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Erschienen in: Clinical Orthopaedics and Related Research® 9/2008

01.09.2008 | Original Article

Patients with Isolated Musculoskeletal Trauma Have Lower Mental Status Scores

verfasst von: Koray Unay, MD, Omer Karatoprak, MD, Nadir Sener, MD, Melih Guven, MD, Abdullah Bilge, MD

Erschienen in: Clinical Orthopaedics and Related Research® | Ausgabe 9/2008

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Abstract

The subjective concerns and needs of patients who have experienced trauma are important to recovery. However, the mental status of patients with isolated musculoskeletal trauma is not known. Is the mental status of such patients different and does the severity, site, and type of trauma affect this difference? We evaluated the mental status of 195 patients hospitalized for isolated musculoskeletal trauma and determined the characteristics of the factors that affect mental status; 197 patients hospitalized for elective surgery and not exposed to acute trauma constituted the control group. We administered the Mini-Mental State Examination to study and control groups within the first 24 hours of hospitalization. Age, gender, and educational status in the study and control groups were recorded. In addition, the severity, site, and type of trauma in the study group were recorded. Mini-Mental State Examination scores of the trauma group were lower than those of the control group. Mini-Mental State Examination scores decreased with increasing trauma severity. The mental status of the patients sustaining isolated musculoskeletal trauma was affected by the severity, site, and type of trauma.
Level of Evidence: Level I, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence.
Literatur
1.
Zurück zum Zitat Amir M, Kaplan Z, Kotler M. Type of trauma, severity of posttraumatic stress disorder core symptoms, and associated features. J Gen Psychol. 1996;123:341–351.PubMed Amir M, Kaplan Z, Kotler M. Type of trauma, severity of posttraumatic stress disorder core symptoms, and associated features. J Gen Psychol. 1996;123:341–351.PubMed
2.
Zurück zum Zitat Bone LB. Emergency treatment of the injured patient. In: Browner BD, Jupiter JB, Levine AM, Trafton PG, eds. Skeletal Trauma. Philadelphia, PA: WB Saunders; 1992:127–146. Bone LB. Emergency treatment of the injured patient. In: Browner BD, Jupiter JB, Levine AM, Trafton PG, eds. Skeletal Trauma. Philadelphia, PA: WB Saunders; 1992:127–146.
3.
Zurück zum Zitat Bramlett HM, Dietrich WD. Progressive damage after brain and spinal cord injury: pathomechanisms and treatment strategies. Prog Brain Res. 2007;161:125–141.PubMedCrossRef Bramlett HM, Dietrich WD. Progressive damage after brain and spinal cord injury: pathomechanisms and treatment strategies. Prog Brain Res. 2007;161:125–141.PubMedCrossRef
4.
Zurück zum Zitat Brom D, Kleber RJ, Hofman MC. Victim of traffic accidents: incidence and prevention of post-traumatic stress disorder. J Clin Psychol. 1993;49:131–140.PubMedCrossRef Brom D, Kleber RJ, Hofman MC. Victim of traffic accidents: incidence and prevention of post-traumatic stress disorder. J Clin Psychol. 1993;49:131–140.PubMedCrossRef
5.
Zurück zum Zitat Cheatham MD, Block EF, Nelson LD. Evaluation of acute mental status change in the nonhead injured trauma patient. Am Surg. 1998;64:900–905.PubMed Cheatham MD, Block EF, Nelson LD. Evaluation of acute mental status change in the nonhead injured trauma patient. Am Surg. 1998;64:900–905.PubMed
