Recidivism after orthopaedic trauma has diminished over time

PurposeThe purpose was to analyze our trauma population during two periods to assess for predictors of recidivism.MethodsPrior (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.ResultsRecidivism 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%)).ConclusionRecidivism 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.

Automated summary

The purpose of this study was to analyze two periods of trauma patients and assess predictors of recidivism. Prior and recent orthopaedic trauma patients were compared, and factors associated with recidivism were identified. The results showed a decrease in recidivism rates, with a higher prevalence of gunshot wounds and mental illness among recent recidivists. Underinsurance was a common characteristic among recidivists. These changes in the profile of recidivists may be attributed to socioeconomic trends and new programs for improving trauma outcomes.