Kaufmann C R, Branas C C, Brawley M L
Division of Trauma and EMS, Health Resources and Services Administration, Rockville, MD, USA.
J Trauma. 1998 Aug;45(2):325-31; discussion 331-2. doi: 10.1097/00005373-199808000-00019.
Patients with repeat presentations to acute care hospitals for new injuries are trauma recidivists. Prospective identification of those patients at greatest risk will permit focusing of limited hospital prevention resources.
A population-based analysis of patients with recurrent trauma presenting to all hospitals in Nevada during a 5-year period was conducted. Records of 10,355 presentations representing 10,137 patients were analyzed.
Recidivist trauma patients were younger than non-recidivists, with patients aged 20 to 24 years having significantly higher rates of recidivism. Males were 1.53 times more likely than females to become recidivists. Cutting/piercing and machinery-related injuries were most frequently associated with recidivism. Cutting/piercing wound survivors were 7.06 times more likely to be recidivists than were gunshot wound survivors. Recidivists in motor vehicles crashes were 1.92 times less likely to wear seat belts than nonrecidivists. Recidivism was also significantly associated with positive blood alcohol levels and longer initial hospital stays.
The rate of trauma recidivism in this study was 2.0%. Population-based data can be used to identify cohorts at risk of recidivism.
因新伤而反复到急诊医院就诊的患者为创伤再发者。对那些风险最高的患者进行前瞻性识别，将有助于集中有限的医院预防资源。
对内华达州所有医院在5年期间收治的复发性创伤患者进行基于人群的分析。分析了代表10137名患者的10355次就诊记录。
创伤再发患者比非再发患者年轻，20至24岁的患者再发率显著更高。男性成为再发者的可能性是女性的1.53倍。切割/穿刺伤和与机械相关的损伤与再发最常相关。切割/穿刺伤幸存者成为再发者的可能性是枪伤幸存者的7.06倍。机动车碰撞事故中的再发者系安全带的可能性比非再发者低1.92倍。再发还与血液酒精含量为阳性以及首次住院时间较长显著相关。
本研究中的创伤再发率为2.0%。基于人群的数据可用于识别有再发风险的人群。
