Stress and lasting symptoms following injury: Results from a 4-month cohort of trauma patients recruited at the emergency department.
Identifieur interne : 000102 ( Main/Exploration ); précédent : 000101; suivant : 000103Stress and lasting symptoms following injury: Results from a 4-month cohort of trauma patients recruited at the emergency department.
Auteurs : Gil-Jardiné Cédric [France] ; Stéphanie Hoareau [France] ; Guillaume Valdenaire [France] ; Benjamin Contrand [France] ; Louis-Rachid Salmi [France] ; Françoise Masson [France] ; Eric Tellier [France] ; Régis Ribéreau-Gayon [France] ; Philippe Revel [France] ; Emmanuel Lagarde [France]Source :
- International emergency nursing [ 1878-013X ] ; 2020.
Descripteurs français
- KwdFr :
- Accidents (statistiques et données numériques), Adolescent (MeSH), Adulte (MeSH), Facteurs de risque (MeSH), Femelle (MeSH), France (MeSH), Humains (MeSH), Mâle (MeSH), Plaies et blessures (complications), Plaies et blessures (psychologie), Service hospitalier d'urgences (organisation et administration), Service hospitalier d'urgences (statistiques et données numériques), Stress psychologique (psychologie), Stress psychologique (étiologie), Sélection de patients (MeSH), Temps (MeSH), Études de cohortes (MeSH), Études prospectives (MeSH).
- MESH :
- organisation et administration : Service hospitalier d'urgences.
- psychologie : Plaies et blessures, Stress psychologique.
- statistiques et données numériques : Accidents, Service hospitalier d'urgences.
- étiologie : Stress psychologique.
- Adolescent, Adulte, Facteurs de risque, Femelle, France, Humains, Mâle, Plaies et blessures, Sélection de patients, Temps, Études de cohortes, Études prospectives.
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Accidents (statistics & numerical data), Adolescent (MeSH), Adult (MeSH), Cohort Studies (MeSH), Emergency Service, Hospital (organization & administration), Emergency Service, Hospital (statistics & numerical data), Female (MeSH), France (MeSH), Humans (MeSH), Male (MeSH), Patient Selection (MeSH), Prospective Studies (MeSH), Risk Factors (MeSH), Stress, Psychological (etiology), Stress, Psychological (psychology), Time (MeSH), Wounds and Injuries (complications), Wounds and Injuries (psychology).
- MESH :
- geographic : France.
- complications : Wounds and Injuries.
- etiology : Stress, Psychological.
- organization & administration : Emergency Service, Hospital.
- psychology : Stress, Psychological, Wounds and Injuries.
- statistics & numerical data : Accidents, Emergency Service, Hospital.
- Adolescent, Adult, Cohort Studies, Female, Humans, Male, Patient Selection, Prospective Studies, Risk Factors, Time.
Abstract
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.