6.
Zurück zum Zitat Denny SD, Kuchibhatla MN, Cohen HJ. Impact of anemia on mortality, cognition, and function in community-dwelling elderly. Am J Med. 2006;119:327–334.PubMedCrossRef Denny SD, Kuchibhatla MN, Cohen HJ. Impact of anemia on mortality, cognition, and function in community-dwelling elderly. Am J Med. 2006;119:327–334.PubMedCrossRef
7.
Zurück zum Zitat Ehlers A, Mayau RA, Bryant B. Psychological predictors of chronic posttraumatic stress disorder after motor vehicle accidents. J Abnorm Psychol. 1998;107:508–519.PubMedCrossRef Ehlers A, Mayau RA, Bryant B. Psychological predictors of chronic posttraumatic stress disorder after motor vehicle accidents. J Abnorm Psychol. 1998;107:508–519.PubMedCrossRef
8.
Zurück zum Zitat Folstein MF, Folstein SE, McHugh PR. “Mini-Mental state”: a practical method for grading the cognitive states of patients for the clinician. J Psychiatr Res. 1975;12:189–198.PubMedCrossRef Folstein MF, Folstein SE, McHugh PR. “Mini-Mental state”: a practical method for grading the cognitive states of patients for the clinician. J Psychiatr Res. 1975;12:189–198.PubMedCrossRef
9.
Zurück zum Zitat Furrer M, Erhart S, Frutiger A, Bereiter H, Leutenegger A, Rüedi T. Severe skiing injuries: a retrospective analysis of 361 patients including mechanism of trauma, severity of injury, and mortality. J Trauma. 1995;39:737–741.PubMed Furrer M, Erhart S, Frutiger A, Bereiter H, Leutenegger A, Rüedi T. Severe skiing injuries: a retrospective analysis of 361 patients including mechanism of trauma, severity of injury, and mortality. J Trauma. 1995;39:737–741.PubMed
10.
Zurück zum Zitat Inouye SK. Neuropsychiatric aspects of aging. In: Goldman L, Ausiello D, eds. Cecil Textbook of Medicine. Philadelphia, PA: WB Saunders; 2004:114–117. Inouye SK. Neuropsychiatric aspects of aging. In: Goldman L, Ausiello D, eds. Cecil Textbook of Medicine. Philadelphia, PA: WB Saunders; 2004:114–117.
11.
Zurück zum Zitat Joffe C, Brodaty H, Luscombe G, Ehrlich F. The Sydney Holocaust study: posttraumatic stress disorder and other psychosocial morbidity in an aged community sample. J Trauma Stress. 2003;16:39–47.PubMedCrossRef Joffe C, Brodaty H, Luscombe G, Ehrlich F. The Sydney Holocaust study: posttraumatic stress disorder and other psychosocial morbidity in an aged community sample. J Trauma Stress. 2003;16:39–47.PubMedCrossRef
12.
Zurück zum Zitat Lammi UK, Kivela SL, Nissinen A, Punsar S, Puska P, Karvonen M. Mental disability among elderly men in Finland: prevalence, predictors and correlates. Acta Psychiatr Scand. 1989;80:459–468.PubMedCrossRef Lammi UK, Kivela SL, Nissinen A, Punsar S, Puska P, Karvonen M. Mental disability among elderly men in Finland: prevalence, predictors and correlates. Acta Psychiatr Scand. 1989;80:459–468.PubMedCrossRef
13.
Zurück zum Zitat Martz E. Do post-traumatic stress symptoms predict reactions of adaptation to disability after a sudden-onset spinal cord injury? Int J Rehabil Res. 2004;27:185–194.PubMedCrossRef Martz E. Do post-traumatic stress symptoms predict reactions of adaptation to disability after a sudden-onset spinal cord injury? Int J Rehabil Res. 2004;27:185–194.PubMedCrossRef
14.
Zurück zum Zitat McFarlane AC, Bryant RA. Post-traumatic stress disorder in occupational settings: anticipating and managing the risk. Occup Med (Lond) 2007;57:404–410.CrossRef McFarlane AC, Bryant RA. Post-traumatic stress disorder in occupational settings: anticipating and managing the risk. Occup Med (Lond) 2007;57:404–410.CrossRef
