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An Analysis Of PTSD Screening At A Level 1 Trauma Center Follow-up Clinic
*Christine Perlick1, *Stephen Strotmeyer2, *Barbara A. Gaines1, *Ward Richardson1
1UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA;2University of Pittsburgh, Pittsburgh, PA

Background: There is a paucity of literature on PTSD screening in pediatric patients following injury, although such an event increases the risk of developing traumatic stress (TS). We implemented a process for universal screening for traumatic stress symptoms in children evaluated in our regional level 1 trauma center. We hypothesized that the more severe the event and the resultant injury complex, the greater the likelihood of traumatic stress. Methodology: The Child PTSD Symptom Scale (CPSS-V SR) is a validated tool for the assessment of TS symptoms in children and adolescents. This self-report questionnaire was provided to children during their routine outpatient follow-up. Injury and demographic information were collected; the association between these characteristics and CPSS-V SR score was evaluated. Data were analyzed utilizing descriptive statistics and univariate analysis. P<0.5 was considered statistically significant. Results: 92 patients completed the CPSS tool; medians and interquartile ranges for age, injury severity score, and length of stay were 14 (11-16), 9 (4-16), 1.75 (1-3) respectively. Comparing the TS group (n=14), defined by a score of 21+ on the CPSS to the other 78 patients, means for age, ISS or LOS were not statistically different. Subsequent binomial logistic regression for the prediction of PTSD between groups was not significant when testing age, ISS, or LOS. Conclusions: Contrary to our hypothesis, there was no association between injury severity and TS. These findings support our current practice of universal screening. Further investigation into other potential factors that may predispose or protect children from TS following injury is warranted.


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