| Abstract |
【Abstract】 Objective To explore the occurrence and influence factors of post-traumatic stress disorder (PTSD) in elderly patients with fracture caused by car accident. Methods 80 cases of elderly patients with fracture caused by traffic accident in our hospital from December 2017 to December 2019 were selected as the research objects, and the retrospective analysis was carried out. The general data and pathological data were collected, including acute physiology and chronic health evaluation (APACHE II) score, injury severity score (ISS) score, visual analogue scale (VAS), social support rating scale (SSRs) score, and connor-davidson resilience scale (CD-RISC) score, and the occurrence of PTSD one month after injury was analyzed, and independent factors influencing PTSD in elderly patients with fractures caused by car accidents were analyzed using multivariate Logistic regression. Results 80 elderly patients with fractures caused by car accidents, 26 cases (32.50%) developed PTSD one month after injury, and were included in the PTSD group; 54 cases (67.50%) did not develop PTSD and were included in the non-PTSD group. The proportion of female, history of hypertension, complications and VAS score in PTSD group were significantly higher than those in non PTSD group (P<0.05), and SSRs score was significantly lower than that in non PTSD group (P<0.05); There were no significant differences in age, gender, body mass index, education level, personality, smoking history, drinking history, hyperlipidemia history, diabetes history, coronary heart disease history, previous operation history, APACHE II score, ISS score, CD-RISC score, anxiety and depression between the two groups (P>0.05). Multivariate logistic regression analysis showed that women (OR=2.636, 95%CI=1.228～5.658), history of hypertension (OR=1.370, 95%CI=1.010～1.858), complications (OR=2.816, 95%CI=1.240～6.395), VAS score (OR=3.117, 95%CI=1.200～8.096), SSRS score (OR=2.670, 95%CI=1.445～4.933) are independent influencing factors of PTSD in elderly patients with fractures caused by car accidents (P<0.05). Conclusion Elderly patients with fracture caused by traffic accident are prone to PTSD, which is related to gender, history of hypertension, complications, social support level and pain factors.
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