NDLI: Head injury as a PTSD predictor among Oklahoma City bombing survivors.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Walilko, Timothy North, Carol Young, Lee Ann Lux, Warren E. Warden, Deborah L. Jaffee, Michael S. Moore, David F.
Spatial Coverage	Oklahoma
Description	Country affiliation: United States Author Affiliation: Walilko T ( Applied Research Associates, San Antonio, Texas, USA.)
Abstract	BACKGROUND: The aim of the Oklahoma City (OKC) bombing retrospective review was to investigate the relationship between physical injury, environmental contributors, and psychiatric disorders such as posttraumatic stress disorder (PTSD) in an event-based, matched design study focused on injury. METHODS: The 182 selected participants were a random subset of the 1,092 direct survivors from the OKC bombing. Only 124 of these 182 cases had a full complement of medical/clinical data in the OKC database. These 124 cases were assessed to explore relationships among PTSD diagnoses, levels of blast exposure, and physical injuries. Associations among variables were statistically tested using contingency analysis and logistic regression. RESULTS: Comparison of the PTSD cases to symptoms/diagnoses reported in the medical records reveals a statistically significant association between PTSD and head/brain injuries associated with head acceleration. PTSD was not highly correlated with other injuries. Although blast pressure and impulse were highly correlated with head injuries, the correlation with PTSD was not statistically significant. Thus, a correlation between blast pressure and PTSD may exist, but higher fidelity pressure calculations are required to elucidate this potential relationship. CONCLUSIONS: This study provides clear evidence that head injury is associated with subsequent PTSD, giving caregivers' information on what physical injuries may suggest the development of psychologic disorders to aid them in developing a profile for the identification of future survivors of terrorist attacks and Warfighters with brain injuries and potential PTSD.
File Format	HTM / HTML
ISSN	00225282
Issue Number	6
Volume Number	67
e-ISSN	15298809
Journal	The Journal of Trauma: Injury, Infection, and Critical Care
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2009-12-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Chi-square Distribution Research Support, N.i.h., Extramural Research Support, U.s. Gov't, Non-p.h.s. Terrorism Complications Psychology Humans Oklahoma Risk Factors Bombs Survivors Logistic Models Male Explosions Discipline Traumatology Journal Article Stress Disorders, Post-traumatic Etiology Craniocerebral Trauma Adult Female Retrospective Studies
Content Type	Text
Resource Type	Article
Subject	Surgery Critical Care and Intensive Care Medicine

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