Evidence map›Paper›PMID 39384491›Full record

ArticleJournal of pediatric surgery2025

Beyond Physical Injury: Routine Screening for Acute Stress Disorder and Posttraumatic Stress Disorder in Pediatric Trauma Patients - A Longitudinal Cohort Pilot Study.

Norah E Liang, Katherine Alvarez, Kyla Dalusag, Katy Chan, Brittney Bunnell, Melanie Stroud, Kathleen Steele, Stephanie D Chao

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pediatric surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Norah E LiangDepartment of Surgery, Stanford University, Stanford, CA, USA.
Katherine AlvarezDepartment of Surgery, Stanford University, Stanford, CA, USA.
Kyla DalusagDepartment of Surgery, Stanford University, Stanford, CA, USA.
Katy ChanDepartment of Surgery, Stanford University, Stanford, CA, USA.
Brittney BunnellDepartment of Surgery, Stanford University, Stanford, CA, USA.
Melanie StroudDepartment of Surgery, Stanford University, Stanford, CA, USA.
Kathleen SteeleDepartment of Surgery, Stanford University, Stanford, CA, USA.
Stephanie D ChaoDepartment of Surgery, Stanford University, Stanford, CA, USA. Electronic address: sdchao1@stanford.edu.

Funding

Institutional Career Development Core (KL2)KL2TR003143 · NCATS · STANFORD UNIVERSITY · PI ASCH, STEVEN M. · 2019 to 2023
$8.7M
NCATS NIH HHS KL2 TR003143
6 · The paper itself

Abstract

introductionEarly identification of children at risk for PTSD is critical for improving mental health outcomes after traumatic injury. Currently, there is no standard PTSD screen for pediatric trauma patients and limited data on long-term quality of life for those who screen positive.

methodsIn 2022, we piloted a comprehensive routine screening program for ASD and PTSD at our Level I PTC. All admitted trauma patients ≥8 years old were eligible for screening. Inpatients were administered the ASC3. Those who screened positive were referred for follow-up and repeat mental health evaluation. PTSD screening (CTSQ, CPSS) and quality-of-life screening (PedsQL™) surveys were administered to eligible discharged trauma patients at 1-month post-injury. Children who screened positive on the CTSQ or CPSS were referred for behavioral health services.

results205 children were screened for ASD using the ASC3. 49/205 children (23.9 %) had a positive screen (score ≥3). 56 children completed PTSD screening at 1-month post-discharge. 14/54 children (25.9 %) screened positive on CTSQ, and 8/50 children (16 %) screened positive on CPSS. There was a significant positive correlation between CTSQ and CPSS scores (r 0.76, ∗P<0.0001). When stratified by screening results, patients who screened positive on CTSQ and CPSS were found to have the most significant correlations with poor School and Emotional Functioning on their quality-of-life inventory.

conclusionEarly screening for ASD may be predictive of later development of PTSD in children. Screening using previously validated tools (ASC3, CTSQ, CPSS) were effective in identifying children with negative emotional functioning lasting beyond the acute phase of physical recovery following injury. CTSQ and CPSS both performed well for screening at one-month post-discharge. Early identification can facilitate timely referral to mental health services to potentially minimize long-term socioemotional impact of PTSD.

Indexed as

Mass ScreeningStress Disorders, Post-TraumaticStress Disorders, Traumatic, AcuteWounds and InjuriesAdolescentChildFemaleHumansLongitudinal StudiesMalePilot ProjectsQuality of LifeSurveys and QuestionnairesAcute stress disorderPediatric trauma screeningPost-traumatic stress disorder

Identifiers

PMID39384491
PMCPMC11745932

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.