{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:45:29Z","timestamp":1791895529719,"version":"4.3.4"},"reference-count":4,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:00:00Z","timestamp":1791590400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"abstract":"\n Introduction<\/jats:title>\n Early unplanned trauma readmission (UR-30) is not well-understood. Social vulnerability indices (SVIs) and primary care access were postulated as contributing factors to discharge outcomes.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Retrospective propensity-matched analysis at a Level I Trauma Center compared readmitted patients (UR-30, n = 85) to those without (NoReadmission-30, n = 85). Established PCP relationship and five social vulnerability indices (SVIs) were evaluated.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n 170 total patients had average age 56.6, 71.8% male, and 95.3% Caucasian. Average ISS = 9. Average LOS was 6.44 \u00b1 6.71\u00a0days. LOS was longer in readmissions (5 vs 3\u00a0days,\n P<\/jats:italic>\n = 0.03). UR-30 had 2.908X more patients with >3 comorbidities (\n P<\/jats:italic>\n < 0.001). No SVI (CDC SVI Quality, ARC, FORHP, CBSA, and PLACES;\n P<\/jats:italic>\n = 0.303, 0.882, 0.916, 0.721, and 1.000, respectively) was significant. 49.4% of UR-30 and 72.9% of NoReadmission-30 patients had a documented PCP, conferring a 0.371 [0.137-1.007] times lower odds of readmission (\n P<\/jats:italic>\n = 0.047).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Our findings suggest that lack of PCP access\/continuity of routine medical care contributes to UR-30 among trauma patients when high levels of social vulnerability are routinely present. Social vulnerability indices did not identify readmission risk in this predominantly rural, underserved patient population.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/00031348261495998","type":"journal-article","created":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T13:25:16Z","timestamp":1791638716000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Lack of Primary Care Continuity Predicts Readmission Risk Among Socially Vulnerable Trauma Populations"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-5993-3942","authenticated-orcid":false,"given":"Jennifer H.","family":"Lowell","sequence":"first","affiliation":[{"name":"East Tennessee State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7723-849X","authenticated-orcid":false,"given":"Paul R.","family":"Scott","sequence":"additional","affiliation":[{"name":"East Tennessee State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8507-8362","authenticated-orcid":false,"given":"Seth A.","family":"Battad","sequence":"additional","affiliation":[{"name":"East Tennessee State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7541-8320","authenticated-orcid":false,"given":"Caleb W.","family":"Brown","sequence":"additional","affiliation":[{"name":"East Tennessee State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2143-0839","authenticated-orcid":false,"given":"Hannah","family":"Tan","sequence":"additional","affiliation":[{"name":"East Tennessee State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derek C.","family":"Wenger","sequence":"additional","affiliation":[{"name":"East Tennessee State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah E.","family":"Collins","sequence":"additional","affiliation":[{"name":"Ballad Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6349-4915","authenticated-orcid":false,"given":"Sarah A.","family":"King","sequence":"additional","affiliation":[{"name":"Ballad Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9534-7989","authenticated-orcid":false,"given":"Lou M.","family":"Smith","sequence":"additional","affiliation":[{"name":"Quillen College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4014-0652","authenticated-orcid":false,"given":"J. Bracken","family":"Burns","sequence":"additional","affiliation":[{"name":"Quillen College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,10]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000003351"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-021-06680-2"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000005471"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/00031348251371213"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348261495998","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348261495998","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348261495998","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:53:20Z","timestamp":1791892400000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348261495998"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,10]]},"references-count":4,"alternative-id":["10.1177\/00031348261495998"],"URL":"https:\/\/doi.org\/10.1177\/00031348261495998","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,10]]},"article-number":"00031348261495998"}}