دورية أكاديمية
Characterizing primary care patients with posttraumatic stress disorder using electronic medical records: a retrospective cross-sectional study.
| العنوان: | Characterizing primary care patients with posttraumatic stress disorder using electronic medical records: a retrospective cross-sectional study. |
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| المؤلفون: | Singer A; Department of Family Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada., Kosowan L; Department of Family Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada., Muthumuni D; Department of Family Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada., Katz A; Department of Family Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.; Department of Community Health Science, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada., Zafari H; School of Computing, Queen's University, Kingston, ON, Canada., Zulkernine F; School of Computing, Queen's University, Kingston, ON, Canada., Richardson JD; Operational Stress Injury Clinic, Parkwood Institute, London, ON, Canada., Price M; Department of Family Medicine, University of British Columbia, Vancouver, BC, Canada., Williamson T; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada., Queenan J; Department of Family Medicine, Queens University, Kingston, ON, Canada., Sareen J; Department of Psychiatry, Max Rady College of Medicine, Rady Faulty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada. |
| المصدر: | Family practice [Fam Pract] 2024 Aug 14; Vol. 41 (4), pp. 434-441. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 8500875 Publication Model: Print Cited Medium: Internet ISSN: 1460-2229 (Electronic) Linking ISSN: 02632136 NLM ISO Abbreviation: Fam Pract Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Oxford : Oxford University Press, [c1983- |
| مواضيع طبية MeSH: | Stress Disorders, Post-Traumatic*/epidemiology , Primary Health Care* , Electronic Health Records*, Humans ; Cross-Sectional Studies ; Retrospective Studies ; Male ; Female ; Middle Aged ; Adult ; Canada/epidemiology ; Prevalence ; Aged ; Adolescent ; Young Adult ; Logistic Models ; Depression/epidemiology ; Substance-Related Disorders/epidemiology |
| مستخلص: | Background: Posttraumatic stress disorder (PTSD) has significant morbidity and economic costs. This study describes the prevalence and characteristics of patients with PTSD using primary care electronic medical record (EMR) data. Methods: This retrospective cross-sectional study used EMR data from the Canadian Primary Care Sentinel Surveillance Network (CPCSSN). This study included 1,574 primary care providers located in 7 Canadian provinces. There were 689,301 patients that visited a CPCSSN provider between 1 January 2017 and 31 December 2019. We describe associations between PTSD and patient characteristics using descriptive statistics, chi-square, and multiple logistic regression models. Results: Among the 689,301 patients included, 8,817 (1.3%, 95% CI 1.2-1.3) had a diagnosis of PTSD. On multiple logistic regression analysis, patients with depression (OR 4.4, 95% CI 4.2-4.7, P < 0.001), alcohol abuse/dependence (OR 1.7, 95% CI 1.6-1.9, P < 0.001), and/or drug abuse/dependence (OR 2.6, 95% CI 2.5-2.8, P < 0.001) had significantly higher odds of PTSD compared with patients without those conditions. Patients residing in community areas considered the most material deprived (OR 2.1, 95% CI 1.5-2.1, P < 0.001) or the most socially deprived (OR 2.8, 95% CI 2.7-5.3, P < 0.001) had higher odds of being diagnosed with PTSD compared with patients in the least deprived areas. Conclusions: The prevalence of PTSD in Canadian primary care is 1.3% (95% CI 1.25-1.31). Using EMR records we confirmed the co-occurrence of PTSD with other mental health conditions within primary care settings suggesting benefit for improved screening and evidence-based resources to manage PTSD. (© The Author(s) 2022. Published by Oxford University Press. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.) |
| معلومات مُعتمدة: | CIMVHR; IBM |
| فهرسة مساهمة: | Keywords: access; alcohol drinking; electronic health records; evaluation; healthcare quality; posttraumatic; primary healthcare; social determinants of health; stress disorders Local Abstract: [plain-language-summary] Posttraumatic stress disorder (PTSD) is a mental health disorder with symptoms presenting after having experienced or witnessed a traumatic event. PTSD symptoms continue for more than 1 month after the event and negatively impact the health and social wellbeing of an individual. Primary care, including family doctors, nurse practitioners, and community paediatricians, are often the first point of healthcare for an individual. This study found that PTSD is diagnosed and managed in primary care. Patients with PTSD had comorbidities, substance use, and visited their primary care provider more frequently. Additionally, patients with PTSD often live in a community area that is experiencing high material and social deprivation. The presence of PTSD in primary care suggests the need for new and additional evidence-based resources to assist in managing this complex condition. |
| تواريخ الأحداث: | Date Created: 20221209 Date Completed: 20240814 Latest Revision: 20240814 |
| رمز التحديث: | 20240815 |
| DOI: | 10.1093/fampra/cmac139 |
| PMID: | 36490368 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1460-2229 |
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| DOI: | 10.1093/fampra/cmac139 |