Four Questions Nurses Can Ask to Predict PTSD 1 Year After a Motor Vehicle Crash

Arnaud Leroy; Olivier Cottencin; Julien Labreuche; Pauline Mascarel; Marie-Atéa De Pourtales; Sylvie Molenda; Virgine Paget; Cédric Lemogne; Thierry Bougerol; Thomas Gregory; Christophe Chantelot; Anne-Laure Demarty; Samantha Meyer; Frédérique Warembourg; Stephane Duhem; Guillaume Vaiva

doi:10.1097/JTN.0000000000000638

Four Questions Nurses Can Ask to Predict PTSD 1 Year After a Motor Vehicle Crash

J Trauma Nurs. 2022 Mar-Apr;29(2):70-79. doi: 10.1097/JTN.0000000000000638.

Authors

Arnaud Leroy¹, Olivier Cottencin, Julien Labreuche, Pauline Mascarel, Marie-Atéa De Pourtales, Sylvie Molenda, Virgine Paget, Cédric Lemogne, Thierry Bougerol, Thomas Gregory, Christophe Chantelot, Anne-Laure Demarty, Samantha Meyer, Frédérique Warembourg, Stephane Duhem, Guillaume Vaiva

Affiliation

¹ Univ Lille, INSERM, CHU Lille, Lille Neuroscience & Cognition Centre (U-1772), Lille, France (Drs Leroy, Cottencin, and Vaiva); CHU Lille, Hôpital Fontan, Service de Psychiatrie de l'adulte, Lille, France (Drs Leroy, Molenda, Warembourg, and Vaiva, Ms Demarty, and Mr Duhem); Centre National de Ressource et de Résilience, Lille, France (Drs Leroy, Molenda, and Vaiva and Mr Duhem); CHU Lille, Hôpital Fontan, Service d'addictologie, Lille, France (Dr Cottencin); CHU-Lille Biostatistics Department, Lille, France (Mr Labreuche); CUMP Océan Indien, Etablissement Public de Santé Mentale de la Réunion, La Réunion, France (Dr Mascarel); CHU Grenoble Department of Psychiatry, Grenoble, France (Ms De Pourtales and Dr Bougerol); Department of Consultation Liaison Psychiatry, European Georges Pompidou Hospital, Paris, France (Ms De Pourtales and Dr Lemogne); Paris Aide aux Victimes, Paris, France (Ms Paget); Université de Paris, INSERM U1266, Institute de Psychiatrie et Neuroscience de Paris, France (Dr Lemogne); Service de Psychiatrie de l'adulte, AP-HP, Hôpital Hôtel-Dieu, France (Dr Lemogne); Department of orthopaedic surgery and trauma, Avicenne Hospital, APHP, university Sorbonne-Paris Nord, France (Dr Gregory); CHU-Lille Trauma Unit, University of Lille, Lille, France (Dr Chantelot); and Univ Lille, Inserm, CHU Lille, CIC1403-Clinical Investigation Center, Lille, France (Mss Demarty and Meyer and Mr Duhem).

PMID: 35275108
DOI: 10.1097/JTN.0000000000000638

Abstract

Background: The role of nurses in screening for posttraumatic stress disorder is crucial in trauma units.

Objectives: To create and evaluate an easy and brief tool for nurses to predict chronic posttraumatic stress disorder 1 year after a motor vehicle crash.

Methods: We performed a 1-year follow-up multicenter study from 2007 to 2015, including 274 patients injured in a motor vehicle crash who were hospitalized in an orthopedic trauma unit. Nurses administered the DEPITAC questionnaire. Posttraumatic stress disorder was measured by the Post-Traumatic Stress Disorder Checklist of symptoms during the first year following the crash. A multivariable logistic regression model was implemented to select items significantly associated with posttraumatic stress disorder to improve the DEPITAC questionnaire. Predictive performance to predict posttraumatic stress disorder 1 year after the motor vehicle crash was examined for these different models.

Results: Of 274 patients studied, a total of 75.9% completed the questionnaire at 1 year of follow-up. We found that only two questions and two simple elements of the patient's medical record (other injury or a person dying during the crash, perception of vital threat, number of children, and length of stay in trauma) predicted posttraumatic stress disorder 1 year after a motor vehicle crash.

Conclusions: The brevity of this evaluation, simple scoring rules, and screening test performance suggest that this new screening tool can be easily administered in the acute care setting by nurses.

Trial registration: ClinicalTrials.gov NCT01200628.

Publication types

Multicenter Study

MeSH terms

Accidents, Traffic
Child
Humans
Logistic Models
Motor Vehicles
Stress Disorders, Post-Traumatic* / diagnosis
Surveys and Questionnaires

Associated data

ClinicalTrials.gov/NCT01200628