Literature review and meta‐analysis of risk factors for delayed post‐traumatic stress disorder in older adults after a fall

Bloch, Frédéric

doi:10.1002/gps.4603

Cited by 8 publications

(4 citation statements)

References 22 publications

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“…When used alone, the OR, which remains a representation of the power of association between the risk factor and the onset of PTSD, offers little detail. Meta-analyses represent an accumulation of knowledge that can often lead to meanings that do not address the clinical validity issue and leave the decision to be made in confusion [50]. This approach must then be used with experience and moderation and, where possible, should be supplemented by additional research illustrating the clinical validity of the meanings acquired.…”

Section: Strengths and Limitations Of The Studymentioning

confidence: 99%

Prevalence and Determinants of Immediate and Long-Term PTSD Consequences of Coronavirus-Related (CoV-1 and CoV-2) Pandemics among Healthcare Professionals: A Systematic Review and Meta-Analysis

Falasi

Mazrouei

Ali

et al. 2021

IJERPH

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Background: The COVID-19 pandemic continues to rise. In order to control the COVID-19 pandemic, healthcare professionals have been subjected to increased exposure to work stress. In this systematic review, we aimed at investigating the prevalence and determinants of immediate and long-term post-traumatic stress disorder (PTSD) effects on healthcare professionals by the COVID-19 (SARS CoV-2) and SARS-2003 (SARS CoV-1) pandemics. Methods: This systematic review was conducted according to the recommendations of the Protocols for Systemic Review and Meta-Analysis (PRISMA) statement. Only studies reporting the prevalence of PTSD (frequency, percentage) and related risk factors (adjusted odds ratio (OR)) in healthcare professionals (HCPs) during the SARS CoV-2 and SARS CoV-1 pandemics were included. The following databases were screened: Medline, Embase, PsychINFO, and Health Psychosocial Instrument (HaPI). Results: Six of eight studies reported PTSD symptoms among healthcare professionals during the COVID-19 pandemic in China (three), Singapore (one), India (one), and the United States of America (USA) (two), while two studies reported symptoms during the SARS-2003 pandemic in China (one) and Singapore (one). Sample sizes ranged from 263 to 5062 with a combined total of 10,074 participants. All of the studies self-reported the level of exposure to coronaviruses (CoV-1 and CoV-2) and severity of PTSD. Seven studies reported the prevalence of immediate PTSD and determinants, while one study reported delayed-onset PTSD (3 years after CoV-1 pandemic). Determinants of immediate PTSD were reported for the CoV-2 pandemic, while those for long-term PTSD were reported for the CoV-1 pandemic. Conclusions: A comprehensive understanding of the prevalence and determinants of immediate or long-term pandemic PTSD for healthcare workers can improve prevention, diagnosis, and management. Rigorous research measuring the prevalence of PTSD and its associated risk factors (adjusted OR) for the CoV-2 pandemic are envisaged. Although strategies to resolve immediate PTSD are key, long-term PTSD must not be overlooked.

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Section: Strengths and Limitations Of The Studymentioning

confidence: 99%

Prevalence and Determinants of Immediate and Long-Term PTSD Consequences of Coronavirus-Related (CoV-1 and CoV-2) Pandemics among Healthcare Professionals: A Systematic Review and Meta-Analysis

Falasi

Mazrouei

Ali

et al. 2021

IJERPH

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“…However, patients with probable PTSD were younger than patients unlikely to have a PTSD diagnosis (51 vs. 61 years old), which is contrary to previous literature. 5,17,18 With only six patients with scores indicating probable PTSD, we cannot draw conclusions on a potential age and/or gender predisposition. It is important for physicians to be aware of the risk factors for posttraumatic stress symptoms and be mindful that it can occur in patients of any age and may even persist as far out as 12 to 15 months postoperatively.…”

Section: Discussionmentioning

confidence: 97%

“…Literature suggests that older females with comorbidities corresponding to frail subjects are at risk for developing PTSD. 17 Moreover, older females with fractures have been found to have higher rates of depression and experience the greatest reduction in health-related quality of life and functionality following a fall. 5,18 Our results for patients who met probable PTSD diagnosis based on PCL-5 scores were in agreement with the literature in that almost all were females (5 of 6).…”

Section: Discussionmentioning

confidence: 99%

The Incidence of Psychologic Stress following a Fall and Surgical Treatment of Distal Radius Fractures

et al. 2021

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Background and Purpose Experiencing a fall and a subsequent distal radius fracture can have a major impact not only on patients' physical function, but also on their emotional state. The purpose of this project was to describe the prevalence of fear of falling (FoF) and posttraumatic stress disorder (PTSD) following surgically managed distal radius fractures due to a fall. Methods Patients who underwent surgery for a distal radius fracture due to a fall were identified by a database query. Patients were divided into three groups based on time from surgery: 0 to 2 weeks (acute), 3 to 6 months (mid-term), and 12 to 15 months (long-term). FoF was measured using the Falls Efficacy Scale-International (FES-I) questionnaire. PTSD was measured using the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders (DSM) Text Revision-5 (PCL-5) questionnaire. A total of 239 patients who met inclusion criteria were consented via phone and completed the emailed surveys. Results FES-I scores were significantly higher in the acute group versus the long-term group (p = 0.04). High concern for FoF was observed in 63% (19/30) of patients in the acute group, in 35% (14/40) in the mid-term group (p = 0.019 vs. acute), and in 19% (8/42) in the long-term group (p < 0.001 vs. acute). Probable PTSD was observed in 2.3% (1/44) of patients in the acute group, in 4.8% (2/42) in the mid-term group, and in 7.3% (3/41) in the long-term group. Conclusion Patients who undergo surgical fixation of a distal radius fracture due to a fall are subject to FoF and PTSD symptoms. To maximize postoperative outcomes, it is important for surgeons to be aware of these psychological effects and know how to screen for them. Level of Evidence This is a Level III study.

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“…Doing so will likely require methods of identifying patients at risk for adverse psychological responses to injury and connecting these patients to cognitive behavioral therapies and medications. For patients in a close relationship, interventions that enhance the spouse's response to the patient's injury may also be valuable [30].…”

Section: How Does a Patient's Psychological Response To The Injury Im...mentioning

confidence: 99%

Musculoskeletal Injures in Older Adults

Platts‐Mills

Dayaa

2017

North Carolina Medical Journal

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Literature review and meta‐analysis of risk factors for delayed post‐traumatic stress disorder in older adults after a fall

Cited by 8 publications

References 22 publications

Prevalence and Determinants of Immediate and Long-Term PTSD Consequences of Coronavirus-Related (CoV-1 and CoV-2) Pandemics among Healthcare Professionals: A Systematic Review and Meta-Analysis

Prevalence and Determinants of Immediate and Long-Term PTSD Consequences of Coronavirus-Related (CoV-1 and CoV-2) Pandemics among Healthcare Professionals: A Systematic Review and Meta-Analysis

The Incidence of Psychologic Stress following a Fall and Surgical Treatment of Distal Radius Fractures

Musculoskeletal Injures in Older Adults

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