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Recidivism at the puerto rico trauma hospital
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 in...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9001212/ https://www.ncbi.nlm.nih.gov/pubmed/32945895 http://dx.doi.org/10.1007/s00068-020-01487-x |
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author | Suárez-Cruz, Adriana Ramos-Meléndez, Ediel O. Nieves-Plaza, Mariely Guerrios, Lourdes Rodríguez-Ortiz, Pablo |
author_facet | Suárez-Cruz, Adriana Ramos-Meléndez, Ediel O. Nieves-Plaza, Mariely Guerrios, Lourdes Rodríguez-Ortiz, Pablo |
author_sort | Suárez-Cruz, Adriana |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-9001212 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-90012122022-04-27 Recidivism at the puerto rico trauma hospital Suárez-Cruz, Adriana Ramos-Meléndez, Ediel O. Nieves-Plaza, Mariely Guerrios, Lourdes Rodríguez-Ortiz, Pablo Eur J Trauma Emerg Surg Original Article 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. Springer Berlin Heidelberg 2020-09-18 2022 /pmc/articles/PMC9001212/ /pubmed/32945895 http://dx.doi.org/10.1007/s00068-020-01487-x Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Suárez-Cruz, Adriana Ramos-Meléndez, Ediel O. Nieves-Plaza, Mariely Guerrios, Lourdes Rodríguez-Ortiz, Pablo Recidivism at the puerto rico trauma hospital |
title | Recidivism at the puerto rico trauma hospital |
title_full | Recidivism at the puerto rico trauma hospital |
title_fullStr | Recidivism at the puerto rico trauma hospital |
title_full_unstemmed | Recidivism at the puerto rico trauma hospital |
title_short | Recidivism at the puerto rico trauma hospital |
title_sort | recidivism at the puerto rico trauma hospital |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9001212/ https://www.ncbi.nlm.nih.gov/pubmed/32945895 http://dx.doi.org/10.1007/s00068-020-01487-x |
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