Rural Trauma Recidivism

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Rural trauma recidivism: a different disease.

HYPOTHESIS Unlike the well-characterized urban trauma recidivist (RC), factors associated with the rural RC remain undefined. In an attempt to devise preventative strategies, we theorized that the rural RC profile would be similar to that of urban counterparts. DESIGN Retrospective review. SETTING Rural, university-affiliated, level I trauma center. PATIENTS All trauma patients admitted b...

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Frequency of Recidivism in Patients With Orthopedic Trauma.

The goals of this study were to determine the frequency of trauma recidivism and to identify risk factors. The authors hypothesized that substance abuse and mental illness would be associated with recidivism. They performed a retrospective review of 879 patients who were treated surgically for high-energy fractures over a period of 4 years. Recidivism was defined as presentation to the trauma c...

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Cofactors of alcohol-related trauma at a rural trauma center.

To analyze the cofactors of alcohol-related trauma at a rural, Level II trauma center, 127 admitted trauma patients were interviewed about psychological problems, social factors, and medical histories. Patients were divided into two groups, blood alcohol content (BAC) positive and BAC negative, for analysis. Seventy-one patients (56%) were BAC negative; 56 (44%) were BAC positive. Forty-three o...

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Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients

OBJECTIVE Estimate the effectiveness of brief interventions in reducing trauma recidivism in hospitalized trauma patients who screened positive for alcohol and/or illicit drug use. METHODS Dynamic cohort study based on registry data from 1818 patients included in a screening and brief intervention program for alcohol and illicit drug use for hospitalized trauma patients. Three subcohorts emer...

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Pretransfer imaging decisions in rural trauma cases.

In rural health settings, patients with trauma who initially are transported to a community hospital often require transfer to a designated trauma center. Rural hospitals typically are not equipped or properly staffed to treat severely injured patients. When trauma occurs, transport time longer than 60 minutes from an accident scene to a place of definitive care can have detrimental effects on ...

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ژورنال

عنوان ژورنال: Archives of Surgery

سال: 2007

ISSN: 0004-0010

DOI: 10.1001/archsurg.142.1.77