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Strain and Stress after Orthopedic Trauma
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Posted on: 08/10/2004
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Posttraumatic stress disorder (PTSD) has been reported after military service. It's also seen after other stressful events in the civilian world. This is the first study to report on PTSD after orthopedic trauma. Only civilians at a trauma center in Denver, Colorado, were included in the study.
Researchers gave a survey to 580 patients in the trauma center. Data was collected over a three-month period of time. Most of the patients had a bad fall (195) or a car accident (162). Others were in a car-pedestrian accident or motorcycle accident. The rest had a crush injury, bicycle accident, horseback riding accident, or gunshot wound.
Researchers found a high rate of PTSD after orthopedic trauma. It was even higher than what has been reported for general trauma. The authors also report that the risk of PTSD increases with time after the injury. The patients seen at this Denver trauma center may not be the same as patients seen by other doctors. Results may vary with other types of medical centers.
The authors say that PTSD is important for two reasons. First, PTSD can negatively impact the patient's outcome. Proper treatment is needed. Second the patient's view of the accident or injury is just as important as the actual symptoms. PTSD can be a stronger factor in the result than even the severity of the injury.
Since PTSD is so common after orthopedic trauma, these researchers suggest that more study is needed.
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References:
Adam J. Starr, MD, et al. Symptoms of Posttraumatic Stress Disorder after Orthopaedic Trauma. In The Journal of Bone and Joint Surgery. June 2004. Vol. 86-A. No. 6. Pp. 1115-1121.
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