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J Plast Reconstr Aesthet Surg. 2014 Apr;67(4):555-60. doi: 10.1016/j.bjps.2013.12.039. Epub 2013 Dec 31.

Lower limb trauma and posttraumatic stress disorder: a single UK trauma unit's experience.

Author information

  • 1Department of Reconstructive Plastic Surgery, Frenchay Hospital, Bristol BS16 1LE, UK. Electronic address: wbhat@hotmail.com.
  • 2Department of Reconstructive Plastic Surgery, Frenchay Hospital, Bristol BS16 1LE, UK.

Abstract

INTRODUCTION:

The incidence and factors influencing posttraumatic stress disorder (PTSD) in victims of severe lower extremity injuries are largely unknown. We studied a cohort of patients treated in a specialist centre to try and elucidate these unknowns.

MATERIALS AND METHODS:

The Posttraumatic Stress Disorder Checklist Scale (PCL-S) was used as a reliable and reproducible patient-reported outcome measure (PROM) assessing all patients for PTSD. Sixty patients were included in the study. This was a prospective analysis of the progression of the PCL-S scores. The data were analysed using a non-parametric Wilcoxon test.

RESULTS:

Sixty patients were recruited into the study cohort. We found that the incidence in this cohort of PTSD was 30%. We found that age had an influence on outcome. Those who were 50 years old or over had a significantly lower incidence of PTSD according to the PCL-S scores and appeared to recover from it significantly more effectively.

CONCLUSIONS:

Up to a third of patients suffering from a severe lower extremity injury will develop PTSD. Patients of the younger age group are more severely affected and will need psychological support to overcome their distress.

Copyright © 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

KEYWORDS:

Lower limb trauma; Outcomes in trauma; PTSD

[PubMed - indexed for MEDLINE]
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