General hospital psychiatry
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Gen Hosp Psychiatry · Sep 2013
The development of a population-based automated screening procedure for PTSD in acutely injured hospitalized trauma survivors.
This investigation aimed to advance posttraumatic stress disorder (PTSD) risk prediction among hospitalized injury survivors by developing a population-based automated screening tool derived from data elements available in the electronic medical record (EMR). ⋯ Automated EMR screening can be used to efficiently and accurately triage injury survivors at risk for the development of PTSD. Automated EMR procedures could be combined with stepped care protocols to optimize the sustainable implementation of PTSD screening and intervention at trauma centers nationwide.
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Gen Hosp Psychiatry · Sep 2013
Preexisting depressive symptoms are associated with long-term cognitive decline in patients after cardiac surgery.
To examine whether preoperative psychological dysfunctions rather than intraoperative factors may differentially predict short- and long-term postoperative cognitive decline (POCD) in patients after cardiac surgery. ⋯ Our findings showed that preexisting depressive symptoms rather than perioperative risk factors are associated with cognitive decline 18 months after cardiac surgery. This study suggests that a preoperative psychological evaluation of depressive symptoms is essential to anticipate which patients are likely to show long-term cognitive decline after cardiac surgery.
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Gen Hosp Psychiatry · Sep 2013
Correlates of depressive symptoms among at-risk youth presenting to the emergency department.
The study's objective was to identify correlates of depressive symptoms among at-risk youth in an urban emergency department (ED). ⋯ Screening and intervention approaches for youth in the urban ED should address the co-occurrence of depressive symptoms with peer and dating violence, alcohol and nonmarijuana illicit drug use.