儿童和年轻人的创伤复发症
Alison Lehane1, Elizabeth Wood1, Sarah Pranikoff1
1Department of Surgery, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
The American surgeon
|April 23, 2024
概括
儿童创伤复发症,定义为重复访问创伤中心,不成比例地影响男性,非裔美国人和经历透伤害的人. 针对性干预对于预防这一脆弱人群至关重要.
科学领域:
- 儿童创伤外科手术
- 伤害预防 预防伤害
- 公共卫生 公共卫生
背景情况:
- 意外伤害是儿童死亡的主要原因.
- 了解成人创伤复发性特征可以为儿科预防策略提供信息.
- 这项研究评估了儿科创伤复发率,人口统计和特征.
研究的目的:
- 确定儿科和年轻成人创伤复发率和人口统计特征.
- 在这个年龄组中确定与重复创伤中心访问相关的特定特征.
- 为制定有针对性的创伤预防干预措施提供信息.
主要方法:
- 在一级儿科创伤中心0-28岁患者的回顾性评估 (2008年1月 - 2023年4月).
- 比较患者一个或多个之前的创伤中心访问 (复发者) 与那些单次入院.
- 使用奇平方测试进行统计分析,以比较人口统计和受伤特征.
主要成果:
- 儿童/年轻成人创伤复发者占创伤总人数的4.4% (n=14,613).
- 反复犯罪的男性 (82%对69%),非裔美国人 (36%对24%),透性创伤 (33%对17%) 和无保险身份 (17%对12%) 的比例更高.
- 复发患者主要来自福赛斯县特定的城市邮政编码,表明社会经济地位较低.
结论:
- 儿科/年轻成人创伤复发与特定的人口和受伤因素有关:男性性别,非裔美国人种族,透创伤和缺乏保险.
- 再犯者往往来自社会经济地位较低的地区.
- 针对性干预对于预防高风险儿科群体中复发性创伤至关重要.
相关概念视频
01:20Traumatic Memory
88
Emotionally traumatic events often lead to memories that are exceptionally vivid and enduring, sometimes persisting with remarkable clarity throughout an individual's life. A classic example of this phenomenon is a person who survives a car accident. Even years later, they may recall every detail of the event with startling accuracy — the screeching of the tires, the jarring impact, and the acrid smell of burning rubber. Such vividness contrasts sharply with how an individual...
88
01:27Post-traumatic Stress Disorder
33
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,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
33
01:16Repressed Memory
81
Repressed memories are a psychological phenomenon where memories of traumatic events are unconsciously blocked from a person's awareness. This process occurs as a defense mechanism, protecting the mind from the emotional impact of distressing or painful experiences. For example, a person who has experienced childhood trauma may grow up with no conscious recollection of the event. In such cases, the memories are thought to be buried deep within the subconscious, inaccessible to the conscious...
81
01:28Conduct Disorder
33
Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
33