scholarly journals Clinical Profile on the PTSD Checklist for DSM-5 (PCL-5) of Veterans versus Patients Injured in Motor Vehicle Accidents

2021 ◽  
Vol 2 (3) ◽  
pp. 51-54
Author(s):  
Zack Z. Cernovsky ◽  
Milad Fattahi ◽  
David M. Diamond
Keyword(s):  
Motor Vehicle ◽  
Rank Order ◽  
Motor Vehicle Accidents ◽  
Clinical Profile ◽  
Vehicle Accidents ◽  
Dsm 5 ◽  
Patient Reported ◽  
Ptsd Checklist ◽  
Us Veterans ◽  
Sleep Difficulties

Background: The 20 items of PTSD Checklist for DSM-5 (PCL-5) can be rank ordered from highest to the lowest, based on item mean scores in a particular clinical group. Thus, they can provide an overview of the relative importance of each of the symptoms represented by these 20 items, i.e., a clinical profile for the particular type of patients. This study compared such ranking of PCL-5 items by US veterans with those of patients injured in high impact motor vehicle accidents (MVAs). Method: De-identified PCL-5 data were available for 80 post-MVA patients (mean age 38.9 years, SD=12.8) and for 468 US veterans (mean age 55.4 years, SD=13.8). The US veterans’ data are those published by Bovin et al. in 2016. Results and Discussion: The overall rank order of PCL-5 items was significantly similar in the two groups (Spearman’s rho=.83), perhaps due to certain similarities of the two groups (potential threat to life or of severe physical injury). Both groups rated the Item 20 (sleep difficulties) as the most prominent, and they rated Item 16 (taking too many risks) and then Item 8 (trouble remembering details of the stressful event) as least prominent. The largest clinically interesting difference in the item rank was on Item 12 (loss of interest in previously enjoyed activities) which was more prominent in the MVA patients, presumably due to their persistent post-accident pain (all but one MVA patient reported pain, and in 82.5% the pain was rated as more than mild). Conclusions: In both groups, the ratings of sleep difficulties were the most prominent and ratings of taking excessive risks and of not remembering details of stressful evens were least prominent. The overall rank order of the 20 items was significantly similar in the two groups. 

scholarly journals Validation of the PTSD Checklist for DSM-5 (PCL-5) on Patients Injured in Car Accidents

2021 ◽  
Vol 3 (2) ◽  
pp. 154-159
Author(s):  
Zack Z. Cernovsky ◽  
Milad Fattahi ◽  
Larry C. Litman ◽  
David M. Diamond
Keyword(s):  
Convergent Validity ◽  
Motor Vehicle ◽  
Brief Pain Inventory ◽  
Severity Index ◽  
Criterion Validity ◽  
Control Group ◽  
Vehicle Accidents ◽  
Dsm 5 ◽  
Ptsd Checklist ◽  
Neuropsychological Symptoms

Background: The PTSD Checklist for DSM-5 (PCL-5), is presently the most widely used psychological measure of PTSD along the criteria of DSM-5. We examined the criterion validity of PCL-5 separately for each of its 20 items by comparing scores of patients injured in high impact motor vehicle accidents (MVAs) to scores of persons in a control group. In addition, we evaluated criterion and convergent validity of the PCL-5 total scores. Method: De-identified data of 80 post-MVA patients (mean age 38.9 years, SD=12.8) included their scores on the PCL-5, Brief Pain Inventory (BPI), Insomnia Severity Index (ISI), Rivermead Post-concussion Symptoms Questionnaire, Subjective Neuropsychological Symptoms Scale (SNPSS), ratings of depression, anger, and anxiety (Items 10 to 12 of the Whiplash Disability Questionnaire), and three questionnaire measures of driving anxiety (Steiner’s, Whetstone’s, and DAQ). The patients were assessed, on the average, 49.7 weeks (SD=36.3) after their MVA, but all still experienced active post-MVA symptoms requiring therapy. The PCL-5 scores were also available from 21 controls (mean age 43.0 years, SD=20.3). Results and Discussion: With respect to criterion validity of the PCL-5, the post-MVA patients differed significantly from the control group not only with respect to their total PCL-5 scores, but also on all 20 individual items of the PCL-5, and also on all 4 subscales of PCL-5 (Intrusion, Avoidance, Altered Cognitions/Mood, and Arousal). The PCL-5 total scores correlated significantly to all three measures of post-MVA driving anxiety, post-MVA pain and insomnia, post-MVA depression, anger, and generalized anxiety, and to post-MVA subjective neuropsychological symptoms in the post-concussion and whiplash spectrum. Conclusions: Both the criterion and convergent validity of the PCL-5 for the use on post-MVA patients are excellent.

