Previous trauma as a risk factor for recurrent trauma in rural northern Israel.
Recently, a few urban trauma centers reported on repetitiveness of injury in some population groups.
The aim of this study is to evaluate the concept of « trauma recidivism » by measurement of the association of previous trauma events with acute trauma in a rural region of northern Israel with a specific sociocultural population mixture, low drug and alcohol abuse, and low levels of criminal activity.
A case-control study was conducted comparing 100 consecutive trauma cases with selected controls.
The main predictor variable evaluated in this study was a history of previous significant traumatic events.
Cases were defined as patients 14 years of age hospitalized for acute trauma.
Controls were selected from hospitalized patients with nontraumatic conditions.
Logistic regression analysis was performed to adjust for potential sociodemographic confounding factors.
The trauma group was significantly younger (p<0.001) and predominantly male (p<0.03).
The incidence of « recurrent trauma » was highly significant in this group (p<0.00001), and « injury-free intervals » were significantly shorter (p<0.002).
A history of previous significant traumatic events was a strong predictor for recurrent trauma (adjusted odds ratio, 10.36 ; 95% confidence interval, 3.10-34.58).
Injury types and patterns differed in subgroups, although the demographic structure of the trauma recidivists group conformed to that of the general population. (...)
Mots-clés Pascal : Traumatisme, Récidivant, Facteur risque, Epidémiologie, Etude cas témoin, Homme, Milieu rural
Mots-clés Pascal anglais : Trauma, Recurrent, Risk factor, Epidemiology, Case control study, Human, Rural environment
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0428936
Code Inist : 002B30A01C. Création : 19/12/1997.