TY - JOUR PY - 2023// TI - Recidivism after orthopaedic trauma has diminished over time JO - European journal of trauma and emergency surgery A1 - Heimke, Isabella M. A1 - Connelly, Madison A1 - Clarke, Amelia A1 - De Mario, Belinda A1 - Breslin, Mary A. A1 - Furdock, Ryan A1 - Moore, Timothy A. A1 - Vallier, Heather A. SP - ePub EP - ePub VL - ePub IS - ePub N2 - 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.

Language: en

LA - en SN - 1863-9933 UR - http://dx.doi.org/10.1007/s00068-023-02274-0 ID - ref1 ER -