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Post-traumatic stress disorder in burn patients - A large database analysis.
Nicholas Iglesias1, Matthew Steven Campbell1, Elissa Dabaghi1
1Department of Surgery, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555, USA.
Burns : Journal of the International Society for Burn Injuries
|January 17, 2024
Summary
Post-traumatic stress disorder (PTSD) is prevalent in burn patients, increasing their risk of depression and anxiety. Early screening and care are crucial for managing PTSD in this population.
Area of Science:
- Trauma surgery
- Psychiatry
- Burn care
Background:
- Post-traumatic stress disorder (PTSD) is a significant concern for burn survivors.
- Understanding the impact of PTSD on burn patient outcomes is critical for improving care.
Purpose of the Study:
- To analyze the morbidity, prevalence, and treatment of PTSD in burn patients.
- To investigate the relationship between PTSD, burn severity, and associated health conditions.
Main Methods:
- Utilized the TriNetX database to identify adult burn patients with and without PTSD diagnoses.
- Stratified patients by total body surface area (TBSA) burned to analyze morbidity and mortality.
- Examined PTSD prevalence and pharmacologic treatments from 2002 to 2022.
Main Results:
- PTSD incidence varied with burn severity, increasing with TBSA.
- PTSD diagnosis correlated with increased risks of depression, anxiety, insomnia, and pruritus in specific burn severity groups.
- PTSD diagnosis was associated with a decreased risk of mortality in patients with >30% TBSA burns.
- PTSD prevalence remained stable (2.2%-3.2%) from 2002-2022, with increased use of serotonergic agents and prazosin.
Conclusions:
- PTSD is a common comorbidity in burn patients, significantly increasing morbidity.
- Proactive screening and early intervention for PTSD in burn patients are essential.
- Further research into PTSD management in burn populations is warranted.
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