DOI: 10.1016/j.ienj.2019.100810
PubMed: 31708479
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Electronic address: cedric.giljardine@gmail.com.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France; INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Hoareau, Stephanie" sort="Hoareau, Stephanie" uniqKey="Hoareau S" first="Stéphanie" last="Hoareau">Stéphanie Hoareau</name><affiliation wicri:level="3"><nlm:affiliation>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Valdenaire, Guillaume" sort="Valdenaire, Guillaume" uniqKey="Valdenaire G" first="Guillaume" last="Valdenaire">Guillaume Valdenaire</name><affiliation wicri:level="3"><nlm:affiliation>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Contrand, Benjamin" sort="Contrand, Benjamin" uniqKey="Contrand B" first="Benjamin" last="Contrand">Benjamin Contrand</name><affiliation wicri:level="3"><nlm:affiliation>INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Salmi, Louis Rachid" sort="Salmi, Louis Rachid" uniqKey="Salmi L" first="Louis-Rachid" last="Salmi">Louis-Rachid Salmi</name><affiliation wicri:level="3"><nlm:affiliation>INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Masson, Francoise" sort="Masson, Francoise" uniqKey="Masson F" first="Françoise" last="Masson">Françoise Masson</name><affiliation wicri:level="3"><nlm:affiliation>University Hospital of Bordeaux, Pole of Anesthesia and Intensive Care, F-33000 Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Bordeaux, Pole of Anesthesia and Intensive Care, F-33000 Bordeaux</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Tellier, Eric" sort="Tellier, Eric" uniqKey="Tellier E" first="Eric" last="Tellier">Eric Tellier</name><affiliation wicri:level="3"><nlm:affiliation>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France; INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France; INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Ribereau Gayon, Regis" sort="Ribereau Gayon, Regis" uniqKey="Ribereau Gayon R" first="Régis" last="Ribéreau-Gayon">Régis Ribéreau-Gayon</name><affiliation wicri:level="3"><nlm:affiliation>University Hospital of Bordeaux, Pole of Medicine, F-33000, Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Bordeaux, Pole of Medicine, F-33000, Bordeaux</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Revel, Philippe" sort="Revel, Philippe" uniqKey="Revel P" first="Philippe" last="Revel">Philippe Revel</name><affiliation wicri:level="3"><nlm:affiliation>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Lagarde, Emmanuel" sort="Lagarde, Emmanuel" uniqKey="Lagarde E" first="Emmanuel" last="Lagarde">Emmanuel Lagarde</name><affiliation wicri:level="3"><nlm:affiliation>INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:31708479</idno><idno type="pmid">31708479</idno><idno type="doi">10.1016/j.ienj.2019.100810</idno><idno type="wicri:Area/Main/Corpus">000306</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000306</idno><idno type="wicri:Area/Main/Curation">000306</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000306</idno><idno type="wicri:Area/Main/Exploration">000306</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Stress and lasting symptoms following injury: Results from a 4-month cohort of trauma patients recruited at the emergency department.</title><author><name sortKey="Cedric, Gil Jardine" sort="Cedric, Gil Jardine" uniqKey="Cedric G" first="Gil-Jardiné" last="Cédric">Gil-Jardiné Cédric</name><affiliation wicri:level="3"><nlm:affiliation>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France; INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex, France. Electronic address: cedric.giljardine@gmail.com.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France; INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Hoareau, Stephanie" sort="Hoareau, Stephanie" uniqKey="Hoareau S" first="Stéphanie" last="Hoareau">Stéphanie Hoareau</name><affiliation wicri:level="3"><nlm:affiliation>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Valdenaire, Guillaume" sort="Valdenaire, Guillaume" uniqKey="Valdenaire G" first="Guillaume" last="Valdenaire">Guillaume Valdenaire</name><affiliation wicri:level="3"><nlm:affiliation>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Contrand, Benjamin" sort="Contrand, Benjamin" uniqKey="Contrand B" first="Benjamin" last="Contrand">Benjamin Contrand</name><affiliation wicri:level="3"><nlm:affiliation>INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Salmi, Louis Rachid" sort="Salmi, Louis Rachid" uniqKey="Salmi L" first="Louis-Rachid" last="Salmi">Louis-Rachid Salmi</name><affiliation wicri:level="3"><nlm:affiliation>INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Masson, Francoise" sort="Masson, Francoise" uniqKey="Masson F" first="Françoise" last="Masson">Françoise Masson</name><affiliation wicri:level="3"><nlm:affiliation>University Hospital of Bordeaux, Pole of Anesthesia and Intensive Care, F-33000 Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Bordeaux, Pole of Anesthesia and Intensive Care, F-33000 Bordeaux</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Tellier, Eric" sort="Tellier, Eric" uniqKey="Tellier E" first="Eric" last="Tellier">Eric Tellier</name><affiliation