Emergency medical service and in-hospital vital signs as predictors of subsequent PTSD symptom severity in pediatric injury patients.
Emergency medical service and in-hospital vital signs as predictors of subsequent PTSD symptom severity in pediatric injury patients.
复制标题
紧急医疗服务和院内生命体征可作为儿科损伤患者后续 PTSD 症状严重程度的预测因子。
DOI：
10.1111/j.1469-7610.2006.01648.x
复制
发表时间：
2006
期刊：
影响因子：
--
通讯作者：
Delahanty,DouglasL
中科院分区：
文献类型：
--
作者：
Nugent,NicoleR;Christopher,NormanC;Delahanty,DouglasL
背景：本研究调查了创伤事件发生后不久的心率 (HR) 水平在多大程度上预测了儿童创伤受害者的创伤后应激障碍 (PTSD) 症状严重程度，并在 6 周和 6 个月后对儿童创伤受害者进行了评估。方法：参与者包括 82 名 8-18 岁的儿童（56 名男孩，26 名女孩），他们入住中西部创伤中心。 HR 数据记录自紧急医疗服务 (EMS) 记录、入院急诊室 (ED) 时、入院后前 20 分钟以及出院时。随后的 PTSD 和抑郁症状在创伤后 6 周和 6 个月进行评估。结果：EMS 运输期间记录的 HR 与 6 周 (r= .42) 和 6 个月 (r= .35) 时的 PTSD 症状显着相关。消除与人口统计学变量和抑郁症状相关的方差后，EMS 转运期间的 HR 以及入院后前 20 分钟的平均 HR 显着预测了 6 周的 PTSD 症状。第一个记录的 EMS HR 测量显着预测了 6 个月的 PTSD 症状。 EMS 运输前 20 分钟的 HR 平均值和入院后前 20 分钟的平均值可略微预测 6 个月的 PTSD 症状（ps = .051 和 .079，分别）。 结论：目前的研究结果表明，创伤事件后不久的生理唤醒可能与儿童创伤受害者发生 PTSD 症状的风险增加有关。这些发现为使用急性心血管水平作为儿童创伤受害者出现 PTSD 症状风险较高的标志提供了初步支持。
Background:The present study investigated the extent to which heart rate (HR) levels soon after a traumatic event predicted posttraumatic stress disorder (PTSD) symptom severity assessed 6 weeks and 6 months later in child trauma victims.Methods:Participants consisted of 82 children (56 boys, 26 girls) aged 8–18 who were admitted to a Midwestern trauma center. HR data were recorded from emergency medical services (EMS) records, upon admission to the emergency department (ED), for the first 20 minutes following admission, and upon discharge. Subsequent PTSD and depressive symptoms were assessed 6‐weeks and 6‐months post‐trauma.Results:HR recorded during EMS transport was significantly correlated with PTSD symptoms at 6 weeks (r= .42) and at 6 months (r= .35). After removing the variance associated with demographic variables and depressive symptoms, HR during EMS transport and averaged over the first 20 minutes following admission significantly predicted 6‐week PTSD symptoms. The first recorded EMS HR measure significantly predicted 6‐month PTSD symptoms. HR averaged over the first 20 minutes of EMS transport and averaged over the first 20 minutes following admission marginally predicted 6‐month PTSD symptoms (ps = .051 and .079, respectively).Conclusions:The present findings suggest that physiological arousal soon after a traumatic event may be associated with increased risk for the development of PTSD symptoms in child trauma victims. These findings provide preliminary support for the use of acute cardiovascular levels as markers of child trauma victims at higher risk of developing symptoms of PTSD.