The value of preliminary clinical evaluation for decision making in injuries of the hand and wrist
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Affiliation
Walsall Healthcare NHS Trust; University of SalfordPublication date
2019-07-11Subject
Radiology
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Introduction: Recent research suggests that up to 20% of minor trauma patients admitted to the emergency department (ED) will suffer from non-specific chronic conditions over the subsequent several months. Thus, the present study assessed the correlates of symptoms that persisted at 4 months after an ED visit and, in particular, evaluated the associations between these symptoms and self-reported stress levels at ED admission and discharge. Method: This study was a prospective observational investigation conducted in the ED of Bordeaux University Hospital that included patients admitted for minor trauma. All participants were contacted by phone 4 months after presentation at the ED to assess the occurrence of post-concussion-like symptoms (PCLS). Results: A total of 193 patients completed the follow-up assessment at 4 months; 5.2% of the participants suffered from post-traumatic stress disorder (PTSD) and 24.5% suffered from PCLS. A multivariate analysis revealed an association between PCLS and stress level at discharge from the ED (odds ratios [OR]: 2.85, 95% confidence interval [CI]: 1.10–7.40). Conclusions: The risk of PCLS at 4 months after an ED visit for a minor injury increased in association with the level of stress at discharge from the ED. These results may improve the quality of life for the millions of patients who experience a stressful injury event every year.Citation
Stevens BJ, Thompson JD. The value of preliminary clinical evaluation for decision making in injuries of the hand and wrist. Int Emerg Nurs. 2020 Jan;48:100775.Type
ArticlePMID
31302003Journal
International Emergency NursingPublisher
Elsevierae974a485f413a2113503eed53cd6c53
10.1016/j.ienj.2019.05.001