Journal of International Psychiatry

[Abstract] Objective To conduct a cross-sectional analysis of the occurrence of acute stress disorder (ASD) in emergency trauma patients to provide a reference basis for the prevention and treatment of ASD. Methods 321 emergency trauma patients admitted from November 2022 to October 2023 were included. The occurrence of ASD was observed during hospitalization. Differences in clinical data between patients with ASD and those without ASD were compared and analyzed. Logistic regression analysis was performed to explore the risk factors of ASD. Results ASD occurred in 104 of the 321 patients. The differences between patients with ASD and those without ASD were statistically significant in terms of trauma severity, pain and ache scores, anxiety, age, education, trauma hospitalization history, monthly family income, and healthcare payment method (P < 0.05). Differences in gender, trauma type, marriage, and work were not statistically significant (P>0.05). Logistic regression analysis showed that severe trauma, severe pain, anxiety, education elementary school and below, and trauma hospitalization history were risk factors for ASD in emergency trauma patients. Conclusion Emergency trauma patients have a high incidence of ASD and should be monitored with a focus on ASD-related symptoms in patients with severe trauma and severe pain, with attention to prevention.

Key words Emergency Trauma; Acute Stress Disorder; Cross-Sectional Analysis; Risk Factors