Author Affiliations: Department of Surgery (Dr Renaud, Ms McRoberts, and Dr Hensler), Department of Emergency Medicine (Mss Bromberg and Almonte, Mr Lin, and Dr Mello), Rhode Island Hospital/Hasbro Children's Hospital, Providence, Rhode Island; and Department of Surgery (Drs Renaud and Hensler), Department of Emergency Medicine (Ms Bromberg and Dr Mello), Warren Alpert Medical School at Brown University, Providence, Rhode Island.
J Trauma Nurs. 2024;31(5):266-271. doi: 10.1097/JTN.0000000000000811. Epub 2024 Sep 6.
Children experiencing trauma are at risk of developing acute and chronic stress disorders. In 2022, the American College of Surgeons Committee on Trauma required verified pediatric trauma centers to screen at-risk patients and provide mental health provider referrals as needed.
The study objective is to assess the current readiness of pediatric trauma centers to meet the new American College of Surgeons requirements.
This study used an exploratory, electronic, cross-sectional survey design. The Pediatric Trauma Society distributed a survey on mental health screening practices to its members in February 2023. Results were summarized with descriptive statistics. Chi-square test was used to compare responses of Levels I and II pediatric trauma centers.
There were 91 survey responses from the PTS membership of 1247 (response rate of 7.3%). Fifty-nine participants were from Level I and 27 from Level II pediatric trauma centers. 63.8% of Level I and 51.9% of Level II center respondents currently screened for acute stress (χ2(1) = 1.09, p = .30). Of these, 75.7% of Level I and 57.1% of Level II center respondents routinely screened all admitted trauma patients (χ2(1) = 1.68, p = .19). However, only 32.4% of Level I and 21.4% of Level II respondents reported having outpatient acute stress referral protocols. For pediatric trauma centers currently without screening, 65% of Level I and 46.2% of Level II pediatric trauma center respondents felt they needed more than six months to establish a program (χ2(1) = 1.15, p = .28). Most respondents (68.9%) reported staff shortages as a barrier to the delivery of acute stress services.
Pediatric trauma center compliance with acute stress screening requirements for verification is variable. Pediatric trauma centers may benefit from technical assistance with acute stress screening.
经历创伤的儿童有发展急性和慢性应激障碍的风险。2022 年，美国外科医师学会创伤委员会要求经过验证的儿科创伤中心对高危患者进行筛查，并在需要时提供心理健康提供者转介。
本研究旨在评估儿科创伤中心目前满足美国外科医师学会新要求的准备情况。
本研究采用探索性、电子、横断面调查设计。儿科创伤协会于 2023 年 2 月向其成员分发了一份关于心理健康筛查实践的调查。结果用描述性统计进行总结。卡方检验用于比较一级和二级儿科创伤中心的反应。
在 PTS 成员 1247 人中，有 91 人对调查做出了回应（回应率为 7.3%）。59 名参与者来自一级创伤中心，27 名来自二级创伤中心。63.8%的一级中心和 51.9%的二级中心受访者目前正在筛查急性应激（χ2(1) = 1.09，p = 0.30）。在这些中心中，75.7%的一级中心和 57.1%的二级中心受访者常规筛查所有入院创伤患者（χ2(1) = 1.68，p = 0.19）。然而，只有 32.4%的一级中心和 21.4%的二级中心受访者报告有门诊急性应激转介方案。对于目前没有筛查的儿科创伤中心，65%的一级中心和 46.2%的二级中心受访者表示，他们需要超过六个月的时间来建立一个项目（χ2(1) = 1.15，p = 0.28）。大多数受访者（68.9%）表示人员短缺是提供急性应激服务的障碍。
儿科创伤中心在符合验证急性应激筛查要求方面存在差异。儿科创伤中心可能受益于急性应激筛查方面的技术援助。
