骨科创伤后的再入院率随时间的推移而降低。
Recidivism after orthopaedic trauma has diminished over time.
机构信息
Department of Orthopaedic Surgery, Case Western Reserve University, Cleveland, OH, 44109, USA.
出版信息
Eur J Trauma Emerg Surg. 2023 Aug;49(4):1891-1896. doi: 10.1007/s00068-023-02274-0. Epub 2023 May 10.
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.
目的
分析两个时期的创伤人群，评估再入院的预测因素。
方法
回顾了之前（2007-2011 年，n=879）和近期（2014-2019 年，n=954）骨科创伤患者的情况。再入院患者为因无关损伤再次入院的患者。比较再入院率，并确定与再入院相关的因素。
结果
再入院率降低：18.7%降至 14.3%（p=0.01）。两个队列的平均年龄和性别无差异。近期再入院患者更易发生枪伤（GSW）（22.1%比 18.9%，p=0.09），且精神疾病更常见（56.6%比 28.1%，p<0.0001）。近期再入院患者的已婚比例较低（12.9%比 23.8%，p=0.03），且两个再入院组均经常投保不足（医疗补助或无保险：（60.6%比 67.0%））。
结论
再入院率虽然有所下降，但枪伤和精神疾病的比例有所增加。再入院患者可能投保不足。再入院者的变化可能归因于社会经济趋势和改善创伤后结局的新计划。
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