Epidemiological characteristics of post-traumatic stress symptoms and its influence on length of hospital stay in inpatients with traumatic fractures in Zunyi, China

Guojia Qi; Xiu Dai; Xue Wang; Ping Yuan; Xiahong Li; Miao Qi; Xiuli Hu; Xiuquan Shi; Guojia Qi; Xiu Dai; Xue Wang; Ping Yuan; Xiahong Li; Miao Qi; Xiuli Hu; Xiuquan Shi

doi:10.3934/publichealth.2024042

AIMS Public Health

2024, Volume 11, Issue 3: 835-849. doi: 10.3934/publichealth.2024042

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Research article Special Issues

Epidemiological characteristics of post-traumatic stress symptoms and its influence on length of hospital stay in inpatients with traumatic fractures in Zunyi, China

1.
Department of Epidemiology and Health Statistics, School of Public Health, Zunyi Medical University, Zunyi, Guizhou, China
2.
Department of Endemic and Chronic Non-communicable Diseases Control, Huichuan District Center for Disease Control and Prevention, Zunyi 563000, Guizhou, China
3.
Key Laboratory of Maternal & Child Health and Exposure Science of Guizhou Higher Education Institutes, Zunyi, Guizhou, China
4.
Center for Injury Research and Policy & Center for Pediatric Trauma Research, The Research Institute at Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, OH, USA
These two authors contributed equally.

Received: 17 April 2024 Revised: 10 May 2024 Accepted: 17 May 2024 Published: 01 July 2024

Objectives
To investigate the clinical epidemiological characteristics and occurrence of post-traumatic stress symptoms (PTSS) in patients with traumatic fractures, we sought to analyze the factors that influence the prognosis of a length of hospital stay (LOS) and provide valuable insights to prevent PTSS in fracture patients and improve their prognosis.
Methods
Inpatients with traumatic fractures were recruited from a third-class comprehensive general hospital in southwest China between November 2019 and October 2020. Case data of traumatic fracture patients were collected, and a questionnaire that included general information and basic fracture details was completed. The post-traumatic stress disorder Self-rating Scale was used to assess PTSS among the fracture inpatients.
Results
A total of 204 inpatients who experienced traumatic fractures were included in this study. Falls accounted for the largest proportion of traumatic fractures. A Cox's regression analysis revealed that serious injury [Hazard Ratio (HR) = 2.44, 95% Confidence Interval (CI): 1.33–4.46], critical illness during hospitalization (HR = 1.70, 95% CI: 1.13–2.54), and undergoing two surgeries (HR = 1.87, 95% CI: 1.20–2.93) were risk factors for longer LOS. Among the fracture patients, 30.39% exhibited positive PTSD symptoms, and physical activity during the fracture [Odds Ratio (OR) = 0.63, 95% CI: 0.45–0.88] and increased pain (OR = 3.34, 95% CI: 1.82–6.11) were identified as influencing factors.
Conclusions
Given the high detection rate of PTSS following traumatic fractures, it is crucial for relevant departments to implement targeted measures to protect high risk individuals. Furthermore, strengthening the care provided to the patients' physical and mental health is urgently needed to reduce the incidence of PTSS.
- traumatic fracture,
- epidemiology,
- length of hospital stay,
- post-traumatic stress symptoms,
- influencing factors
Citation: Guojia Qi, Xiu Dai, Xue Wang, Ping Yuan, Xiahong Li, Miao Qi, Xiuli Hu, Xiuquan Shi. Epidemiological characteristics of post-traumatic stress symptoms and its influence on length of hospital stay in inpatients with traumatic fractures in Zunyi, China[J]. AIMS Public Health, 2024, 11(3): 835-849. doi: 10.3934/publichealth.2024042

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Abstract

Objectives

To investigate the clinical epidemiological characteristics and occurrence of post-traumatic stress symptoms (PTSS) in patients with traumatic fractures, we sought to analyze the factors that influence the prognosis of a length of hospital stay (LOS) and provide valuable insights to prevent PTSS in fracture patients and improve their prognosis.

Methods

Inpatients with traumatic fractures were recruited from a third-class comprehensive general hospital in southwest China between November 2019 and October 2020. Case data of traumatic fracture patients were collected, and a questionnaire that included general information and basic fracture details was completed. The post-traumatic stress disorder Self-rating Scale was used to assess PTSS among the fracture inpatients.

Results

A total of 204 inpatients who experienced traumatic fractures were included in this study. Falls accounted for the largest proportion of traumatic fractures. A Cox's regression analysis revealed that serious injury [Hazard Ratio (HR) = 2.44, 95% Confidence Interval (CI): 1.33–4.46], critical illness during hospitalization (HR = 1.70, 95% CI: 1.13–2.54), and undergoing two surgeries (HR = 1.87, 95% CI: 1.20–2.93) were risk factors for longer LOS. Among the fracture patients, 30.39% exhibited positive PTSD symptoms, and physical activity during the fracture [Odds Ratio (OR) = 0.63, 95% CI: 0.45–0.88] and increased pain (OR = 3.34, 95% CI: 1.82–6.11) were identified as influencing factors.

Conclusions

Given the high detection rate of PTSS following traumatic fractures, it is crucial for relevant departments to implement targeted measures to protect high risk individuals. Furthermore, strengthening the care provided to the patients' physical and mental health is urgently needed to reduce the incidence of PTSS.

Acknowledgments

The research team would also like to pay heartfelt tribute to the patients and doctors in the Department of Orthopaedics, Affiliated Hospital of Zunyi Medical University. Finally, we would like to thank the editor and anonymous reviewers for their valuable feedback, which greatly improved this paper. The research team would be grateful to the National Natural Science Foundation of China (Grant No. 82060602, PI: Xiuquan Shi), and Science & Technology Program of Guizhou Province (Grant No. QKHPTRC-CXTD [2022]014) under grant for its strong support. The funders had no role in the study design, data collection and analysis, preparation of the manuscript, or decision to publish.

Conflict of interest

The authors declare no conflict of interest.

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