A multicenter study of post-traumatic stress disorder after injury: Mechanism matters more than injury severity
| Autor: | Adil H. Haider, Anupamaa J Seshadri, George C. Velmahos, Deepika Nehra, Syeda S. Al Rafai, Christina Weed, Ali Salim, Alyssa F. Harlow, George Kasotakis, Michel Apoj, Karen J. Brasel, Juan P. Herrera-Escobar, Haytham M.A. Kaafarani |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Logistic regression Stress Disorders Post-Traumatic 03 medical and health sciences 0302 clinical medicine Risk Factors Internal medicine Prevalence medicine Humans Mechanism (biology) business.industry Traumatic stress 030208 emergency & critical care medicine Middle Aged Mental health Traumatic injury Multicenter study 030220 oncology & carcinogenesis Cohort Wounds and Injuries Injury Severity Score Female Surgery business Boston Follow-Up Studies |
| Zdroj: | Surgery. 164:1246-1250 |
| ISSN: | 0039-6060 |
| DOI: | 10.1016/j.surg.2018.07.017 |
| Popis: | Background Traumatic injury is strongly associated with long-term mental health disorders, but the risk factors for developing these disorders are poorly understood. We report on a multi-institutional collaboration to collect long-term patient-centered outcomes after trauma, including screening for post-traumatic stress disorder. The objective of this study is to determine the prevalence of and risk factors for the development of post-traumatic stress disorder after traumatic injury. Methods Adult trauma patients (aged 18–64) with moderate to severe injuries (Injury Severity Score ≥ 9) admitted to 3 level I trauma centers were screened between 6 and 12 months after injury for post-traumatic stress disorder. Patients were divided by mechanism: fall, road traffic injury, and intentional injury. Multiple logistic regression models were used to determine the association between baseline patient and injury-related characteristics and the development of post-traumatic stress disorder for the overall cohort and by mechanism of injury. Results A total of 450 patients completed the screen. Overall 32% screened positive for post-traumatic stress disorder, but this differed significantly by mechanism, with the lowest being after a fall (25%) and highest after intentional injury (60%). Injury severity was not associated with post-traumatic stress disorder for any group, but lower educational level was associated with post-traumatic stress disorder within all the groups. Only 21% of patients who screened positive for post-traumatic stress disorder were receiving treatment at the time of the survey. Conclusion Post-traumatic stress disorder is common after traumatic injury, and the prevalence varies significantly by injury mechanism but is not associated with injury severity. Only a small proportion of patients who screen positive for post-traumatic stress disorder are currently receiving treatment. |
| Databáze: | OpenAIRE |
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