Trauma accounts for 199 800 deaths and 30.9 million nonfatal injuries in the United States each year.1 Among survivors, the long-term consequences can be devastating in terms of both medical considerations, such as risk of readmission and need for rehabilitation, and patients’ lived experience, affecting functional outcomes and health-related quality of life. Data from the Centers for Disease Control and Prevention suggest that in 2010, estimated annual lifetime costs due to trauma totaled more than $187 billion (an average of $1.05 million per person), of which 98.9% ($1.04 million per person) was due to loss of work alone.1 Recent work by the National Institutes of Health and American College of Surgeons recognized this issue, calling for a need to consider longer-term outcomes of care and to implement patient-centered methods to collect postdischarge outcomes in existing trauma registries.2 Consensus statements from Europe tell a similar story.3 Nevertheless, despite widespread recognition, there remains a paucity of data concerning the postdischarge experience of trauma patients, particularly as it pertains to patient-centered outcomes. On a national scale, it is not known what information is being collected.
Rios-Diaz AJ, Lam J, Zogg CK. The Need for Postdischarge, Patient-Centered Data in Trauma. JAMA Surg. Published online August 24, 2016. doi:10.1001/jamasurg.2016.2343