15.
Zurück zum Zitat Messant I, Ouardirhi Y, Vernet M, Lile A, Girard C. [Fat embolism after total hip prosthesis replacement preserving the femoral stem][in French]. Ann Fr Anesth Reanim 2003;22:822–825.PubMed Messant I, Ouardirhi Y, Vernet M, Lile A, Girard C. [Fat embolism after total hip prosthesis replacement preserving the femoral stem][in French]. Ann Fr Anesth Reanim 2003;22:822–825.PubMed
16.
Zurück zum Zitat Novikov VS, Nikiforov AM, Cheprasov VIu. [The psychological sequelae of the accident][in Russian]. Voen Med Zh. 1996;317:57–62, 80. Novikov VS, Nikiforov AM, Cheprasov VIu. [The psychological sequelae of the accident][in Russian]. Voen Med Zh. 1996;317:57–62, 80.
17.
Zurück zum Zitat Ongecha-Owuor FA, Kathuku DM, Othieno CJ, Ndetei DM. Posttraumatic stress disorder among motor vehicle accident survivors attending the orthopaedic and trauma clinic at Kenyatta National Hospital, Nairobi. East Afr Med J. 2004;81:362–366.PubMed Ongecha-Owuor FA, Kathuku DM, Othieno CJ, Ndetei DM. Posttraumatic stress disorder among motor vehicle accident survivors attending the orthopaedic and trauma clinic at Kenyatta National Hospital, Nairobi. East Afr Med J. 2004;81:362–366.PubMed
18.
Zurück zum Zitat Ozaltin M, Kaptanoglu C, Aksaray G. [Acute stress disorder and posttraumatic stress disorder after motor vehicle accident][in Turkish]. Turk Psikyatri Derg. 2004;15:16–25. Ozaltin M, Kaptanoglu C, Aksaray G. [Acute stress disorder and posttraumatic stress disorder after motor vehicle accident][in Turkish]. Turk Psikyatri Derg. 2004;15:16–25.
19.
Zurück zum Zitat Rhoads J, Pearman T, Rick S. Clinical presentation and therapeutic interventions for posttraumatic stress disorder post-Katrina. Arch Psychiatr Nurs. 2007;21:249–256.PubMedCrossRef Rhoads J, Pearman T, Rick S. Clinical presentation and therapeutic interventions for posttraumatic stress disorder post-Katrina. Arch Psychiatr Nurs. 2007;21:249–256.PubMedCrossRef
20.
Zurück zum Zitat Sinici E, Yildiz C, Tunay S, Ozkan H, Altinmakas M. [The assessment of anxiety levels in patients with posttraumatic stress disorder][in Turkish]. Acta Orthop Traumatol Turc. 2004;38:145–148.PubMed Sinici E, Yildiz C, Tunay S, Ozkan H, Altinmakas M. [The assessment of anxiety levels in patients with posttraumatic stress disorder][in Turkish]. Acta Orthop Traumatol Turc. 2004;38:145–148.PubMed
21.
Zurück zum Zitat Tolonen A, Turkka J, Salonen O, Ahoniemi E, Alaranta H. Traumatic brain injury is under-diagnosed in patients with spinal cord injury. J Rehabil Med. 2007;39:622–626.PubMedCrossRef Tolonen A, Turkka J, Salonen O, Ahoniemi E, Alaranta H. Traumatic brain injury is under-diagnosed in patients with spinal cord injury. J Rehabil Med. 2007;39:622–626.PubMedCrossRef
22.
Zurück zum Zitat Turk DC. A diathesis-stress model of chronic pain and disability following traumatic injury. Pain Res Manag. 2002;7:9–19.PubMed Turk DC. A diathesis-stress model of chronic pain and disability following traumatic injury. Pain Res Manag. 2002;7:9–19.PubMed
Metadaten
Titel
Patients with Isolated Musculoskeletal Trauma Have Lower Mental Status Scores
verfasst von
Koray Unay, MD
Omer Karatoprak, MD
Nadir Sener, MD
Melih Guven, MD
Abdullah Bilge, MD
Publikationsdatum
01.09.2008
Verlag
Springer-Verlag
Erschienen in
Clinical Orthopaedics and Related Research® / Ausgabe 9/2008
Print ISSN: 0009-921X
Elektronische ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-008-0326-0

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