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Master Thesis

Traumatismes mineurs aux urgences : relation entre le stress ressenti et la survenue d’un syndrome post-commotionnel

Abstract : The post-concussion syndrome (PCS) was initially described as a set of symptoms occurring after mild traumatic brain injury. This syndrome is not specific to head injuries and can occur as a result of a lot of minor trauma. The symptoms of the PCS are heterogeneous: somatic (headache, dizziness, asthenia), cognitive (memory impairment, concentration) and emotional (anxiety, depression, irritability, sleep disturbances, emotional lability). They can persist a year after injury. Stress, anxiety and mood disorders are predictive factors of PCS. There is also a link between the posttraumatic stress disorder (PTSD) and PCS. We conducted a longitudinal observational study of injury patients admitted to the emergency department of the Bordeaux University Hospital to assess symptoms persisting at 4 months and in particular the association with self-reported stress level at ED admission and discharge. The aim of this study was to relate the perceived stress of patients victims of minor trauma on the occurrence of PCS. Clinicians interviewed the patients at their admission and discharge of the emergency.They recorded general health conditions and asked them about their current stress level. A reminder interview by phone covering the diagnostic criteria for PTSD and SPC was recording 4 months later. 296 patients completed the interview at the admission and discharge of emergency. 193 patients were recalled 4 months later. The prevalence of PCS was 24.5% at 4 months. The stress at the discharge increased the prevalence of PCS. There is also a link between the PTSD and stress of patients at discharge. This is a major demographic challenge because this syndrome may affect up to one million patients in France. These results suggest the need for interventions to emergencies in acute minor trauma to reduce the occurrence of such a syndrome.
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Master Thesis
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Submitted on : Thursday, December 8, 2016 - 6:30:11 PM
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  • HAL Id : dumas-01412807, version 1



Stéphanie Hoareau. Traumatismes mineurs aux urgences : relation entre le stress ressenti et la survenue d’un syndrome post-commotionnel. Médecine humaine et pathologie. 2016. ⟨dumas-01412807⟩



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