Relation of length of stay and other hospital variables to posttraumatic stress disorder and depression after orthopedic trauma
| Autor: | Evan Elizabeth McShan, Alan L. Jones, Ann Marie Warren, Jacob W. Roden-Foreman, Jordin Shelley, Monica Bennett, David Vier |
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| Rok vydání: | 2020 |
| Předmět: |
Mechanical ventilation
medicine.medical_specialty business.industry medicine.medical_treatment General Medicine behavioral disciplines and activities Orthopedic trauma Posttraumatic stress mental disorders Orthopedic surgery medicine Physical therapy business Depression (differential diagnoses) Original Research |
| Zdroj: | Proc (Bayl Univ Med Cent) |
| ISSN: | 1525-3252 0899-8280 |
| Popis: | Posttraumatic stress disorder (PTSD) and depression are common following orthopedic trauma. This study examined the relationship between injury- and hospital-related variables and PTSD and depression at baseline and 12 months after orthopedic trauma. This longitudinal, prospective cohort study examined adult orthopedic trauma patients admitted ≥24 hours to a level I trauma center. Non-English/Spanish-speaking and cognitively impaired patients were excluded. The Primary Care PTSD screen and PTSD Checklist-Civilian version assessed PTSD, and the Patient Health Questionnaire 8-Item assessed depression. Demographic and hospital-related variables were examined (e.g., hospital length of stay, Injury Severity Score, Glasgow Coma Scale). For 160 participants, PTSD prevalence was 23% at baseline and 21% at 12 months. Depression prevalence was 28% at baseline and 29% at 12 months. Ventilation (P = 0.023, P = 0.006) and prolonged length of stay (P = 0.008, P = 0.003) were correlated with baseline PTSD and depression. Injury etiology (P = 0.008) and Injury Severity Score (P = 0.013) were associated with baseline PTSD. Intensive care unit admission (P = 0.016, P = 0.043) was also correlated with PTSD at baseline and 12 months. Ventilation (P = 0.002, P = 0.040) and prolonged length of stay (P |
| Databáze: | OpenAIRE |
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