A nationwide US study of post-traumatic stress after hospitalization for physical injury.

A nationwide US study of post-traumatic stress after hospitalization for physical injury. Research Abstract Details 

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A nationwide US study of post-traumatic stress after hospitalization for physical injury. Abstract Text:

Douglas F Zatzick,Frederick P Rivara,Avery B Nathens,Gregory J Jurkovich,Jin Wang,Ming-Yu Fan,Joan Russo,David S Salkever,Ellen J Mackenzie,Douglas F Zatzick,Frederick P Rivara,Avery B Nathens,Gregory J Jurkovich,Jin Wang,Ming-Yu Fan,Joan Russo,David S Salkever,Ellen J Mackenzie,

BACKGROUND: Injured survivors of individual and mass trauma are at risk for developing post-traumatic stress disorder (PTSD). Few investigations have assessed PTSD after injury in large samples across diverse acute care hospital settings. METHOD: A total of 2931 injured trauma survivors aged 18-84 who were representative of 9983 in-patients were recruited from 69 hospitals across the USA. In-patient medical records were abstracted, and hospitalized patients were interviewed at 3 and 12 months after injury. Symptoms consistent with a DSM-IV diagnosis of PTSD were assessed with the PTSD Checklist (PCL) 12 months after injury. RESULTS: Approximately 23% of injury survivors had symptoms consistent with a diagnosis of PTSD 12 months after their hospitalization. Greater levels of early post-injury emotional distress and physical pain were associated with an increased risk of symptoms consistent with a PTSD diagnosis. Pre-injury, intensive care unit (ICU) admission [relative risk (RR) 1.17, 95% confidence interval (CI) 1.02-1.34], pre-injury depression (RR 1.33, 95% CI 1.15-1.54), benzodiazepine prescription (RR 1.46, 95% CI 1.17-1.84) and intentional injury (RR 1.32, 95% CI 1.04-1.67) were independently associated with an increased risk of symptoms consistent with a PTSD diagnosis. White injury survivors without insurance demonstrated approximately twice the rate of symptoms consistent with a diagnosis of PTSD when compared to white individuals with private insurance. By contrast, for Hispanic injury survivors PTSD rates were approximately equal between uninsured and privately insured individuals. CONCLUSIONS: Nationwide in the USA, more than 20% of injured trauma survivors have symptoms consistent with a diagnosis of PTSD 12 months after acute care in-patient hospitalization. Coordinated investigative and policy efforts could target mandates for high-quality PTSD screening and intervention in acute care medical settings.

A nationwide US study of post-traumatic stress after hospitalization for physical injury. Publishing Authors By Initials

DF Zatzick,FP Rivara,AB Nathens,GJ Jurkovich,J Wang,MY Fan,J Russo,DS Salkever,EJ Mackenzie,DF Zatzick,FP Rivara,AB Nathens,GJ Jurkovich,J Wang,MY Fan,J Russo,DS Salkever,EJ Mackenzie,

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A nationwide US study of post-traumatic stress after hospitalization for physical injury. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: Psychological medicine

VOLUME: 37

Page Numbers: 1469-80

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ISSN: 0033-2917

DAY: 11

MONTH: 06

YEAR: 2007

A nationwide US study of post-traumatic stress after hospitalization for physical injury. Information

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LANGUAGE: eng

NlmUniqueID: 1254142

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Grant and Affiliation Information for A nationwide US study of post-traumatic stress after hospitalization for physical injury.

AFFILIATION: Harborview Injury Prevention and Research Center, University of Washington School of Medicine, Seattle, WA 98104, USA. dzatzick@u.washington.edu

Country: England

AGENCY: United States PHS

GRANT: R49/CCR316840

ACRONYM: MH

MEDLINETA: Psychol Med

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