wicri:level="3"><nlm:affiliation>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France; INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France; INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Ribereau Gayon, Regis" sort="Ribereau Gayon, Regis" uniqKey="Ribereau Gayon R" first="Régis" last="Ribéreau-Gayon">Régis Ribéreau-Gayon</name><affiliation wicri:level="3"><nlm:affiliation>University Hospital of Bordeaux, Pole of Medicine, F-33000, Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Bordeaux, Pole of Medicine, F-33000, Bordeaux</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Revel, Philippe" sort="Revel, Philippe" uniqKey="Revel P" first="Philippe" last="Revel">Philippe Revel</name><affiliation wicri:level="3"><nlm:affiliation>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Lagarde, Emmanuel" sort="Lagarde, Emmanuel" uniqKey="Lagarde E" first="Emmanuel" last="Lagarde">Emmanuel Lagarde</name><affiliation wicri:level="3"><nlm:affiliation>INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author></analytic><series><title level="j">International emergency nursing</title><idno type="eISSN">1878-013X</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidents (statistics & numerical data)</term><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Cohort Studies (MeSH)</term><term>Emergency Service, Hospital (organization & administration)</term><term>Emergency Service, Hospital (statistics & numerical data)</term><term>Female (MeSH)</term><term>France (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Patient Selection (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Risk Factors (MeSH)</term><term>Stress, Psychological (etiology)</term><term>Stress, Psychological (psychology)</term><term>Time (MeSH)</term><term>Wounds and Injuries (complications)</term><term>Wounds and Injuries (psychology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accidents (statistiques et données numériques)</term><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Facteurs de risque (MeSH)</term><term>Femelle (MeSH)</term><term>France (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Plaies et blessures (complications)</term><term>Plaies et blessures (psychologie)</term><term>Service hospitalier d'urgences (organisation et administration)</term><term>Service hospitalier d'urgences (statistiques et données numériques)</term><term>Stress psychologique (psychologie)</term><term>Stress psychologique (étiologie)</term><term>Sélection de patients (MeSH)</term><term>Temps (MeSH)</term><term>Études de cohortes (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Wounds and Injuries</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Stress, Psychological</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Service hospitalier d'urgences</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Emergency Service, Hospital</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Plaies et blessures</term><term>Stress psychologique</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Stress, Psychological</term><term>Wounds and Injuries</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Accidents</term><term>Emergency Service, Hospital</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Accidents</term><term>Service hospitalier d'urgences</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Stress psychologique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Cohort Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Patient Selection</term><term>Prospective Studies</term><term>Risk Factors</term><term>Time</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Facteurs de risque</term><term>Femelle</term><term>France</term><term>Humains</term><term>Mâle</term><term>Plaies et blessures</term><term>Sélection de patients</term><term>Temps</term><term>Études de cohortes</term><term>Études prospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>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).</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>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).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>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.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31708479</PMID><DateCompleted><Year>2020</Year><Month>11</Month><Day>09</Day></DateCompleted><DateRevised><Year>2020</Year><Month>11</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-013X</ISSN><JournalIssue CitedMedium="Internet"><Volume>48</Volume><PubDate><Year>2020</Year><Month>01</Month></PubDate></JournalIssue><Title>International emergency nursing</Title><ISOAbbreviation>Int Emerg Nurs</ISOAbbreviation></Journal><ArticleTitle>Stress and lasting symptoms following injury: Results from a 4-month cohort of trauma patients recruited at the emergency department.</ArticleTitle><Pagination><MedlinePgn>100810</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1755-599X(19)30096-5</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ienj.2019.100810</ELocationID><Abstract><AbstractText Label="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.</AbstractText><AbstractText Label="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).</AbstractText><AbstractText Label="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).