{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:32:31Z","timestamp":1747182751106,"version":"3.40.5"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,2,10]],"date-time":"2022-02-10T00:00:00Z","timestamp":1644451200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Academic Emergency Medicine"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Twenty\u2010five percent of patients presenting to the emergency department (ED) for a respiratory or cardiovascular medical emergency develop clinically significant posttraumatic stress disorder (PTSD) symptoms. It is possible that development of PTSD symptoms in this cohort is associated with subsequent adverse physical health events. Our objective was to test whether clinically significant PTSD symptoms 30\u00a0days postdischarge are associated with increased risk for hospital readmission within 24\u00a0months after discharge among patients presenting to the ED for a respiratory or cardiovascular emergency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a prospective cohort study conducted between January 1, 2018, and December 31, 2020, at a U.S. academic medical center, including adult patients presenting with acute respiratory failure or cardiovascular instability requiring a potentially life\u2010sustaining intervention in the ED. PTSD symptoms 30\u00a0days postdischarge were measured using the PTSD Checklist for the <jats:italic>Diagnostic and Statistical Manual of Mental Disorders\u20105<\/jats:italic>. The primary outcome was all\u2010cause hospital readmission over the subsequent 24\u00a0months after hospital discharge from the index ED visit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 99 patients included, 73% (95% confidence interval [CI]\u00a0= 63% to 81%) had a hospital readmission within 24\u00a0months. In a multivariable Cox proportional hazards model adjusting for potential confounders (e.g., age, severity of illness during index ED visit, preexisting comorbid conditions) presence of clinically significant PTSD symptoms at 30\u00a0days was independently associated with increased risk for all\u2010cause hospital readmission at 24\u00a0months (hazards ratio\u00a0=\u00a02.19, 95% CI\u00a0= 1.30 to 3.69). These results remained statistically significant across multiple sensitivity analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Hospital readmission is common among survivors of acute respiratory failure and cardiovascular instability, and PTSD symptoms 30\u00a0days postdischarge are an independent predictor of hospital readmission. Survivors of medical emergencies may warrant follow\u2010up evaluation for PTSD symptoms, and future research is warranted to better understand the relationship between psychological trauma and hospital readmission.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acem.14438","type":"journal-article","created":{"date-parts":[[2022,1,22]],"date-time":"2022-01-22T10:09:00Z","timestamp":1642846140000},"page":"598-605","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Posttraumatic stress disorder symptoms after respiratory and cardiovascular emergencies predict risk of hospital readmission: A prospective cohort study"],"prefix":"10.1111","volume":"29","author":[{"given":"Danielle","family":"Kovalsky","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Cooper University Health Care, Cooper Medical School of Rowan University  Camden New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael B.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Institutional Research and Outcomes Assessment Philadelphia College of Osteopathic Medicine  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Freeze","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Cooper University Health Care, Cooper Medical School of Rowan University  Camden New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeena","family":"Moss","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Cooper University Health Care, Cooper Medical School of Rowan University  Camden New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9704-9094","authenticated-orcid":false,"given":"Christopher 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USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3757-756X","authenticated-orcid":false,"given":"Brian M.","family":"Fuller","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Washington University School of Medicine  St. Louis Missouri USA"},{"name":"Department of Anesthesiology, Division of Critical Care Medicine Washington University School of Medicine  St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7690-997X","authenticated-orcid":false,"given":"Brian W.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Cooper University Health Care, Cooper Medical School of Rowan University  Camden New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,2,10]]},"reference":[{"volume-title":"Diagnostic and Statistical 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