Prevalence and risk factors for acute stress disorder and posttraumatic stress disorder after burn injury.
Citation: American Journal of Surgery. 223(1):151-156, 2022 Jan.PMID: 34330520Institution: MedStar Health Research Institute | MedStar Washington Hospital CenterDepartment: Firefighters' Burn and Surgical Research Laboratory | MedStar General Surgery Residency | Surgery/Burn ServicesForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Burns/co [Complications] | *Stress Disorders, Post-Traumatic/ep [Epidemiology] | *Stress Disorders, Traumatic, Acute/ep [Epidemiology] | Adult | Burn Units/sn [Statistics & Numerical Data] | Burns/px [Psychology] | Cross-Sectional Studies | Female | Humans | Length of Stay/sn [Statistics & Numerical Data] | Male | Middle Aged | Outpatient Clinics, Hospital/sn [Statistics & Numerical Data] | Patient Admission/sn [Statistics & Numerical Data] | Prevalence | Risk Factors | Stress Disorders, Post-Traumatic/di [Diagnosis] | Stress Disorders, Post-Traumatic/px [Psychology] | Stress Disorders, Traumatic, Acute/di [Diagnosis] | Stress Disorders, Traumatic, Acute/px [Psychology]Year: 2022ISSN:- 0002-9610
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 34330520 | Available | 34330520 |
BACKGROUND: Psychological consequences of burn injury can be profound. Acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) are known sequelae, but routine identification is challenging. This study aims to identify patient characteristics associated with outpatient positive screens.
CONCLUSIONS: Numerous factors distinguish burn injury from other traumatic mechanisms and contribute to disproportionate rates of traumatic stress disorders. Optimization of burn-oriented ASD and PTSD screening protocols can enable earlier intervention. Copyright (c) 2021 Elsevier Inc. All rights reserved.
METHODS: The Primary Care Posttraumatic Stress Disorder questionnaire (PC-PTSD-4) was administered at initial outpatient Burn Center visits between 5/2018-12/2018. Demographics, injury mechanism, and total body surface area (TBSA) were recorded. Those with >=3 affirmative answers were considered positive. Patients with positive and negative screens were compared.
RESULTS: Of 307 surveys collected, 292 (median TBSA 1.5 %, IQR 0.5-4.0 %) remained for analysis after exclusions. Of those, 24.0 % screened positive. Positive screens were associated with presence of a deep component of the injury, injury mechanism, upper extremity involvement, ICU admission, and prolonged hospital length of stay.
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