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精神疾患を併発したトラウマ患者における年齢特有のアウトカム: 幼児期から成人期
David Nacouzi1, Em Long-Mills2, John Woo3
1Brody School of Medicine, East Carolina University, Greenville, North Carolina.
The Journal of surgical research
|August 31, 2025
まとめ
特に26歳から35歳の若者のトラウマを悪化させる. 精神疾患の早期治療は トラウマ患者の回復を 改善します
科学分野:
- トラウマ 手術
- 精神科
- 公衆衛生
背景:
- 精神疾患の併発症は トラウマ患者の治療結果に 大きく影響します
- 青春期から成人期への重要な移行期におけるこれらの併発症の影響については,さらなる調査が必要である.
研究 の 目的:
- この研究は,精神疾患の併発症とトラウマのアウトカムとの関連を評価することを目的とした.
- 研究は,この人口集団内の異なる年齢サブグループでこれらの関連がどのように変化するかを具体的に調べました.
主な方法:
- American College of Surgeons トラウマ品質改善プログラム (2017年-2022年) の患者1,119,186人のデータを分析した.
- 患者は15歳から18歳,19歳から25歳,26歳から35歳の3つの年齢グループに分けられました.
- 病院内合併症,入院期間,ICU入院,呼吸器使用日に対する精神疾患の影響を評価するために,ロジスティックおよびポアソン回帰モデルを使用した.
主要な成果:
- 患者の21%は 精神疾患の併発症でした
- 15歳から18歳のグループでは,精神疾患の併発は合併症の増加,入院期間延長,ICU入院率の増加,呼吸器の使用日数の増加と関連していました.
- これらの有害な関連性は,特に26歳から35歳の高齢者においてより顕著でした.
結論:
- 精神疾患の併発症は,青少年および若年成人集団におけるトラウマの悪影響と有意に関連しています.
- これらの併発性の影響は年齢とともに強まり,26歳から35歳のグループで最も強い.
- これらの脆弱な集団のトラウマケアと回復を改善するために 精神疾患に対する標的型介入の実施は不可欠です
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