@article{ref1,
title="Efficiency of a four-item posttraumatic stress disorder screen in trauma patients",
journal="Journal of trauma and acute care surgery",
year="2013",
author="Hanley, Jessica and Deroon-Cassini, Terri and Brasel, Karen J.",
volume="75",
number="4",
pages="722-727",
abstract="BACKGROUND: One of the most common barriers identified by physicians who fail to screen for posttraumatic stress disorder (PTSD) in trauma patients is time constraint. We hypothesized the four-question Primary Care-PTSD screen (PC-PTSD) was an acceptable alternative to the commonly used 17-question Posttraumatic Stress Disorder Checklist-Civilian Version (PCL-C).   METHODS: Consecutive trauma patients admitted to a Level I trauma center were given the PCL-C at the time of hospitalization. The four questions of the PC-PTSD are contained within the PCL-C. A positive PC-PTSD screen result was an endorsement of least three of the four questions. An overall score of greater than 44 on the PCL-C indicated a positive screen result. Sensitivity and specificity comparisons were made between the PCL-C and the PC-PTSD.   RESULTS: Data were collected from 1,347 patients hospitalized for injury. The PC-PTSD identified 17.22% of patients with PTSD risk, and the PCL-C identified 16.10% at risk. Before discharge, the PC-PTSD has reasonable sensitivity in capturing the population at risk PTSD symptoms.   CONCLUSION: In trauma patients before hospital discharge, the PC-PTSD is comparable with the PCL-C. Although some sensitivity is lost,the PC-PTSD is a shorter screen, and the loss of sensitivity may be offset by an increased frequency of administration.   LEVEL OF EVIDENCE: Diagnostic test, level III.<p /> <p>Language: en</p>",
language="en",
issn="2163-0755",
doi="10.1097/TA.0b013e3182a53a5f",
url="http://dx.doi.org/10.1097/TA.0b013e3182a53a5f"
}