Psychische Folgen nach einem Trauma

Drechsel-Schlund, Claudia; Hauck, Monika

doi:10.1007/s10039-013-1990-1

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…Also, within the framework of interdisciplinary cooperation, depressive episodes and chronic pain syndromes were diagnosed in many accident victims, requiring long-term contributive medical care by algesiological and psychiatric-neurological specialists. While it is true that these forms of complications are frequently unavoidable due to the complex injuries involved, in our view the further course of illness can be favourably impacted by early recognition of complications during regular follow-up treatment 28 , 29 , 30 , 31 .…”

Section: Discussionmentioning

confidence: 82%

“…Daneben wurden im Rahmen der interdisziplinären Zusammenarbeit bei vielen Verunfallten depressive Episoden und chronische Schmerzsyndrome diagnostiziert mit Notwendigkeit einer dauerhaften Mitbetreuung auf algesiologischem und psychiatrisch-neurologischem Fachgebiet. Zwar lassen sich diese Formen von Komplikationen aufgrund der komplexen Verletzungen häufig nicht vermeiden, allerdings kann der weitere Krankheitsverlauf aus unserer Sicht durch ein frühzeitiges Erkennen von Komplikationen während der regelmäßigen Nachsorge günstig beeinflusst werden 28 , 29 , 30 , 31 .…”

Section: Diskussionunclassified

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Injuries after Forklift Trucks Accidents – Injury Patterns, Therapy and Outcome in the Context of the Statutory Accident Insurance

Ull¹,

Ehlers²,

Yılmaz³

et al. 2021

Z Orthop Unfall

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Introduction The use of forklift trucks during work has a high accident potential. The aim of this study is to describe injury patterns, treatment and outcome after forklift truck accidents in the context of the employersʼ liability insurance association. Methods Retrospective data collection of all cases between 2004 and 2019. Excluded were patients < 18 years, without follow-up or with definitive external treatment. Trauma mechanism, injury patterns and distribution, treatment, complications, time of incapacity for work, return to work and impairment of earning capacity were recorded. Results Of 109 patients with 110 injuries, 52.7% showed isolated injuries and 47.3% combined injuries, which affected the lower extremity in 95 cases. There were fractures in 85.5%, including 32.7% in open form. The mean length of stay was 29.1 days (range 1 – 129); an indication for surgery was seen in 80.9%. Surgical treatment required an average of 3 interventions, with significantly more operations for soft tissue closure than for the fractures (p ≤ 0.023). Amputations were necessary in 8 cases; complications occurred in 29.1%. Return to work was possible in 90%, after a mean period of incapacity for work of 33.6 weeks. A total of 40% showed a pensionable impairment of earning capacity. Conclusion Accidents with forklift trucks result in complex lower extremities injuries with the need of multi-stage treatment and show relatively high complication rates. A return to work is often possible after a long period of convalescence, and a pensionable impairment of earning capacity often persists.

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Section: Discussionmentioning

confidence: 82%

Section: Diskussionunclassified

Injuries after Forklift Trucks Accidents – Injury Patterns, Therapy and Outcome in the Context of the Statutory Accident Insurance

Ull¹,

Ehlers²,

Yılmaz³

et al. 2021

Z Orthop Unfall

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Psychische Folgen von Unfällen und deren Versorgung

Angenendt

2014

Bundesgesundheitsbl.

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Emergency psychology and psychotraumatology deal with the psychological sequelae of traumatic experiences, i.e., the prevention and early intervention of posttraumatic mental health disorders. Accidents are the most prevalent traumatic events in the general population that may result in a range of severe trauma and adjustment disorders. Accidents happen suddenly, unexpectedly, and can gravely threaten health, personal integrity, and life. The prevalence of intermittent and chronic psychiatric disorders in the aftermath of severe accidents varies between 5 and 30 %. Victims suffer from unknown and frightening posttraumatic symptoms, often irreversible handicaps as a consequence of their injuries, impairments in everyday functioning, and negative impact on the quality of life. The direct and indirect burden for society is high. Comprehensive secondary prevention, starting with early detection and early intervention of post-accident disorders, is not well established in clinical care. In case of severe accidental injuries, emergency and medical treatment has absolute priority. But all too often, severe mental health problems remain undetected in later treatment phases and therefore cannot be addressed adequately. In primary care, knowledge of specific psychodiagnostic and treatment options is still insufficient. Prejudices, denial, and fear of stigmatization in traumatized victims as well as practical constraints (availability, waiting time) in the referral to special evidence-based interventions limit the access to adequate and effective support. This overview presents the objectives, concepts, and therapeutic tools of a stepped-care model for psychological symptoms after accidental trauma, with reference to clinical guidelines.

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Psychische Folgen nach einem Trauma

Cited by 2 publications

References 4 publications

Injuries after Forklift Trucks Accidents – Injury Patterns, Therapy and Outcome in the Context of the Statutory Accident Insurance

Injuries after Forklift Trucks Accidents – Injury Patterns, Therapy and Outcome in the Context of the Statutory Accident Insurance

Psychische Folgen von Unfällen und deren Versorgung

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