</AbstractText><AbstractText Label="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.</AbstractText><CopyrightInformation>Copyright © 2019 Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cédric</LastName><ForeName>Gil-Jardiné</ForeName><Initials>GJ</Initials><AffiliationInfo><Affiliation>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France; INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex, France. Electronic address: cedric.giljardine@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hoareau</LastName><ForeName>Stéphanie</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Valdenaire</LastName><ForeName>Guillaume</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Contrand</LastName><ForeName>Benjamin</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Salmi</LastName><ForeName>Louis-Rachid</ForeName><Initials>LR</Initials><AffiliationInfo><Affiliation>INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Masson</LastName><ForeName>Françoise</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>University Hospital of Bordeaux, Pole of Anesthesia and Intensive Care, F-33000 Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tellier</LastName><ForeName>Eric</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France; INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ribéreau-Gayon</LastName><ForeName>Régis</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>University Hospital of Bordeaux, Pole of Medicine, F-33000, Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Revel</LastName><ForeName>Philippe</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>University Hospital of Bordeaux, Pellegrin Hospital, Emergency Department, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lagarde</LastName><ForeName>Emmanuel</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>INSERM, ISPED, Bordeaux Population Health Research Center INSERM U1219-"Injury Epidemiology Transport Occupation" Team, F-33076 Bordeaux Cedex, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>11</Month><Day>08</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Int Emerg Nurs</MedlineTA><NlmUniqueID>101472191</NlmUniqueID><ISSNLinking>1878-013X</ISSNLinking></MedlineJournalInfo><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000059" MajorTopicYN="N">Accidents</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004636" MajorTopicYN="N">Emergency Service, Hospital</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018579" MajorTopicYN="N">Patient Selection</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013315" MajorTopicYN="N">Stress, Psychological</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013995" MajorTopicYN="Y">Time</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014947" MajorTopicYN="N">Wounds and Injuries</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Emergency department</Keyword><Keyword MajorTopicYN="Y">Injury</Keyword><Keyword MajorTopicYN="Y">Post-concussion syndrome</Keyword><Keyword MajorTopicYN="Y">Post-traumatic stress disorder</Keyword><Keyword MajorTopicYN="Y">Stress</Keyword></KeywordList><CoiStatement>Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>05</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2019</Year><Month>09</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>09</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>11</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>11</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>11</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31708479</ArticleId><ArticleId IdType="pii">S1755-599X(19)30096-5</ArticleId><ArticleId IdType="doi">10.1016/j.ienj.2019.100810</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Aquitaine</li><li>Nouvelle-Aquitaine</li></region><settlement><li>Bordeaux</li></settlement></list><tree><country name="France"><region name="Nouvelle-Aquitaine"><name sortKey="Cedric, Gil Jardine" sort="Cedric, Gil Jardine" uniqKey="Cedric G" first="Gil-Jardiné" last="Cédric">Gil-Jardiné Cédric</name></region><name sortKey="Contrand, Benjamin" sort="Contrand, Benjamin" uniqKey="Contrand B" first="Benjamin" last="Contrand">Benjamin Contrand</name><name sortKey="Hoareau, Stephanie" sort="Hoareau, Stephanie" uniqKey="Hoareau S" first="Stéphanie" last="Hoareau">Stéphanie Hoareau</name><name sortKey="Lagarde, Emmanuel" sort="Lagarde, Emmanuel" uniqKey="Lagarde E" first="Emmanuel" last="Lagarde">Emmanuel Lagarde</name><name sortKey="Masson, Francoise" sort="Masson, Francoise" uniqKey="Masson F" first="Françoise" last="Masson">Françoise Masson</name><name sortKey="Revel, Philippe" sort="Revel, Philippe" uniqKey="Revel P" first="Philippe" last="Revel">Philippe Revel</name><name sortKey="Ribereau Gayon, Regis" sort="Ribereau Gayon, Regis" uniqKey="Ribereau Gayon R" first="Régis" last="Ribéreau-Gayon">Régis Ribéreau-Gayon</name><name sortKey="Salmi, Louis Rachid" sort="Salmi, Louis Rachid" uniqKey="Salmi L" first="Louis-Rachid" last="Salmi">Louis-Rachid Salmi</name><name sortKey="Tellier, Eric" sort="Tellier, Eric" uniqKey="Tellier E" first="Eric" last="Tellier">Eric Tellier</name><name sortKey="Valdenaire, Guillaume" sort="Valdenaire, Guillaume" uniqKey="Valdenaire G" first="Guillaume" last="Valdenaire">Guillaume 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