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Master Thesis

Évaluation de l’état de stress post traumatique chez les patients après un arrêt cardiaque extrahospitalier : étude observationnelle prospective à partir du registre des arrêts cardiaques du Réseau Nord Alpin des Urgences

Abstract : Cardiac arrest could be the cause of post-traumatic stress disorder. The objective of this study is to evaluate the prevalence of post-traumatic stress disorder in patients surviving after pre-hospital cardiac arrest, through a multicenter prospective observational study based on the Cardiac Arrest Register of the North Alpine Emergency Network over a period of 2 years. It was offered to all major patients, victims of a cardiac arrest extrahospital medical origin. During a telephone call, the evaluation of the patients was carried out thanks to the questionnaire Impact of Event Scale Revisited, a score higher than 36 suggests the presence of a post traumatic stress disorder. The secondary objectives were to assess the presence of anxiety and depressive symptoms, through the Hospital Anxiety Depression questionnaire. The study looked for factors favoring post-traumatic stress, including noting the psychiatric history as well as the existence of a traumatic event before the cardiac arrest, the installation of an implantable automatic defibrillator, the stay in intensive care, the sex, lack of follow-up by the attending physician, lack of initial psychiatric consultation and psychiatric follow-up. Of 194 patients still alive at 30 days, 94 patients responded to the phone call. A state of post traumatic stress is found for 15 patients or 16%, 9 patients or 9.6% have a HAD score showing an anxiety and 5 patients or 5.4% have a score showing a depression.This study does not allow to highlight factors favoring post-traumatic stress disorder.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01659415
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Submitted on : Friday, December 8, 2017 - 1:43:15 PM
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  • HAL Id : dumas-01659415, version 1

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Cécile Frémondière. Évaluation de l’état de stress post traumatique chez les patients après un arrêt cardiaque extrahospitalier : étude observationnelle prospective à partir du registre des arrêts cardiaques du Réseau Nord Alpin des Urgences. Médecine humaine et pathologie. 2017. ⟨dumas-01659415⟩

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