Psychological Outcome of Motor Vehicle Accidents

2008 ◽  
Author(s):  
Yoshiharu Kim ◽  
Yutaka Matsuoka ◽  
Ulrich Schnyder ◽  
Sara Freedman ◽  
Robert Ursano
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accidents ◽  
Psychological Outcome ◽  
Vehicle Accidents

Resuscitative endovascular balloon occlusion of the aorta (REBOA) enables operative management of the peripartum trauma patient in hemorrhagic shock

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Kelvin Allenson ◽  
Laura Moore
Keyword(s):  
Maternal Death ◽  
Motor Vehicle ◽  
Operative Management ◽  
Balloon Occlusion ◽  
Motor Vehicle Accidents ◽  
Gravid Uterus ◽  
Intrauterine Pregnancy ◽  
Vehicle Accidents ◽  
Pelvic Hemorrhage ◽  
Endovascular Balloon Occlusion

Trauma related injury is the leading cause of non-obstetric maternal death.  The gravid uterus is at risk for injury, particularly during motor vehicle accidents.  Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a means of controlling pelvic hemorrhage in the setting of trauma.  We report the use of REBOA in a hemodynamically unstable, multiply-injured young woman with viable intrauterine pregnancy.

scholarly journals Individual prediction of motor vehicle accidents for patients with epilepsy

2021 ◽  
Vol 121 ◽  
pp. 108046
Author(s):  
Mintao Lin ◽  
Jiani Chen ◽  
Sisi Li ◽  
Yingjie Qin ◽  
Xuruan Wang ◽  
...  
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accidents ◽  
Vehicle Accidents ◽  
Patients With Epilepsy

scholarly journals TEVAR versus open repair of blunt traumatic descending aortic injury in polytraumatic patients involved in motor vehicle accidents

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Imthiaz Manoly ◽  
Mohamed El Tahan ◽  
Maymoona Al Shuaibi ◽  
Fatimah Adel ◽  
Mohammed Al Harbi ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Hospital Stay ◽  
Open Repair ◽  
Motor Vehicle ◽  
Aortic Injury ◽  
Motor Vehicle Accidents ◽  
Time Interval ◽  
Vehicle Accidents ◽  
Severity Scores ◽  
The Mean

Abstract Background Thoracic endovascular aortic repair (TEVAR) is the standard-of-care for treating traumatic aortic injury (TAI). Few retrospective studies compared TEVAR to open repair in blunt traumatic aortic injury (BTAI). Our objectives were to compare the early outcomes of TEVAR for blunt traumatic descending aortic injury to open repair (OR) in polytraumatic patients involved in motor vehicle accidents (MVA). Results Between February 2005 and April 2017, 71 patients with TAI due to MVA presented to our institution. All patients with descending aortic injuries were considered for open repair (n = 41) or TEVAR (n = 30) if there was no contraindication. The primary outcome was mortality, and secondary outcomes were stroke, paraplegia, intensive care unit (ICU), and hospital stay. The mean age was 28.4 ± 10.1 years in the OR group and 33.3 ± 16.6 years in TEVAR-group (P = 0.13). The injury severity scores were 41 ± 10 in the OR group and 33 ± 17 in the TEVAR group (P = 0.03). Patients in the OR group underwent emergency repair with a mean time of 0.56 ± 0.18 days from arrival. The TEVAR group had a longer time interval between arrival and procedure (2.1 ± 1.7 days, P = 0.001). The OR group had more blood transfusion (24 (58.5%) vs. 8 (27.5%), P = 0.002), renal impairment (6 (14.6%) vs. 1 (5.50%), P = 0.23), and wound infection (21 (51.2%) vs. 3 (10%), P < 0.001). Three TEVAR patients had a perioperative stroke compared to two patients in the OR group (P = 0.64). There was no difference in the mean ICU (6 ± 8.9 vs. 5.3 ± 2.9 days; P = 0.1) or hospital stay (20.1 ± 12.3 vs. 20.1 ± 18.3, P = 0.62) between the two groups. There were four deaths in the OR group and none in the TEVAR group (P = 0.13). Conclusion The results of TEVAR were comparable with the open repair for traumatic aortic injury with good early postoperative outcomes. TEVAR repair could be associated with lower mortality, blood transfusion, and infective complications. However, the complexity of the injury and technical challenges were higher in the open group.

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