Unveiling posttraumatic stress disorder in trauma surgeons

Joseph, Bellal; Pandit, Viraj; Hadeed, George J.; Kulvatunyou, Narong; Zangbar, Bardiya; Tang, Andrew; OʼKeeffe, Terence; Wynne, Julie; Green, Donald J.; Friese, Randall S.; Rhee, Peter

doi:10.1097/ta.0000000000000271

Cited by 57 publications

(46 citation statements)

References 15 publications

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“…The prevalence of PTSD in our study is lower than the 15% seen in a study on American trauma surgeons using a different screening test, the Posttraumatic Stress Disorder Checklist‐C (PLC‐C) . In that study the number of years in practice was not predictive of the development of PTSD, in line with our results.…”

Section: Discussionsupporting

confidence: 78%

“…Often, being a woman is correlated to a heightened risk of PTSD, considered to be caused by increased vulnerability to emotional stress and formation of memory, where neurobiological sex differences may play a role . Among trauma surgeons, however, being a man was correlated to an increased risk of PTSD and in our study there were no significant differences between the genders for obstetricians, after adjustment . Our study also found a lower level of PTSD than the levels of secondary traumatic stress seen among American nurse‐midwives (29%) and UK midwives (32%), but the response rates were considerably lower in these studies .…”

Section: Discussioncontrasting

confidence: 51%

See 1 more Smart Citation

Post‐traumatic stress symptoms in Swedish obstetricians and midwives after severe obstetric events: a cross‐sectional retrospective survey

Wahlberg

Sachs

Johannesson

et al. 2016

BJOG

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Section: Discussionsupporting

confidence: 78%

Section: Discussioncontrasting

confidence: 51%

Post‐traumatic stress symptoms in Swedish obstetricians and midwives after severe obstetric events: a cross‐sectional retrospective survey

Wahlberg

Sachs

Johannesson

et al. 2016

BJOG

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“…Even though the death of a patient was not the core issue of a publication by Joseph et al ,. traumatic situations experienced by trauma surgeons included violent patient deaths.…”

Section: Resultsmentioning

confidence: 99%

Systematic review of the impact of patient death on surgeons

Joliat

Demartines

Uldry

2019

British Journal of Surgery

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Background: The death of a patient is experienced at some time by most surgeons. The aim of this review was to use existing literature to establish how surgeons have dealt with the death of patients.Methods: A systematic review of the medical literature was performed. MEDLINE/PubMed, Ovid, Web of Science, Embase, and Google Scholar were searched for qualitative and quantitative studies on surgeon reactions when facing death or a dying patient. This systematic review was performed following the recommendations of the Cochrane collaboration and reported following the PRISMA guidelines. Individual and interview-based opinions were summarized and synthesized.Results: An initial search found 652 articles. After exclusion of articles that did not satisfy the inclusion criteria, 20 articles remained and seven were included. Two of these articles were personal opinion of the author and five were interviews or surveys. The main findings were that facing death routinely induces a strong psychological burden and that surgeons are more at risk than the general population to develop psychological morbidity.Conclusion: Although it is a frequent and emotional subject in the surgical world, the impact of patient death on surgeons is not abundantly studied in the literature. Dealing with patient death or taking care of a dying patient might have long-lasting psychological impact on surgeons.

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“…Development of PTSD was higher in surgeons managing more than five critical cases per call. 23 PTSD is associated with professional quality of life, burnout, intent to change careers, risk of occupational injury, and markers of provider health such as sleep quality and obesity. [24][25][26] There is increasing evidence that burnout and PTSD among providers worsen patient outcomes.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Post-Traumatic Stress Disorder in Emergency Physicians in the United States

Delucia

Bitter

Fitzgerald

et al. 2019

WestJEM

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There is increasing concern about the effects of occupational stressors on the wellness of healthcare providers. Given high patient acuity, circadian rhythm disruption, and other workplace stressors, emergency physicians (EP) would be predicted to have high rates of occupational stress. We conducted this study to assess the prevalence of post-traumatic stress disorder (PTSD) in attending EPs practicing in the United States. Methods: A link to an electronic questionnaire was distributed through the emergency medicinecentric publication Emergency Medicine News. We compared the prevalence of PTSD in EPs to the general population using a chi-square goodness of fit test, and performed logistic regression to assess for significance of risk factors. Results: We received survey responses from 526 persons. In this study, EPs had a PTSD point prevalence of 15.8%. Being a victim of a prior trauma or abuse is the primary predictor of PTSD (odds ratio [OR] [95% confidence interval {CI}, 2.16 (1.21-3.86)], p = 0.009) and PTSD severity score (OR [95% CI, 1.16 (1.07-1.26)], p <0.001). Conclusion: Emergency physicians have a substantial burden of PTSD, potentially jeopardizing their own health and career longevity. Future studies should focus on identifying subgroups at higher risk for PTSD and modifiable risk factors. Prevention and treatment strategies should be developed and tested in healthcare providers. [

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Unveiling posttraumatic stress disorder in trauma surgeons

Abstract: Epidemiologic study, level III.

Cited by 57 publications

References 15 publications

Post‐traumatic stress symptoms in Swedish obstetricians and midwives after severe obstetric events: a cross‐sectional retrospective survey

Post‐traumatic stress symptoms in Swedish obstetricians and midwives after severe obstetric events: a cross‐sectional retrospective survey

Systematic review of the impact of patient death on surgeons

Prevalence of Post-Traumatic Stress Disorder in Emergency Physicians in the United States

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