Erin Sullivan1, Jordin Shelley2, Evan Rainey3, Monica Bennett4, Purvi Prajapati5, Mark B Powers6, Michael Foreman7, Ann Marie Warren8. 1. University of North Texas, 1155 Union Circle, Denton, TX 76203, United States. Electronic address: ErinSullivan2@my.unt.edu. 2. Baylor University Medical Center, 3500 Gaston Avenue, Dallas, TX 75246, United States. Electronic address: Jordinks9@aol.com. 3. Baylor University Medical Center, 3500 Gaston Avenue, Dallas, TX 75246, United States. Electronic address: EvanElizabeth.Rainey@bswhealth.org. 4. Baylor University Medical Center, 3500 Gaston Avenue, Dallas, TX 75246, United States. Electronic address: Monica.Bennett@bswhealth.org. 5. Baylor University Medical Center, 3500 Gaston Avenue, Dallas, TX 75246, United States. Electronic address: Purvi.Prajapati@bswhealth.org. 6. Baylor University Medical Center, 3500 Gaston Avenue, Dallas, TX 75246, United States. Electronic address: Mark.Powers1@bswhealth.org. 7. Baylor University Medical Center, 3500 Gaston Avenue, Dallas, TX 75246, United States. Electronic address: Michael.Foreman@bswhealth.org. 8. Baylor University Medical Center, 3500 Gaston Avenue, Dallas, TX 75246, United States. Electronic address: AnnMarie.Warren@bswhealth.org.
Abstract
OBJECTIVE: The present study examined the relationship between posttraumatic stress symptoms (PTSS) and depression symptoms with hospital outcome measures to explore how psychiatric factors relate to hospital length of stay (LOS). METHOD: Participants were adults admitted to a large Level I Trauma Center for longer than 24h. Depression was assessed at hospitalization using the Patient Health Questionnaire (PHQ-8), and PTSS was measured by the Primary Care PTSD Screen (PC-PTSD). Hospital outcome information was collected from the hospital's trauma registry. Pearson correlations were performed. RESULTS: 460 participants (mean age=44years, SD=16.8; 65.4% male) completed the study. Baseline PTSS and depression were significantly correlated with longer hospital LOS while controlling for demographics and injury severity (p=0.026; p=0.023). Both PTSS-positive and depression-positive groups had an average increased hospital LOS of two days. CONCLUSIONS: A significant proportion of individuals who are admitted to the hospital following trauma may be at risk for depression and PTSS, which may then increase hospital LOS. As national attention turns to reducing healthcare costs, early screenings and interventions may aid in minimizing psychiatric symptoms in trauma patients, in turn reducing the cost and outcomes associated with total hospital LOS.
OBJECTIVE: The present study examined the relationship between posttraumatic stress symptoms (PTSS) and depression symptoms with hospital outcome measures to explore how psychiatric factors relate to hospital length of stay (LOS). METHOD:Participants were adults admitted to a large Level I Trauma Center for longer than 24h. Depression was assessed at hospitalization using the Patient Health Questionnaire (PHQ-8), and PTSS was measured by the Primary Care PTSD Screen (PC-PTSD). Hospital outcome information was collected from the hospital's trauma registry. Pearson correlations were performed. RESULTS: 460 participants (mean age=44years, SD=16.8; 65.4% male) completed the study. Baseline PTSS and depression were significantly correlated with longer hospital LOS while controlling for demographics and injury severity (p=0.026; p=0.023). Both PTSS-positive and depression-positive groups had an average increased hospital LOS of two days. CONCLUSIONS: A significant proportion of individuals who are admitted to the hospital following trauma may be at risk for depression and PTSS, which may then increase hospital LOS. As national attention turns to reducing healthcare costs, early screenings and interventions may aid in minimizing psychiatric symptoms in traumapatients, in turn reducing the cost and outcomes associated with total hospital LOS.
Authors: Jordin K Shelley; Jacob W Roden-Foreman; David Vier; Evan Elizabeth McShan; Monica M Bennett; Alan L Jones; Ann Marie Warren Journal: Proc (Bayl Univ Med Cent) Date: 2020-09-02
Authors: John C Moring; Erica Nason; Willie J Hale; Jennifer Schuster Wachen; Katherine A Dondanville; Casey Straud; Brian A Moore; Jim Mintz; Brett T Litz; Jeffrey S Yarvis; Stacey Young-McCaughan; Alan L Peterson; Patricia A Resick Journal: J Affect Disord Date: 2019-06-30 Impact factor: 4.839
Authors: Lakshmi Chennapragada; Sarah R Sullivan; Kyra K Hamerling-Potts; Hannah Tran; Jake Szeszko; Joseph Wrobleski; Emily L Mitchell; Samantha Walsh; Marianne Goodman Journal: Psychiatry Res Date: 2022-07-25 Impact factor: 11.225