Psychological morbidity and functional impairment following traumatic pelvic injury
| Autor: | Monica Bennett, Estrella V. Thomas, Ann Marie Warren, Jasmine N. Khetan, Evan Elizabeth McShan, Alan L. Jones, Kenleigh McMinn, Jaicus Solis, Katherine Riley Martin, Mark B. Powers |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Population Pain Stress Disorders Post-Traumatic Fractures Bone 03 medical and health sciences 0302 clinical medicine Trauma Centers Quality of life Acute care medicine Humans Pelvic Bones education Depression (differential diagnoses) Aged General Environmental Science 030222 orthopedics education.field_of_study Depression business.industry Psychiatric assessment Trauma center 030208 emergency & critical care medicine Middle Aged Mental health Hospitalization Linear Models Quality of Life Physical therapy General Earth and Planetary Sciences Female business Psychosocial Follow-Up Studies |
| Zdroj: | Injury. 51:978-983 |
| ISSN: | 0020-1383 |
| Popis: | Pelvic injuries often result from high-energy trauma and lead to significant functional impairment. While the physical outcomes of these injuries have been widely studied, the psychological consequences remain largely unexplored. The purpose of this study was to examine psychosocial and functional outcomes of patients with pelvic trauma in the year after injury. The sample (N = 32) consisted of adult patients with traumatic pelvic injures, as defined by ICD-9 codes, who were admitted to a Level I Trauma Center for at least 24 h. Participants were primarily female (53%) with a mean age of 48.7 years (SD = 17.9). Demographic, injury-related, and psychosocial data (e.g., posttraumatic stress disorder (PTSD), depression, alcohol use, quality of life, pain, return to work) were gathered at the time of hospitalization as well as at 3-, 6-, and 12 month follow-ups. Mixed regression models were used to examine the outcome variables over time. There were significant decreases in pain and alcohol use at each follow-up compared to baseline. However, despite the decrease, the levels of pain and alcohol use remained high. Physical and mental health also decreased significantly, indicating worsened functioning and lowered quality of life. Neither PTSD nor depression changed significantly over time, indicating that participants’ symptoms were not likely to improve. These data suggest that sustaining a traumatic pelvic injury increases the risk of diminished quality of life, both mentally and physically. Even one-year post-injury, participants experienced moderate physical pain and higher levels of PTSD, depression, and problematic alcohol use than would be expected in the general population. These findings highlight the need for an interdisciplinary approach to treating patients with pelvic injuries, including psychological screening and intervention in acute care and throughout recovery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect