Shi Haohua, Su Yufang, Pan Chunyan
Department of Orthopedic, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Front Psychiatry. 2025 May 19;16:1555589. doi: 10.3389/fpsyt.2025.1555589. eCollection 2025.
Traumatic Spinal Cord Injury (TSCI) exerts a profound negative impact on patients' psychological well-being and daily life. The objective of this study is to dissect the comorbidity of Acute Stress Disorder (ASD) among TSCI patients, identify its contributing factors, and construct a predictive model to provide empirical support for clinical treatment and nursing care.
Patients with TSCI admitted to our hospital between January 2022 and September 2024 were enrolled in this study. We collected and compared general demographic and disease-related data between patients who developed ASD and those who did not.
A cohort of 224 individuals with TSCI was enrolled in the study, revealing an incidence rate of ASD to be 33.93%. Age (r=0.562), gender (r=0.489), monthly household income (r=0.585), and injury severity (r=0.722) were correlated with ASD. Age ≤45 years (OR=2.606, 95%CI: 1.985-3.215), female gender (OR=2.213, 95%CI: 2.004-2.612), monthly household income less than 5000 Renminbi (RMB) (OR=3.027, 95%CI: 2.677-3.431), and level A injury severity (OR=3.673, 95%CI: 3.115-4.066) were the independent predictors of ASD among patients with TSCI. The area under the ROC curve (AUC) and its 95% confidence interval (CI) were 0.788 (0.710, 0.852) for the predication model, indicating good sensitivity and specificity.
ASD is a common occurrence in patients with TSCI, with a multitude of contributing factors. The predictive model established in this study aids in the risk assessment of ASD in patients with TSCI.
创伤性脊髓损伤（TSCI）对患者的心理健康和日常生活产生深远的负面影响。本研究的目的是剖析TSCI患者中急性应激障碍（ASD）的共病情况，确定其影响因素，并构建预测模型，为临床治疗和护理提供实证支持。
纳入2022年1月至2024年9月期间我院收治的TSCI患者。我们收集并比较了发生ASD的患者与未发生ASD的患者之间的一般人口统计学和疾病相关数据。
本研究纳入了224例TSCI患者，ASD的发生率为33.93%。年龄（r = 0.562）、性别（r = 0.489）、家庭月收入（r = 0.585）和损伤严重程度（r = 0.722）与ASD相关。年龄≤45岁（OR = 2.606，95%CI：1.985 - 3.215）、女性（OR = 2.213，95%CI：2.004 - 2.612）、家庭月收入低于5000元人民币（OR = 3.027，95%CI：2.677 - 3.431）以及A级损伤严重程度（OR = 3.673，95%CI：3.115 - 4.066）是TSCI患者发生ASD的独立预测因素。预测模型的ROC曲线下面积（AUC）及其95%置信区间（CI）为0.788（0.710，0.852），表明具有良好的敏感性和特异性。
ASD在TSCI患者中很常见，有多种影响因素。本研究建立的预测模型有助于对TSCI患者的ASD进行风险评估。
