کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4301031 1288430 2013 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Pediatric trauma recidivism in an urban cohort
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Pediatric trauma recidivism in an urban cohort
چکیده انگلیسی

BackgroundRecidivism is a well-known problem in adult trauma patients. Trauma recidivists are a population that warrants further intervention to prevent future trauma. Among pediatric patients, the recidivism rate, demographics, mechanism, and mortality are unknown. We hypothesized that specific groups of pediatric trauma recidivists could be identified for targeted prevention efforts.MethodsAll pediatric trauma patients admitted to a level 1 pediatric trauma center in an urban county hospital between 1991 and 2010 were reviewed. Age, sex, Glasgow Coma Scale, injury location, injury cause, disposition, length of stay, and mortality were collected and compared between nonrecidivist and recidivist cohorts.ResultsThe recidivism rate among patients aged 0–19 y was 1.5% compared with 0.9% in those aged 0–16 y. Recidivists were more likely males (P < 0.001) suffering from penetrating injuries. They were less frequently injured in motor vehicle collisions. Two of every three recidivist gunshot wound (GSW) victims were injured by a GSW on their prior admission.ConclusionsThe pediatric recidivism rate in our population is small. Nevertheless, recidivists are more than twice as likely to be injured by penetrating trauma, especially GSWs. Targeted screening and counseling in this demographic may be helpful in reducing youth trauma recidivism.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Surgical Research - Volume 182, Issue 2, 15 June 2013, Pages 326–330
نویسندگان
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