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A population-based study of trauma recidivism

C R Kaufmann1, C C Branas, M L Brawley

  • 1Division of Trauma and EMS, Health Resources and Services Administration, Rockville, MD, USA. ckaufmann@idsonline.com

The Journal of Trauma
|August 26, 1998
PubMed
Summary

Trauma recidivism, defined as repeat hospital visits for new injuries, affects 2.0% of patients. Younger males with specific injury types and alcohol involvement are at higher risk, informing targeted prevention efforts.

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Area of Science:

  • Trauma Surgery
  • Public Health
  • Injury Prevention

Background:

  • Trauma recidivism involves patients with repeat acute care hospital visits for new injuries.
  • Identifying high-risk patients is crucial for efficient allocation of hospital injury prevention resources.

Purpose of the Study:

  • To analyze the characteristics and risk factors associated with trauma recidivism in a population-based cohort.
  • To identify patient demographics and injury types linked to recurrent trauma presentations.

Main Methods:

  • A 5-year population-based analysis of recurrent trauma patients presenting to all Nevada hospitals.
  • Analysis of 10,355 presentations involving 10,137 individual patients.

Main Results:

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  • The overall trauma recidivism rate was 2.0%.
  • Younger patients (20-24 years) and males exhibited higher recidivism rates.
  • Cutting/piercing injuries, machinery-related incidents, positive blood alcohol levels, and longer initial hospital stays were significantly associated with recidivism. Motor vehicle crash recidivists were less likely to use seat belts.

    • Conclusions:

    • Population-based data effectively identifies patient cohorts at elevated risk for trauma recidivism.
    • Findings support targeted interventions for specific demographic and injury profiles to reduce repeat trauma.