@article{ref1,
title="Feasibility of PTSD risk identification in pediatric traumatic patients using PsySTART: a pilot study",
journal="Journal of pediatric surgery",
year="2021",
author="Jackson, Jordan E. and Do-Nguyen, Amy and Ewbank, Clifton and Anderson, Craig and Newton, Christopher and Schreiber, Merritt",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Trauma patients undergo a standardized history and physical, however identification of mental health risk factors is not typically included. We aimed to assess the feasibility of using a modified version of Psychological Simple Triage and Rapid Treatment (PsySTART) to identify post-traumatic stress disorder (PTSD) risk factors in pediatric trauma patients. We hypothesized that PsySTART could identify risk factors and be integrated into the electronic medical record (EMR). <br><br>METHODS: Trauma patients 10-17 years old at a level II pediatric trauma center from 2014 to 2015 were screened. PsySTART was used on a pilot cohort to determine if risk factors were present. PsySTART was then integrated into an automated EMR workflow and completion rates were evaluated. <br><br>RESULTS: PsySTART was completed in a pilot cohort of 63 patients with the following findings: 33.3% (n = 21) with 1 risk factor, 22.2% (n = 14) with 2 risk factors, and 19.1% (n = 12) with ≥3 risk factors. The most commonly identified risk factor was, &quot;felt or expressed extreme fear or panic&quot; (n = 27, 43.0%). After EMR integration, PsySTART was successfully completed with automatic consults in 156 of 198 patients (78.8%). <br><br>CONCLUSIONS: PsySTART identified risk factors in pediatric trauma patients. EMR integration was feasible and led to proactive psychological management and intervention. LEVEL OF EVIDENCE: IV.<p /> <p>Language: en</p>",
language="en",
issn="0022-3468",
doi="10.1016/j.jpedsurg.2021.03.009",
url="http://dx.doi.org/10.1016/j.jpedsurg.2021.03.009"
}