A multicenter study of post-traumatic stress disorder after injury: Mechanism matters more than injury severity

Surgery
Juan P Herrera-EscobarDeepika Nehra

Abstract

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. 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. 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 inten...Continue Reading

Citations

Apr 30, 2019·The Journal of Trauma and Acute Care Surgery·Juan P Herrera-EscobarDeepika Nehra
May 7, 2020·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Ansuk Jeong, Nam Hee Kim
Oct 23, 2019·Psychological Medicine·A StickleyA Koyanagi
Jan 13, 2021·Current Problems in Surgery·Jeff ChoiDavid A Spain
Feb 6, 2021·American Journal of Surgery·Juan P Herrera-EscobarAli Salim
Feb 20, 2021·The Journal of Trauma and Acute Care Surgery·Juan P Herrera-EscobarUNKNOWN National Trauma Research Action Plan (NTRAP) Investigators Group
Aug 17, 2021·The Journal of Trauma and Acute Care Surgery·Manuel Castillo-AngelesDeepika Nehra
Jul 8, 2021·The Journal of Craniofacial Surgery·Justin C McCartyEdward J Caterson
Aug 3, 2021·Annals of Surgery·Juan P Herrera-EscobarDeepika Nehra
Nov 6, 2021·The Journal of Trauma and Acute Care Surgery·Patrick HeindelDeepika Nehra

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