Critical Care Medicine
Risk factors for post-traumatic stress disorder after emergency trauma surgery
Yu Youjia, Wang Xinyi, Gong Chuhao, Han Dan, Zhu Yangzi, Yao Rui
Published 2022-12-20
Cite as Chin J Anesthesiol, 2022, 42(12): 1496-1499. DOI: 10.3760/cma.j.cn131073.20220830.01217
Abstract
ObjectiveTo screen the risk factors for post-traumatic stress disorder (PTSD) after emergency trauma surgery in the patients.
MethodsThe medical records of emergency surgical trauma patients (traffic accident, fall, engineering accident, etc.) were retrospectively collected.The general condition and perioperative clinical indicators of the patients were recorded.The patients were divided into PTSD group and non-PTSD group according to whether PTSD occurred within 1 month after surgery.Multivariate logistic regression analysis was used to screen the risk factors for PTSD.
ResultsA total of 312 patients were enrolled, and the incidence of PTSD at 1 month after surgery was 19.9%.There were significant differences in preoperative VAS score, ratio of gender, intraoperative use of propofol, intraoperative use of dexmedetomidine, and postoperative ICU transfer rate between PTSD group and non-PTSD group (P<0.05). The results of logistic regression analysis showed that intraoperative use of propofol, preoperative high VAS score and postoperative admission to ICU were independent risk factors for PTSD, and intraoperative use of dexmedetomidine was a protective factor for the prevention of PTSD (P<0.05).
ConclusionsIntraoperative use of propofol, preoperative high VAS score and postoperative transfer to ICU are independent risk factors for postoperative PTSD in the patients with emergency trauma, and intraoperative use of dexmedetomidine is a protective factor for the prevention of PTSD.
Key words:
Emergency; Trauma; Post-traumatic stress disorder; Risk Factors
Contributor Information
Yu Youjia
Department of Anesthesiology, Suzhou Xiangcheng People′s Hospital, Suzhou 215131, China
Wang Xinyi
Department of Anesthesiology, Suzhou Xiangcheng People′s Hospital, Suzhou 215131, China
Gong Chuhao
Department of Anesthesiology, Xuzhou Renci Hospital, Xuzhou 221004, China
Han Dan
Department of Anesthesiology, Xuzhou Renci Hospital, Xuzhou 221004, China
Zhu Yangzi
Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou 221009, China
Yao Rui
Department of Anesthesiology, The First People′s Hospital of Xuzhou, Xuzhou 221002, China
