학술논문

Better with age? A comparison of geriatric and non-geriatric trauma patients' psychological outcomes 6 months post-injury.
Document Type
Article
Source
Cognitive Behaviour Therapy. Sep2019, Vol. 48 Issue 5, p406-418. 13p. 4 Charts.
Subject
*POST-traumatic stress
*ALCOHOL drinking
*REHABILITATION nursing
*GERIATRIC psychiatry
*TRAUMA centers
*AGE groups
Language
ISSN
1650-6073
Abstract
This is the first study to compare both physical and psychological outcomes in geriatric and non-geriatric patients (n = 268) at baseline and 6 months post-trauma. Demographic, clinical, and psychological data, including screens for alcohol use, depressive symptoms, and post-traumatic stress symptoms (PTSS) were collected from 67 geriatric patients (70.7 ± 8.0 years) and 201 non-geriatric patients (40.2 ± 12.8 years) admitted to a Level I trauma center for ≥ 24 h. Geriatric patients were significantly less likely to screen positive for alcohol use at baseline, and depression, PTSS, and alcohol use at follow-up. When not controlling for discharge to rehabilitation or nursing facility, geriatric patients had significantly lower odds of alcohol use at follow-up. There was no significant difference in injury severity, resilience, or pre-trauma psychological status between the two groups. Results indicate that geriatric trauma patients fare better than their younger counterparts at 6 months post-trauma on measures of alcohol use, depression, and PTSS. Screenings and interventions for both age groups could improve psychological health post-trauma, but younger patients may require additional attention. [ABSTRACT FROM AUTHOR]