Evaluation of Injury Recidivism Using the Electronic Medical Record

Abraham, Peter; Abraham, Mackenzie N.; Griffin, Russell; Tanner, Lauren; Jansen, Jan O.

doi:10.1016/j.jss.2021.05.029

Cited by 4 publications

(3 citation statements)

References 45 publications

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“…Both groups had rates of recidivism consistent with findings of other authors [ 1 , 4 , 6 – 9 , 19 ]. Key associations with recidivism have been consistent across much of this work.…”

Section: Discussionsupporting

confidence: 89%

“…Brooke et al found recidivist patients with penetrating injuries to be more likely to have a similar injury on repeat visit and also had an increased risk of death [ 6 ]. These injuries are likely to be associated with recidivists having the same mechanism of injury on repeat visit, and a high risk of complications and readmissions [ 4 , 15 , 19 , 21 ]. Thirty-eight percent of our prior cohort of GSW patients experienced recidivism, compared to 24% of the current cohort.…”

Section: Discussionmentioning

confidence: 99%

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Recidivism after orthopaedic trauma has diminished over time

Heimke,

Connelly,

Clarke

et al. 2023

Eur J Trauma Emerg Surg

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Purpose The purpose was to analyze our trauma population during two periods to assess for predictors of recidivism. Methods Prior (2007–2011, n = 879) and recent (2014–2019, n = 954) orthopaedic trauma patients were reviewed. Recidivists were those returning with an unrelated injury. Recidivism rates were compared, and factors associated with recidivism were identified. Results Recidivism decreased: 18.7% to 14.3% (p = 0.01). Mean age and sex of the two cohorts were not different. Recent recidivists were more likely to sustain gunshot wound (GSW) injuries (22.1% vs 18.9%, p = 0.09), and mental illness was more common (56.6% vs 28.1%, p < 0.0001). The recent recidivist population was less often married (12.9% vs 23.8%, p = 0.03), and both recidivist groups were often underinsured (Medicaid or uninsured: (60.6% vs 67.0%)). Conclusion Recidivism diminished, although more GSW and mental illness were seen. Recidivists are likely to be underinsured. The changing profile of recidivists may be attributed to socioeconomic trends and new programs to improve outcomes after trauma.

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“…Both groups had rates of recidivism consistent with findings of other authors [ 1 , 4 , 6 – 9 , 19 ]. Key associations with recidivism have been consistent across much of this work.…”

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Recidivism after orthopaedic trauma has diminished over time

Heimke,

Connelly,

Clarke

et al. 2023

Eur J Trauma Emerg Surg

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“…The risk of fracture occurring on a mandible with miniplates has already been described [ 6 , 7 , 8 ], and is associated with more postoperative complications such as malocclusion, postoperative infection, osteomyelitis, and malunion [ 7 ]. This risk should not be neglected since mandibular fracture is one of the most common trauma injuries [ 9 ] and maxillofacial trauma recurrence has been widely described, mostly in patients with a history of interpersonal violence and alcohol and drug addiction [ 10 , 11 , 12 , 13 ]. Young patients having undergone orthognathic surgery and patients practicing contact or fighting sports or serving in the army are also more vulnerable to facial trauma [ 14 , 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Mandibular Titanium Miniplates Change the Biomechanical Behaviour of the Mandible in the Case of Facial Trauma: A Three-Dimensional Finite Element Analysis

Graillon,

Foletti,

Godio-Raboutet

et al. 2023

Bioengineering

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Our study aimed to compare the biomechanical behaviour of mandibles with or without titanium miniplates when subjected to an impact after bone healing using a finite element model (FEM) of the human mandible. We simulated mandibular trauma on an FEM of a human mandible carrying or not two parasymphyseal miniplates and applying a concentrated force of 2000 N to four different areas, including the insertion area, the area straddling the edge of the miniplates and the adjacent bone, at a distance from the miniplates on the symphysis, and on the basilar border of the mandible below the miniplates. Then, we compared the Von Mises stress distributions between the two models. In the case of an impact on the miniplates, the maximum Von Mises stress occurred in two specific areas, on the cortical bone at the posterior border of the two miniplates at a distance from the impact, while in the model without miniplates, the Von Mises stresses were homogenously distributed in the impact area. The presence of titanium miniplates in the case of trauma affects the biomechanical behaviour of the mandible and could cause more complex fractures. We recommend informing patients of this potential risk.

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