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Post-traumatic Stress Disorder01:27

Post-traumatic Stress Disorder

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Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
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Posttraumatic Stress Disorder Risk Assessment in Craniofacial Trauma at a Level 1 Trauma Center.

Beatrice L Lucchesi1, Darin L Patmon2, Elizabeth E Bushong2

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Traumatic craniofacial injuries can lead to posttraumatic stress disorder (PTSD). Longer hospital stays, Hispanic ethnicity, and assault-related injuries increase PTSD risk in these patients.

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Area of Science:

  • Trauma surgery
  • Psychological sequelae of injury
  • Public health

Background:

  • Traumatic craniofacial injuries are associated with significant psychological distress.
  • Posttraumatic stress disorder (PTSD) is a common sequela of traumatic events.
  • Assessing PTSD risk is crucial for effective patient management following craniofacial trauma.

Purpose of the Study:

  • To evaluate the risk of PTSD in patients with traumatic craniofacial injuries.
  • To identify factors associated with an increased risk of PTSD in this population.
  • To analyze the utility of the Injured Trauma Survivor Screen (ITSS) in identifying at-risk individuals.

Main Methods:

  • Retrospective cohort analysis of patients with craniofacial fractures.
  • Inclusion criteria: ITSS screening at a Level 1 trauma center (June 2022 - January 2024).
  • Statistical analysis to determine odds ratios for PTSD risk based on patient demographics and injury characteristics.

Main Results:

  • 22.9% of patients screened positive for PTSD risk.
  • Increased length of stay correlated with higher odds of PTSD risk (OR 1.08).
  • Hispanic patients (OR 5.24) and injuries from assault (OR 6.65) showed significantly higher odds of PTSD risk.

Conclusions:

  • Craniofacial trauma patients exhibit PTSD risk comparable to the general trauma population.
  • Key indicators for increased PTSD risk include prolonged hospitalization, Hispanic ethnicity, and assault-related injuries.
  • The ITSS can aid in identifying individuals requiring further psychological evaluation and support.