Trauma recidivism at an emergency department of a Swedish medical center

Abstract

BackgroundTo inform targeted prevention, we studied patterns of trauma recidivism and whether a first injury predicts the risk for a recurrent injury.MethodsIn a population-based study of 98,502 adult injury events 1999–2012, at the emergency department of Umeå University Hospital, Sweden, we compared non-recidivists with recidivists in terms of patients’ sex, age, type of injury and severity of the injury.ResultsThirty-six percent of all patients suffered recurrent injuries, which were associated with a higher proportion of inpatient care and more hospital days. Young men and elderly women were at the highest risk for trauma recidivism. At 20 to 24 years, men had a 2.4 (CI 95 % 2.3–2.5) higher risk than women, a 90 years old woman had almost a 10-fold higher risk for another moderate/severe injury than a 20 years old one. A fracture were associated with a hazard ratio of 1.28 (CI 95 % 1.15–1.42) among men younger than 65 years and 1.31 (CI 95 % 1.12–1.54) for men older than 65 years for a subsequent moderate/severe injury. For women younger than 65 years a fracture was associated with a hazard ratio of 1.44 (CI 95 % 1.28–1.62) for a subsequent moderate/severe injury. A sprain carries a higher risk for a new moderate/severe injury for both men and women and in both age groups; the hazard ratio was 1.13 (CI 95 % 1.00–1.26) for men younger than 65 years, 1.42 (CI 95 % 1.01–1.99) for men older than 65 years, 1.19 (CI 95 % 1.05–1.35) for women younger than 65 years and 1.26 (CI 95 % 1.02–1.56) for women older than 65 years. A higher degree of injury severity was associated with a higher risk for a new moderate/severe injury.ConclusionTrauma recidivism is common and represents a large proportion of all injured. Age and sex are associated with the risk for new injury. Injury types and severity, also have implications for future injury.

Trauma recidivism in a Canadian province: a 14-year registry review

“…considerably higher; a study from Sweden reported a 36% rate of recurrent moderate/severe injuries. 10 In addition to the negative effects of recidivism on the patient and their loved ones, recidivism is a significant burden on the health care system. 11,12 Hospitals and trauma centres are often the initial point of contact for patients dealing with violence or substance abuse; screening and brief intervention for these patients can reduce injury recurrence.…”

Trauma Recidivism in an Aging Population: Who Is Most at Risk?

“…4 Several similar studies have produced consistent results and advocate for improved prevention efforts. [11][12][13][14][15] Fewer studies have investigated this issue in older adults.…”

Is there an association between traumatic peripheral lesions and cognitive impairments in adults? A scoping review

“…Traumatic peripheral lesions, a severe bodily injury has traditionally been a prominent cause of disability across the globe [1,2], and it is responsible for around 4.4% of all hospital admissions [1]. Worse still, 34% of all patients suffered from recurring injuries [3]. This not only contributed to the growing financial burden of caring for patients but also led to a greater emphasis on preventing trauma from recurring.…”

“…This not only contributed to the growing financial burden of caring for patients but also led to a greater emphasis on preventing trauma from recurring. It is suggested that cognitive function [4,5] might contribute to the increased risk for subsequent injury within a short period of time [3], particularly in jobs that require a high level of concentration, memory, and executive function.…”