Sullivan Erin, Shelley Jordin, Rainey Evan, Bennett Monica, Prajapati Purvi, Powers Mark B, Foreman Michael, Warren Ann Marie
University of North Texas, 1155 Union Circle, Denton, TX 76203, United States.
Baylor University Medical Center, 3500 Gaston Avenue, Dallas, TX 75246, United States.
Gen Hosp Psychiatry. 2017 May;46:49-54. doi: 10.1016/j.genhosppsych.2017.03.004. Epub 2017 Mar 9.
The present study examined the relationship between posttraumatic stress symptoms (PTSS) and depression symptoms with hospital outcome measures to explore how psychiatric factors relate to hospital length of stay (LOS).
Participants were adults admitted to a large Level I Trauma Center for longer than 24h. Depression was assessed at hospitalization using the Patient Health Questionnaire (PHQ-8), and PTSS was measured by the Primary Care PTSD Screen (PC-PTSD). Hospital outcome information was collected from the hospital's trauma registry. Pearson correlations were performed.
460 participants (mean age=44years, SD=16.8; 65.4% male) completed the study. Baseline PTSS and depression were significantly correlated with longer hospital LOS while controlling for demographics and injury severity (p=0.026; p=0.023). Both PTSS-positive and depression-positive groups had an average increased hospital LOS of two days.
A significant proportion of individuals who are admitted to the hospital following trauma may be at risk for depression and PTSS, which may then increase hospital LOS. As national attention turns to reducing healthcare costs, early screenings and interventions may aid in minimizing psychiatric symptoms in trauma patients, in turn reducing the cost and outcomes associated with total hospital LOS.
本研究探讨创伤后应激症状（PTSS）和抑郁症状与医院结局指标之间的关系，以探究精神因素与住院时间（LOS）的关联。
参与者为入住大型一级创伤中心超过24小时的成年人。住院时使用患者健康问卷（PHQ - 8）评估抑郁情况，通过初级保健创伤后应激障碍筛查量表（PC - PTSD）测量PTSS。从医院创伤登记处收集医院结局信息。进行Pearson相关性分析。
460名参与者（平均年龄 = 44岁，标准差 = 16.8；65.4%为男性）完成了研究。在控制人口统计学和损伤严重程度的情况下，基线PTSS和抑郁与更长的住院时间显著相关（p = 0.026；p = 0.023）。PTSS阳性组和抑郁阳性组的平均住院时间均增加了两天。
相当一部分创伤后入院的个体可能有抑郁和PTSS风险，这可能会增加住院时间。随着全国关注降低医疗成本，早期筛查和干预可能有助于减轻创伤患者的精神症状，进而降低与总住院时间相关的成本和改善结局。
