烧伤患者的创伤后应激障碍 - 一个大型数据库分析分析
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
概括
创伤后应激障碍 (PTSD) 在烧伤患者中很普遍,增加了他们患抑郁和焦虑的风险. 在这种人群中,早期查和护理对于管理PTSD至关重要.
科学领域:
- 创伤外科手术是什么
- 精神病学是一个精神病学.
- 烧伤护理 烧伤护理
背景情况:
- 创伤后应激障碍 (PTSD) 是烧伤幸存者的一个重大问题.
- 了解PTSD对烧伤患者结果的影响对于改善护理至关重要.
研究的目的:
- 分析烧伤患者中PTSD的发病率,患病率和治疗方法.
- 调查PTSD,烧伤严重程度和相关健康状况之间的关系.
主要方法:
- 利用TrinetX数据库识别成年烧伤患者和没有PTSD诊断.
- 按全体表面积 (TBSA) 分层的患者被烧伤,以分析发病率和死亡率.
- 从2002年到2022年检查了PTSD患病率和药物治疗方法.
主要成果:
- 创伤后应激障碍的发生率随着烧伤严重程度而变化,随着TBSA增加.
- 在特定的烧伤严重程度组中,PTSD诊断与抑郁,焦虑,失眠和的风险增加有关.
- 在患有>30%的TBSA烧伤的患者中,PTSD诊断与死亡风险降低有关.
- 从2002年到2022年,PTSD患病率保持稳定 (2.2%-3.2%),使用血清激素药物和普拉佐辛的使用增加.
结论:
- 创伤后应激障碍是烧伤患者常见的并发症,显著增加了发病率.
- 在烧伤患者中,积极查和早期干预PTSD至关重要.
- 需要对烧伤患者的PTSD管理进行进一步的研究.
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