TY - JOUR
PY - 2014//
TI - Factors predictive of subsequent injury in a longitudinal cohort study
JO - Injury prevention
A1 - Harcombe, Helen
A1 - Derrett, Sarah
A1 - Samaranayaka, Ari
A1 - Davie, Gabrielle S.
A1 - Wyeth, Emma
A1 - Wilson, Suzanne
SP - 393
EP - 400
VL - 20
IS - 6
N2 - OBJECTIVES: The aims are to: (1) Determine the cumulative incidence of self-reported subsequent injury (of any anatomical site or injury type) occurring between 3 months and 12 months after a sentinel injury among participants in the Prospective Outcomes of Injury Study in New Zealand and (2) Examine the preinjury and injury-related predictors of subsequent injury.
METHODS: Prospective Outcomes of Injury Study participants (n=2282) were interviewed 3 months, 5 months and 12 months after a sentinel injury event. Data were collected about a range of preinjury and injury-related factors at the 3-month interview and about subsequent injury at the 5-month and 12-month interviews. Poisson regression modelling was used to determine the preinjury and injury-related predictors of subsequent injury.
RESULTS: Between the 3-month and 12 month interviews 28% of the participants reported at least one subsequent injury. Subsequent injury was 34% more likely among participants with a prior injury affecting them at the time of the sentinel injury compared with participants without a prior injury affecting them, and more likely among non-workers (31% more likely) and trade/manual workers (32% more likely) compared with professionals. Participants whose sentinel injury was due to assault were 43% more likely to report a subsequent injury compared with those whose sentinel injury was accidental. A subsequent injury was 23% less likely if the sentinel injury was a lower extremity fracture compared with other injuries, and 21% less likely if the sentinel injury event involved hospitalisation.
CONCLUSIONS: Among general injury populations it may be possible to identify people at increased risk for subsequent injury.
Language: en
LA - en SN - 1353-8047 UR - http://dx.doi.org/10.1136/injuryprev-2014-041183 ID - ref1 ER -