Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Apr;48(2):891-900.
doi: 10.1007/s00068-020-01487-x. Epub 2020 Sep 18.

Recidivism at the puerto rico trauma hospital

Adriana Suárez-Cruz  1 , Ediel O Ramos-Meléndez  2 , Mariely Nieves-Plaza  1 , Lourdes Guerrios  1 , Pablo Rodríguez-Ortiz  1
Affiliations

Recidivism at the puerto rico trauma hospital

Adriana Suárez-Cruz et al. Eur J Trauma Emerg Surg. 2022 Apr.

Abstract

Purpose: Although trauma represents a leading cause of morbidity and mortality worldwide, there is limited and heterogeneous evidence regarding trauma recidivism and its outcomes. This analysis determined the rate and independent risk factors of trauma recidivism and compared the first and second injury episode among recidivists.

Methods: An IRB-approved retrospective cohort study was performed with data from the Puerto Rico Trauma Hospital Registry. Bivariate analyses were done using Pearson's Chi squared, Wilcoxon rank-sum, McNemar, Stuart-Maxwell or Wilcoxon signed-rank tests, as appropriate. Independent predictors for recidivism were determined through a logistic regression model. Statistical significance was set at p < 0.05.

Results: 24,650 patients were admitted to the hospital during 2000-2017. Recidivism rate was 14 per 1,000 patients discharged alive. Males and individuals aged 15-24 years old were 3.88 (95% CI: 2.21-6.80) and 3.80 (95% CI: 2.24-6.46) times more likely to be recidivists, respectively. Contrariwise, an ISS [Formula: see text] 25 [adjusted odds ratio (AOR) = 0.44; 95% CI: 0.28-0.68] and a GCS [Formula: see text] 8 (AOR = 0.56; 95% CI 0.34-0.92) were protective factors. Furthermore, recidivists exhibited less in-hospital mortality than their non-recidivist counterparts (7.2% vs. 10.7%; p = 0.045). For recidivists, the median (interquartile range) time to reinjury was 42 (59) months; and the second injury episode was more severe than the first one, as the proportion of patients with ISS [Formula: see text] 25 increased (7.9% vs. 14.1%; p = 0.022).

Conclusion: The independent predictors of trauma recidivism and the median time to reinjury identified in this study provide valuable information to the development of prevention strategies aimed at reducing the burden of injury.

Keywords: Recidivism; Recurrence; Reinjury; Trauma.

PubMed Disclaimer

Conflict of interest statement

No conflicts of interests are reported by any participant, contributor, or member of the team.

Figures

Fig. 1
Fig. 1
Comparison of Time to Reinjury between Recidivist Patients whose First Traumatic Event was Non-Penetrating and Recidivist Patients whose First Traumatic Event was Penetrating
Fig. 2
Fig. 2
Distribution of Injury Mechanisms of the 2nd Event, Stratified by Injury Mechanisms of the 1st Event, among Recidivist Patients Admitted to the Puerto Rico Trauma Hospital
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Injuries. World Health Organization. https://www.who.int/topics/injuries/en/. (Published October 5, 2017). (Accessed 5 July 2018).
    1. National Center for Health Statistics. Centers for Disease Control and Prevention. https://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm. (Published March 17, 2017). (Accessed 3 July 2018).
    1. Estimated Lifetime Medical and Work-Loss Costs of Fatal Injuries - United States, 2013. Centers for Disease Control and Prevention. https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6438a4.htm. (Published October 2, 2015). [Accessed 3 July 2018].
    1. Florence C, Haegerich T, Simon T, Zhou C, Luo F. Estimated Lifetime medical and work-loss costs of emergency department-treated nonfatal injuries — United States, 2013. MMWR Morb Mortal Wkly Rep. 2015;64(38):1078–1082. doi: 10.15585/mmwr.mm6438a5. - DOI - PubMed
    1. Caufeild J, Singhal A, Moulton R, Brenneman F, Redelmeier D, Baker AJ. Trauma recidivism in a large Urban Canadian population. The J Trau Injury Infect Crit Care. 2004;57(4):872–876. doi: 10.1097/01.ta.0000135350.06670.60. - DOI - PubMed