Study of the Association Between a Peri-traumatic Dissociation State and the Occurrence of Post-traumatic Stress Syndrome After Severe Trauma Requiring General Anesthesia
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Severe Trauma
- Sponsor
- University Hospital, Brest
- Enrollment
- 148
- Locations
- 1
- Primary Endpoint
- Studying association between the presence of peri-traumatic dissociation state and the achievement of post-traumatic stress disorder between 6 and 12 months in traumatized patients
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
Patients will be selected after studying clinical records.Patients who had general anesthesia due to an injury related to severe trauma within 6 to 12 months prior to inclusion will be included.
Three self-survey will be completed by the patient: PDEQ, PCL-5 and a demographic questionnaire. According to the PDEQ and PCL-5 scores, an association between a peri-traumatic dissociation state and a post-traumatic stress disorder can be established.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients with general anesthesia for a surgical wound with violent trauma in the road, a fall of more than 6 meters, burn, accident at work, explosion, aggression) in the 6 to 12 months before the inclusion
- •Time between trauma and general anesthesia should not exceed 48 hours
- •Patient agreeing to participate in the study.
Exclusion Criteria
- •Minor patients
- •Patients under curatorship, and tutorship
- •Patient deprived of liberty
- •Patients who do not speak French
- •Patients who are not in satisfactory neurological state to answer the questionnaire (pyschotic, demented states)
- •Patients who have been sedated (apart from general anesthesia) when receiving or having a Glasgow score \<14
Outcomes
Primary Outcomes
Studying association between the presence of peri-traumatic dissociation state and the achievement of post-traumatic stress disorder between 6 and 12 months in traumatized patients
Time Frame: study baseline (6 to 12 months after initial hospitalisation)
Association will be measured using PDEQ scale and PCL-5 scale. The peri-traumatic dissociation will be evaluated by the Peri-traumatique Dissociation Experience Questionnary (PDEQ scale). This questionnaire contains ten items to study the presence or not of a peri-traumatic dissociation state. The items are scored on a 5-point Likert scale ranging from 1 (not at all true) to 5 (extremely true). The total score is the sum of all the items. A score from 15 indicates a significant dissociation. The presence or not of a Post-Traumatic Stress Disorder (PTSD) will be evaluated by the Post-Traumatic Stress Disorder Checklist Scale-Version DSM 5 (PCL-5). This questionnaire contains twenty items to study the presence or not of a PTSD. A total score for symptom severity (0-80) can be obtained by summing the scores for each of the 20 items. A score over 31 indicates a PTSD.
Secondary Outcomes
- Measurement of the frequency of PTSD after severe trauma requiring general anesthesia.(study baseline (6 to 12 months after initial hospitalisation))
- Research of Risk Factors Associated with the Occurrence of PTSD(study baseline (6 to 12 months after initial hospitalisation))