Caufeild J, Singhal A, Moulton R, Brenneman F, Redelmeier D, Baker A J
Department of Surgery, University of Toronto, Canada.
J Trauma. 2004 Oct;57(4):872-6. doi: 10.1097/01.ta.0000135350.06670.60.
Prevention of trauma might be achieved by risk factor modification. Identification of such risk factors can be pursued by various means. Trauma recidivists may possess and highlight risk factors. Accordingly, trauma recidivists were analyzed as a method to elucidate trauma risk factors.
A retrospective analysis of 13,057 trauma patients in Toronto was conducted. Forty-two recidivists were identified, and their first admission was compared with a control group of 84 non-recidivists.
The rate of trauma recidivism was 0.38% overall. Trauma recidivists were more likely to be from the inner city, male, homeless, suffering from chronic medical conditions. In addition, psychiatric conditions, an alcoholism history or any alcohol at the time of injury, intentionally injured, or engaged in criminal activity were also significantly more common in recidivists (p <0.05).
Risk factors for major trauma can be identified by analyzing recidivists in a large urban Canadian population.
通过改变风险因素或许可以预防创伤。可通过多种方式来识别此类风险因素。创伤再发者可能拥有并凸显风险因素。因此，对创伤再发者进行分析作为一种阐明创伤风险因素的方法。
对多伦多的13057名创伤患者进行了回顾性分析。识别出42名再发者，并将他们的首次入院情况与84名非再发者的对照组进行比较。
总体创伤再发率为0.38%。创伤再发者更有可能来自市中心、男性、无家可归、患有慢性疾病。此外，精神疾病、酗酒史或受伤时饮酒、故意受伤或从事犯罪活动在再发者中也明显更为常见（p<0.05）。
通过分析加拿大城市大量人群中的再发者可以识别出重大创伤的风险因素。
