Cambridge Health Alliance, Cambridge, MA.
New York Presbyterian Hospital, Columbia University Medical Center, New York, NY.
Disaster Med Public Health Prep. 2020 Apr;14(2):178-182. doi: 10.1017/dmp.2019.70. Epub 2019 Aug 19.
This study reviews patient encounters at a Boston-area community hospital Psychiatric Emergency Services (PES) following the Boston Marathon bombings, with the goal of describing the impact of terrorist attacks on PES encounters.
All PES encounters for 2 months preceding and 2 months following the bombing were identified in the electronic medical record. Demographics, current and past psychiatric problems, and trauma history were assessed for all records. Encounters seen post-bombing were compared with those before the bombing.
Demographics, current and past psychiatric problems, and trauma history were not significantly different before versus after the bombing; 36 of 440 (8.2%) post-bombing encounters directly mentioned the bombings. New-onset posttraumatic stress disorder (PTSD) symptoms caused by the bombing occurred in only 4 encounters (0.9%).
PES encounters after a terrorist event are likely to mirror those seen before a terrorist event, with only a minority of encounters presenting for new PTSD or acute stress disorder.
本研究回顾了波士顿地区社区医院精神科急诊（PES）在波士顿马拉松爆炸事件后的患者就诊情况，旨在描述恐怖袭击对 PES 就诊的影响。
在电子病历中确定了爆炸前 2 个月和爆炸后 2 个月的所有 PES 就诊记录。对所有记录评估人口统计学特征、当前和既往精神科问题以及创伤史。将爆炸后的就诊情况与爆炸前进行比较。
爆炸前后的人口统计学特征、当前和既往精神科问题以及创伤史无显著差异；36/440（8.2%）例爆炸后就诊直接提及爆炸事件。仅 4 例（0.9%）就诊因爆炸出现新发创伤后应激障碍（PTSD）症状。
恐怖事件发生后 PES 就诊情况可能与恐怖事件前相似，仅有少数就诊是为了新发 PTSD 或急性应激障碍。
