The risk of reinjury in relation to time since first injury: a retrospective population-based study

The Journal of Trauma
Stewart S WorrellAvery B Nathens

Abstract

Trauma victims have been found to be at increased risk for reinjury. Determining the risk factors for reinjury and the temporal pattern of reinjury risk can help with targeting of intervention strategies for preventing trauma recurrence. We performed a retrospective, population-based study in Washington State from 1986 to 2001. Individuals aged 15 to 64 years who were hospitalized for injury were followed for 5 years for hospitalization or death because of reinjury. Poisson regression was used to determine the rate ratio of reinjury, compared with the baseline rate of injury, as a function of time since first injury. Among those injured, proportional hazards regression was used to determine risk factors for reinjury. The risk of subsequent injury hospitalization or death was elevated 2.59-fold (95% CI: 2.50, 2.68) during the period from 6 months to 5 years after the initial injury. Excluding from analysis the first 6 months after initial injury, the risk of reinjury was highest at 4.10 (95% CI: 3.83, 4.40) between 6 and 12 months after first injury, and then declined to approximately 2.0-fold increased risk above baseline by 30 months. Individuals with self-inflicted injuries were found to be at particularly high risk of reinju...Continue Reading

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Citations

Jan 11, 2011·Journal of Addictive Diseases·Gabriel E RybCarl A Soderstrom
May 7, 2015·Archives of Physical Medicine and Rehabilitation·Cristina SaverinoAngela Colantonio
Jun 12, 2012·Journal of the American College of Surgeons·Tyler EwingDarren Malinoski
Jul 31, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Carolyn E SniderAvery B Nathens
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Oct 18, 2016·Injury Epidemiology·Fredrik RödingJack Lysholm
Nov 25, 2017·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Sarah DerrettDave Barson
Oct 8, 2017·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Helen HarcombeSarah Derrett
Sep 8, 2012·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Dana L Noffsinger, Jane Cooley
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Feb 17, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Lisette DekkerLeo M G Geeraedts
Oct 23, 2019·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Wirachin HoonpongsimanontShahram Lotfipour
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Aug 23, 2018·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Suzanne J WilsonSarah Derrett
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Feb 24, 2015·Annals of Internal Medicine·Ali Rowhani-RahbarFrederick P Rivara
Oct 9, 2021·Journal of Epidemiology and Community Health·Rachel StraussNatasha Ruth Saunders

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