Posttraumatic stress disorder screening status is associated with increased VA medical and surgical utilization in women.

Journal of General Internal Medicine
Dorcas J DobieKatharine A Bradley

Abstract

Women with posttraumatic stress disorder (PTSD) report poor health, but associations with health care utilization are understudied. To determine associations between medical/surgical utilization and PTSD in female Veterans Affairs (VA) patients. Prospective comparison of utilization rates between women screening positive or negative for PTSD on a mailed survey. Women receiving care at an urban VA medical center between October 1996 and January 2000. Survey responses, including a validated screen for PTSD (PCL-C), and VA utilization data through September 2002. Two thousand five hundred and seventy-eight (2,578) women (78% of those eligible) completed the PCL-C; 858 (33%) of them screened positive for PTSD (PTSD+). In unadjusted models, PTSD+ women had higher rates of medical/surgical hospitalizations and surgical inpatient procedures. Among women ages 35 to 49, mean days hospitalized/100 patients/year was 43.4 (95% CI 26 to 61) for PTSD+ women versus 17.0 (16 to 18) for PTSD negative (PTSD-) women. More PTSD+ women underwent surgical procedures (P<.001). Mean annual outpatient visits were significantly higher among PTSD+ women, including: emergency department (ED) (1.1 [1.0 to 1.2] vs 0.6 [0.5 to 0.6]), primary care (3.2 [3.0 t...Continue Reading

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