Relation of length of stay and other hospital variables to posttraumatic stress disorder and depression after orthopedic trauma. Issue 1 (2nd January 2021)

• Record Type: Journal Article
• Authors: Shelley, Jordin K.; Roden-Foreman, Jacob W.; Vier, David; McShan, Evan Elizabeth; Bennett, Monica M.; Jones, Alan L.; Warren, Ann Marie
• Is Part Of: Proceedings. Volume 34:Issue 1(2021)
• Page Start: 28
• Page End: 33
• Publication Date: 2021-01-02
• Subjects: Depression -- length of stay -- mechanical ventilation -- orthopedic -- posttraumatic stress; Medicine -- Periodicals; Medicine; Medicine -- Periodicals; Periodicals; Electronic journals; 616.005
• DOI: 10.1080/08998280.2020.1801113
• Languages: English
• ISSNs: 0899-8280

Abstract

Abstract: Posttraumatic stress disorder (PTSD) and depression are common following orthopedic trauma. This study examined the relationship between injury- and hospital-related variables and PTSD and depression at baseline and 12 months after orthopedic trauma. This longitudinal, prospective cohort study examined adult orthopedic trauma patients admitted ≥24 hours to a level I trauma center. Non-English/Spanish-speaking and cognitively impaired patients were excluded. The Primary Care PTSD screen and PTSD Checklist-Civilian version assessed PTSD, and the Patient Health Questionnaire 8-Item assessed depression. Demographic and hospital-related variables were examined (e.g., hospital length of stay, Injury Severity Score, Glasgow Coma Scale). For 160 participants, PTSD prevalence was 23% at baseline and 21% at 12 months. Depression prevalence was 28% at baseline and 29% at 12 months. Ventilation ( P = 0.023, P = 0.006) and prolonged length of stay ( P = 0.008, P = 0.003) were correlated with baseline PTSD and depression. Injury etiology ( P = 0.008) and Injury Severity Score ( P = 0.013) were associated with baseline PTSD. Intensive care unit admission ( P = 0.016, P = 0.043) was also correlated with PTSD at baseline and 12 months. Ventilation ( P = 0.002, P = 0.040) and prolonged length of stay ( P < 0.001, P = 0.001) were correlated with 12-month PTSD and depression. Early and continued screenings with potential interventions could benefit patients' physical and mental rehabilitation after orthopedic injury.