Survivors of avalanche accidents: posttraumatic stress disorder symptoms and quality of life: a multicentre study

Abstract Background As any traumatic event, avalanches could trigger psychological disorders on survivors. Our objectives were to determine the prevalence of post-traumatic stress disorder among avalanche survivors and to evaluate post-traumatic stress disorder risks factors as well as the impact on...

Full description

Bibliographic Details
Main Authors: Charlotte Léonard, Anaëlle Charriau-Perret, Guillaume Debaty, Loïc Belle, Cécile Ricard, Caroline Sanchez, Pierre-Marie Dupré, Gregory Panoff, Thierry Bougerol, Damien Viglino, Marc Blancher, the Northern French-Alps Emergency Network (“RENAU”)
Format: Article
Language:English
Published: BMC 2021-07-01
Series:Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Subjects:
Online Access:https://doi.org/10.1186/s13049-021-00912-3
_version_ 1819139904705134592
author Charlotte Léonard
Anaëlle Charriau-Perret
Guillaume Debaty
Loïc Belle
Cécile Ricard
Caroline Sanchez
Pierre-Marie Dupré
Gregory Panoff
Thierry Bougerol
Damien Viglino
Marc Blancher
the Northern French-Alps Emergency Network (“RENAU”)
author_facet Charlotte Léonard
Anaëlle Charriau-Perret
Guillaume Debaty
Loïc Belle
Cécile Ricard
Caroline Sanchez
Pierre-Marie Dupré
Gregory Panoff
Thierry Bougerol
Damien Viglino
Marc Blancher
the Northern French-Alps Emergency Network (“RENAU”)
author_sort Charlotte Léonard
collection DOAJ
description Abstract Background As any traumatic event, avalanches could trigger psychological disorders on survivors. Our objectives were to determine the prevalence of post-traumatic stress disorder among avalanche survivors and to evaluate post-traumatic stress disorder risks factors as well as the impact on quality of life. Methods A multicentre study was conducted in victims included in the North Alpine Avalanche Registry from 2014 to 2018. Data were collected through a standard questionnaire during semi-directed phone interviews. The primary outcome was the total score on the Impact of Event Scale Revised. Secondary outcomes were the Mental Component Scale and the Physical Component Scale scores of the Short Form 12 questionnaire. Results During the study period, 132 of 211 victims survived. Among the 107 victims included, 55 (51.4%) phone interviews were obtained. Six patients (10.9, 95% CI 1.76–20.05) had an Impact of Event Scale Revised score ≥ 33 indicating a strong probability for post-traumatic stress disorder. Median Mental Component Scale score was 39.0 (IQR 30.5–46.3) for post-traumatic stress disorder patients and 40.1 (IQR 36.5–43.4) for non post-traumatic stress disorder (p = 0.76). Median Physical Component Scale score was 39.4 (37.2–44.3) for post-traumatic stress disorder patients and 44.2 (39.1–46.8) for non post-traumatic stress disorder (p = 0.39). No significant difference in the quality of life in both populations was observed, and no independent risk factors of post-traumatic stress disorder was identified. Conclusion Avalanche accidents may induce post-traumatic stress disorders among survivors in a comparable prevalence to the most traumatic event already studied. Early recognition and preventive measures should be set up in order to reduce the psychological burden in these victims. Trial registration NCT03936738 .
first_indexed 2024-12-22T11:30:05Z
format Article
id doaj.art-19bb60617171462e817b5d38841e8fa1
institution Directory Open Access Journal
issn 1757-7241
language English
last_indexed 2024-12-22T11:30:05Z
publishDate 2021-07-01
publisher BMC
record_format Article
series Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
spelling doaj.art-19bb60617171462e817b5d38841e8fa12022-12-21T18:27:38ZengBMCScandinavian Journal of Trauma, Resuscitation and Emergency Medicine1757-72412021-07-0129111110.1186/s13049-021-00912-3Survivors of avalanche accidents: posttraumatic stress disorder symptoms and quality of life: a multicentre studyCharlotte Léonard0Anaëlle Charriau-Perret1Guillaume Debaty2Loïc Belle3Cécile Ricard4Caroline Sanchez5Pierre-Marie Dupré6Gregory Panoff7Thierry Bougerol8Damien Viglino9Marc Blancher10the Northern French-Alps Emergency Network (“RENAU”)Grenoble University Hospital, Emergency Department and Mobile Intensive Care Unit, University Grenoble AlpesGrenoble University Hospital, Emergency Department and Mobile Intensive Care Unit, University Grenoble AlpesGrenoble University Hospital, Emergency Department and Mobile Intensive Care Unit, University Grenoble AlpesCardiac Intensive Care Unit, Annecy-Genevois HospitalNorth Alpine Emergency Network Department (RENAU)Grenoble University Hospital, Emergency Department and Mobile Intensive Care Unit, University Grenoble AlpesPeloton de Gendarmerie de Haute Montagne (PGHM Mountain Rescue)Compagnie Républicaine de Sécurité (CRS-Alpes Montain Rescue)Institute of Neurosciences, Inserm U836, Grenoble Alpes UniversityGrenoble University Hospital, Emergency Department and Mobile Intensive Care