groups (AR-DRG) average costs. Patient episodes where actual cost was higher than AR-DRG cost allocation were examined.Results. There were 16 693 patients at a total cost of AU$178.7 million. The total costs incurred by trauma centres were $14.7 million above the NSW peer-group average cost estimates. There were 10 AR-DRG where the total cost variance was greater than $500 000. The AR-DRG with the largest proportion of patients were the upper limb injury categories, many of whom had multiple body regions injured and/or a traumatic brain injury (P < 0.001).Conclusions. AR-DRG classifications do not adequately describe the trauma patient episode and are not commensurate with the expense of trauma treatment. A revision of AR-DRG used for trauma is needed.What is known about this topic? Severely injured trauma patients often have multiple injuries, in more than one body region and the determination of appropriate AR-DRG can be difficult. Pilot research suggests that the AR-DRG do not accurately represent the care that is required for these patients. What does this paper add? This is the first multicentre analysis of treatment costs and coding variance for major trauma in Australia. This research identifies the limitations of the current AR-DRGS and those that are particularly problematic. The value of linking trauma registry and financial data within each trauma centre is demonstrated. What are the implications for practitioners? Further work should be conducted between trauma services, clinical coding and finance departments to improve the accuracy of clinical coding, review funding models and ensure that AR-DRG allocation is commensurate with the expense of trauma treatment.

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Section: Discussionmentioning

confidence: 99%

Major trauma: the unseen financial burden to trauma centres, a descriptive multicentre analysis

Curtis

Lam²,

Mitchell³

et al. 2014

Aust. Health Review

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“…program effectively reduced the incidence of traffic accidents among its young participants, with the greatest reductions being among females (from 49% to 44.4%, p=0.04) and those youths gaining driver's licenses (from 67.2% to 60.1%, p=0.04) 9 . The effectiveness was generally more apparent among females than males.…”

Section: Results Results Results Resultsmentioning

confidence: 99%

“…They visit the hospital's departments which serve trauma patients, where they can experience the reality of those who are suffering the consequences of the same risks to which the young people themselves are constantly exposed. This program was initially developed in Canada and has effectively reduced the incidence of traumatic injuries among its participants 9 . In Brazil, the P.A.R.T.Y.…”

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confidence: 99%

“…Carrasco et al studied 479 cases of deaths from motorcycle crashes in Campinas and observed the following: 90.8% were male, the mean age was 27.8 (range: 0-73) and blood alcohol was positive in 42.2% of the victims (mean score: 0.627 g/L), corroborating the fact that alcohol is a significant factor in relation to accidents and is an important risk factor contributing to fatal collisions 6 . Laws and prevention programs are an excellent long-term solution in reducing traffic-related trauma and general trauma rates [7][8][9] . An excellent example of such an initiative is Sunnybrook RBC First Office for Injury Prevention, which was established in 1986 within Sunnybrook's Trauma, Emergency and Critical Care department, in Toronto.…”

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confidence: 99%

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Importance of multidisciplinary trauma prevention program for youth

Dorigatti

Jimenez

Redondano

et al. 2014

Rev. Col. Bras. Cir.

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Methods: Methods: Methods: Methods: The organizers visited the participating schools talking to the students, who are aged between 14-18 years. These students spent an afternoon at the Clinics Hospital of Unicamp, where, for four hours, they attended lectures of the organizers, partners and municipal sectors, and also visited the hospital, talking with trauma victims. Questionnaires were evaluated between2010-2012, being applied before and after the project. Results:Results: Results: Results: Results:2,450 high school students attended the program. The mean age is 16 ± 0,99 years and 37.6% were male. 3.6% of males already drive while drunk versus 0.8% of women. Before the project 116 (11.3%) thought that drunk driving wasn't a risk, and only 37 (3.6%) knew the alcohol effects. After the project, 441 (43%) began to consider drunk driving a risk and 193 (18.8%) know the alcohol effects when driving. 956 (93.3%) considered that prevention projects have a huge impact on their formation. Conclusion Conclusion Conclusion Conclusion Conclusion: It's expected that the attendees will act as multipliers of information, conveying the message of prevention to their entire social circles resulting in reduction in the number of trauma events involving the young, in the long term.

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“…It actively participated in the drafting of the Trauma Care Line 4 together with the Ministry of Health and other medical societies, it is developing the Brazilian Trauma Registry, it has organized prevention projects (Prevent Alcohol and Risk-Related Trauma in Youth -PARTY, for example) 5 , it has been conducting courses and symposia in different states, it holds frequent meetings via telemedicine, it assists in the opening of residency programs in trauma surgery, it has opened new chapters and is attracting more members, many of whom are graduates of trauma leagues. We need to do and train more.…”

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confidence: 99%

Mais cirurgiões, menos trauma

Fraga

Collet-Silva

Souza

2013

Rev. Col. Bras. Cir.

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Effectiveness of the P.A.R.T.Y. (Prevent Alcohol and Risk-Related Trauma in Youth) Program in Preventing Traumatic Injuries: A 10-Year Analysis

Abstract: The P.A.R.T.Y. Program effectively reduced the incidence of traumatic injuries among its participants. This effectiveness was stronger among females and before the driver licensing system was implemented.

Cited by 29 publications

References 1 publication

Major trauma: the unseen financial burden to trauma centres, a descriptive multicentre analysis

Major trauma: the unseen financial burden to trauma centres, a descriptive multicentre analysis

Importance of multidisciplinary trauma prevention program for youth

Mais cirurgiões, menos trauma

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