Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
J Trauma Stress. 2011 Jun;24(3):252-9. doi: 10.1002/jts.20640. Epub 2011 May 18.
Medical settings provide opportunities for secondary prevention of traumatic stress and other sequelae of pediatric injury. This pilot randomized trial evaluated the delivery and effectiveness of a targeted preventive intervention based on best practice recommendations and integrated within acute medical care. Hospitalized injured children were screened for risk of developing posttraumatic stress disorder (PTSD). Those at risk (N = 85) were randomized to the intervention (n = 46) or usual care (n = 39). The preventive intervention did not reduce PTSD or depression severity or increase health-related quality of life, compared to usual care. Both groups improved over time, but 6 months postinjury approximately 10% of each group still met criteria for PTSD, suggesting room for improvement in comprehensive pediatric injury care.
医疗环境为创伤后应激和其他儿童伤害后遗症的二级预防提供了机会。本试点随机试验评估了一种基于最佳实践建议并整合在急性医疗护理中的针对性预防干预措施的实施和效果。对住院受伤儿童进行创伤后应激障碍（PTSD）发病风险筛查。有风险的儿童（N=85）被随机分配到干预组（n=46）或常规护理组（n=39）。与常规护理相比，预防干预并未降低 PTSD 或抑郁严重程度，也未提高健康相关生活质量。与常规护理相比，两组均随时间改善，但受伤后 6 个月，每组仍有约 10%符合 PTSD 标准，表明综合儿科伤害护理仍有改进空间。