Unit, University Grenoble AlpesGrenoble University Hospital, Emergency Department and Mobile Intensive Care Unit, University Grenoble AlpesAbstract Background As any traumatic event, avalanches could trigger psychological disorders on survivors. Our objectives were to determine the prevalence of post-traumatic stress disorder among avalanche survivors and to evaluate post-traumatic stress disorder risks factors as well as the impact on quality of life. Methods A multicentre study was conducted in victims included in the North Alpine Avalanche Registry from 2014 to 2018. Data were collected through a standard questionnaire during semi-directed phone interviews. The primary outcome was the total score on the Impact of Event Scale Revised. Secondary outcomes were the Mental Component Scale and the Physical Component Scale scores of the Short Form 12 questionnaire. Results During the study period, 132 of 211 victims survived. Among the 107 victims included, 55 (51.4%) phone interviews were obtained. Six patients (10.9, 95% CI 1.76–20.05) had an Impact of Event Scale Revised score ≥ 33 indicating a strong probability for post-traumatic stress disorder. Median Mental Component Scale score was 39.0 (IQR 30.5–46.3) for post-traumatic stress disorder patients and 40.1 (IQR 36.5–43.4) for non post-traumatic stress disorder (p = 0.76). Median Physical Component Scale score was 39.4 (37.2–44.3) for post-traumatic stress disorder patients and 44.2 (39.1–46.8) for non post-traumatic stress disorder (p = 0.39). No significant difference in the quality of life in both populations was observed, and no independent risk factors of post-traumatic stress disorder was identified. Conclusion Avalanche accidents may induce post-traumatic stress disorders among survivors in a comparable prevalence to the most traumatic event already studied. Early recognition and preventive measures should be set up in order to reduce the psychological burden in these victims. Trial registration NCT03936738 .https://doi.org/10.1186/s13049-021-00912-3Post-traumatic stress disorderAvalancheQuality of lifeSF-12And impact of event scale revised (IES-R)
spellingShingle Charlotte Léonard
Anaëlle Charriau-Perret
Guillaume Debaty
Loïc Belle
Cécile Ricard
Caroline Sanchez
Pierre-Marie Dupré
Gregory Panoff
Thierry Bougerol
Damien Viglino
Marc Blancher
the Northern French-Alps Emergency Network (“RENAU”)
Survivors of avalanche accidents: posttraumatic stress disorder symptoms and quality of life: a multicentre study
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Post-traumatic stress disorder
Avalanche
Quality of life
SF-12
And impact of event scale revised (IES-R)
title Survivors of avalanche accidents: posttraumatic stress disorder symptoms and quality of life: a multicentre study
title_full Survivors of avalanche accidents: posttraumatic stress disorder symptoms and quality of life: a multicentre study
title_fullStr Survivors of avalanche accidents: posttraumatic stress disorder symptoms and quality of life: a multicentre study
title_full_unstemmed Survivors of avalanche accidents: posttraumatic stress disorder symptoms and quality of life: a multicentre study
title_short Survivors of avalanche accidents: posttraumatic stress disorder symptoms and quality of life: a multicentre study
title_sort survivors of avalanche accidents posttraumatic stress disorder symptoms and quality of life a multicentre study
topic Post-traumatic stress disorder
Avalanche
Quality of life
SF-12
And impact of event scale revised (IES-R)
url https://doi.org/10.1186/s13049-021-00912-3
work_keys_str_mv AT charlotteleonard survivorsofavalancheaccidentsposttraumaticstressdisordersymptomsandqualityoflifeamulticentrestudy
AT anaellecharriauperret survivorsofavalancheaccidentsposttraumaticstressdisordersymptomsandqualityoflifeamulticentrestudy
AT guillaumedebaty survivorsofavalancheaccidentsposttraumaticstressdisordersymptomsandqualityoflifeamulticentrestudy
AT loicbelle survivorsofavalancheaccidentsposttraumaticstressdisordersymptomsandqualityoflifeamulticentrestudy
AT cecilericard survivorsofavalancheaccidentsposttraumaticstressdisordersymptomsandqualityoflifeamulticentrestudy
AT carolinesanchez survivorsofavalancheaccidentsposttraumaticstressdisordersymptomsandqualityoflifeamulticentrestudy
AT pierremariedupre survivorsofavalancheaccidentsposttraumaticstressdisordersymptomsandqualityoflifeamulticentrestudy
AT gregorypanoff survivorsofavalancheaccidentsposttraumaticstressdisordersymptomsandqualityoflifeamulticentrestudy
AT thierrybougerol survivorsofavalancheaccidentsposttraumaticstressdisordersymptomsandqualityoflifeamulticentrestudy
AT damienviglino survivorsofavalancheaccidentsposttraumaticstressdisordersymptomsandqualityoflifeamulticentrestudy
AT marcblancher survivorsofavalancheaccidentsposttraumaticstressdisordersymptomsandqualityoflifeamulticentrestudy
AT thenorthernfrenchalpsemergencynetworkrenau survivorsofavalancheaccidentsposttraumaticstressdisordersymptomsandqualityoflifeamulticentrestudy