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Open Access

Youth, poverty, and interpersonal violence: a recipe for PTSD

Emily K Lenart, Tiffany K Bee, Catherine P Seger, Richard H Lewis, Jr, Dina M Filiberto, Dih-Dih Huang, Peter E Fischer, Martin A Croce, Timothy C Fabian, Louis J Magnotti
DOI: 10.1136/tsaco-2021-000710 Published 13 April 2021
Emily K Lenart
1Department of Surgery, The University of Tennessee Health Science Center, Memphis, Tennessee, USA
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Tiffany K Bee
1Department of Surgery, The University of Tennessee Health Science Center, Memphis, Tennessee, USA
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Catherine P Seger
1Department of Surgery, The University of Tennessee Health Science Center, Memphis, Tennessee, USA
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Richard H Lewis, Jr
1Department of Surgery, The University of Tennessee Health Science Center, Memphis, Tennessee, USA
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Dina M Filiberto
1Department of Surgery, The University of Tennessee Health Science Center, Memphis, Tennessee, USA
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Dih-Dih Huang
1Department of Surgery, The University of Tennessee Health Science Center, Memphis, Tennessee, USA
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Peter E Fischer
1Department of Surgery, The University of Tennessee Health Science Center, Memphis, Tennessee, USA
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Martin A Croce
2Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA
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Timothy C Fabian
3Surgery, University of Tennessee Health Science Center, College of Medicine, Memphis, Tennessee, USA
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Louis J Magnotti
3Surgery, University of Tennessee Health Science Center, College of Medicine, Memphis, Tennessee, USA
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Article Figures & Data

Tables

  • Table 1

    Comparison of characteristics of patients with and without PTSD

    CharacteristicsNo PTSDPTSDP value
    n8659
    Age37 (26, 55)29 (24, 36)0.011
    Male (%)72660.477
    Penetrating (%)40600.0001
    Income (%)*43710.001
    Education (%)*45540.234
    GCS15 (15, 15)15 (15, 15)0.704
    ISS14 (10, 20)17 (10, 22)0.376
    24-hour transfusions0 (0, 1.5)2.5 (0, 5)0.027
    BE−3.1 (5.4)−4.0 (6.5)0.371
    Lactate3.6 (3.5)3.7 (3.4)0.833
    SBP127 (27)126 (30)0.844
    HR99 (26)101 (22)0.624
    Ventilator days0 (0, 1.5)2 (0, 4)0.191
    ICU LOS (days)2 (0, 6)3 (0, 7)0.814
    Hospital LOS (days)5 (8.5, 17)8 (4, 16)0.743
    • *Income and education—the most common income level was <US$25,000 annually for both groups and the most common level of education was high school or equivalent for both groups, and these were compared.

    • BE, base excess; GCS, Glascow Coma Scale; HR, heart rate; ICU, intensive care unit; ISS, injury severity score; LOS, length of stay; PTSD, post-traumatic stress disorder; SBP, systolic blood pressure.

  • Table 2

    PTSD prediction

    Adjusted OR95% CIP value
    Age1.0240.998 to 1.0430.0557
    Penetrating2.8371.315 to 6.1230.0079
    Income2.7011.213 to 6.0100.0149
    24-hour transfusions1.0630.977 to 1.1570.1552
    Ventilator days0.9790.938 to 1.0210.3128
    • OR for age is presented for decreasing age.

    • OR for income is presented for <US$25,000 annually compared with >US$25,000 annually.

    • PTSD, post-traumatic stress disorder.

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Youth, poverty, and interpersonal violence: a recipe for PTSD
Emily K Lenart, Tiffany K Bee, Catherine P Seger, Richard H Lewis, Jr, Dina M Filiberto, Dih-Dih Huang, Peter E Fischer, Martin A Croce, Timothy C Fabian, Louis J Magnotti
Trauma Surg Acute Care Open Apr 2021, 6 (1) e000710; DOI: 10.1136/tsaco-2021-000710

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Youth, poverty, and interpersonal violence: a recipe for PTSD
Emily K Lenart, Tiffany K Bee, Catherine P Seger, Richard H Lewis, Jr, Dina M Filiberto, Dih-Dih Huang, Peter E Fischer, Martin A Croce, Timothy C Fabian, Louis J Magnotti
Trauma Surg Acute Care Open Apr 2021, 6 (1) e000710; DOI: 10.1136/tsaco-2021-000710
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Youth, poverty, and interpersonal violence: a recipe for PTSD
Emily K Lenart, Tiffany K Bee, Catherine P Seger, Richard H Lewis, Jr, Dina M Filiberto, Dih-Dih Huang, Peter E Fischer, Martin A Croce, Timothy C Fabian, Louis J Magnotti
Trauma Surgery & Acute Care Open Apr 2021, 6 (1) e000710; DOI: 10.1136/tsaco-2021-000710
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