Author:
Spratt James,Adkins Zachary,Warda Danny,Smith Michele,Bruggers Jennifer,Weiss Paul,Becher Stephen
Abstract
Abstract
Objectives:
The objective of this study was to describe the relationship between positive toxicology screens and measures of preinjury mental health and physical function in an orthopaedic trauma population
Design:
This was a cross-sectional study.
Setting:
Urban Level 1 trauma center.
Patients:
A total of 125 trauma patients gave written consent for this study.
Main Outcome Measurements:
Questionnaires such as, Patient Health Questionnaire-9, General Anxiety Disorder-7, PCL-5, and Short Musculoskeletal Function Assessment, were used to survey patients after surgical intervention.
Results:
Patient Health Questionnaire-9 (P = 0.05) and PCL-5 (P = 0.04) were not found to have significant differences between positive and negative toxicology screens. Both General Anxiety Disorder-7 (P = 0.004) and Short Musculoskeletal Function Assessment function (P = 0.006) were significantly higher in patients with positive toxicology screens.
Conclusions:
Positive toxicology seems to be associated with preinjury anxiety. Patient reported preinjury function was not adversely affected by the presence of illicit substances or alcohol, nor were levels of post-traumatic stress disorder and depression found to be higher in patients with positive toxicology screens.
Level of Evidence:
Level IV Cross-Sectional Study.
Publisher
Ovid Technologies (Wolters Kluwer Health)