ArticleAnnals of surgery2017
Trauma Recidivism Predicts Long-term Mortality: Missed Opportunities for Prevention (Retrospective Cohort Study).
Article in Annals of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 54 citations in OpenAlex.
- Are there missed warning signals before traffic-related traumatic spinal cord injury? An exploratory case-control study using electronic health records.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Article
- [Management and outcome of patients with stab injuries treated at a German level I trauma center : A retrospective analysis over a 3-year period].Unfallchirurgie (Heidelberg, Germany) · 2026Article
- Emergency department visits for traumatic hand and wrist injuries in Ontario, Canada: a population-based study.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Trauma recidivism: epidemiology and predictors in a level I trauma center.Injury epidemiology · 2026Article
- Role of blood alcohol level on the risk and severity of trauma recurrence.Trauma surgery & acute care open · 2025Article
- Moving the needle on minimum standards: alcohol's dose-dependent association with reinjury is worthy of targeted intervention.Trauma surgery & acute care open · 2025Article
- Trauma recidivism in England and Wales: an epidemiological study.Trauma surgery & acute care open · 2025Article
- Is polytrauma really just a simple accident? Recurrent characteristic of polytrauma.Archives of public health = Archives belges de sante publique · 2024Article
- Pediatric Trauma Recidivism: A Statewide Risk Factor Analysis of the Maryland Health Services Cost Review Commission (HSCRC).Journal of pediatric surgery · 2024Article
- Recidivism after orthopaedic trauma has diminished over time.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Article
- Observational
- Recidivism at the puerto rico trauma hospital.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Trauma Recidivism in an Aging Population: Who Is Most at Risk?HCA healthcare journal of medicine · 2021Article
- Diversity, equity and inclusion in acute care surgery: a multifaceted approach.Trauma surgery & acute care open · 2021Article
- A System Dynamics Model of Violent Trauma and the Role of Violence Intervention Programs.The Journal of surgical research · 2020Article
- Post-Discharge Mortality of Older Adults with Traumatic Brain Injury or Other Trauma.Journal of the American Geriatrics Society · 2019Article
- Burn recidivism: a 10-year retrospective study characterizing patients with repeated burn injuries at a large tertiary referral burn center in the United States.Burns & trauma · 2019Article
- Observational
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3 authors at 1 institution in 1 country.
Funding
Abstract
objectivesThe objectives of this study were to determine the association between recurrent trauma admissions (recidivism) and subsequent long-term mortality, and to identify those in most need for preventive interventions.
backgroundPatients with a single intentional injury have been shown to have a higher risk of future injury mortality than those with unintentional injury with 5-year mortality rates as high as 20% being reported for recurrent penetrating trauma. Trauma recidivism identifies a high-risk population, but its association with long-term mortality is largely unknown.
methodsPatients with 1 or more previous admissions to an urban trauma center (recidivists) were identified and compared with those with single admissions (nonrecidivists) from 1997 to 2008. The trauma registry was linked to the National Death Index to determine both the cause and time to death after hospital discharge. Statistical analysis included chi-square tests, Kaplan-Meier survival curves, and Cox proportional-hazards models.
resultsTrauma recidivists were 7% of the total trauma population from 1997 to 2008, representing 3147 patients. Recidivists were more likely to be male (P < 0.0001), Black (P < 0.0001), have a blood alcohol content above 80 mg/dL (P < 0.0001), and suffer a penetrating injury (P < 0.0001) compared with nonrecidivists. Recidivists with both initial blunt and penetrating injuries had higher rates of long-term mortality after discharge. Recidivists were more likely to die of any cause based on Cox proportional-hazard ratios [hazard ratio (HR) 1.77, 95% confidence interval (CI) 1.57-2.01], injury death (HR 2.02, 95% CI 1.66-2.47), and disease death (HR 1.65, 95% CI 1.41-1.92) than nonrecidivists.
conclusionsMale sex, Black race, and elevated blood alcohol content and penetrating injury are associated with trauma recidivism which leads to a higher risk of death. There is a critical public health need to develop interventions to reduce trauma recidivism and preventable death.
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