Severe Trauma Clinical Trial
Official title:
Emotional and Social Impact on the Relatives of Hospitalized Children for Severe Trauma of 3 to 6 Months After the Intensive Care Unit Leaving
This research aims to study the occurrence of post-traumatic stress, anxiety or depression in the parents of a child who has been hospitalized in intensive care unit following a severe trauma.
With nearly 25% of trauma deaths, trauma is one of the leading causes of death in the world
for children aged 5 to 14 years. In children under 4, it is responsible for 6% of deaths.
Severe trauma is defined by an Abbreviated Injury Scale > 3 score in at least one anatomical
region.
In case of multiple traumas, the Injury Severity Score is used to define severe polytrauma if
it is > 15.
Cranial trauma is the most common lesion found in polytraumatized children and is present in
80% of cases.
Serious head trauma is defined as the existence of a cranial trauma in a patient whose
Glasgow score is less than or equal to 8.
Severe trauma is a source of high mortality and severe disability in surviving children. Due
to the context of sudden onset, a prolonged length of hospitalization in intensive care, as
well as the occurrence of often severe sequelae, the severe trauma causes a real upheaval for
the child's relatives.
In adults, the occurrence of post-traumatic stress, anxiety and depression is relatively well
described in patients and relatives of patients who have been hospitalized in intensive care
unit. However, there is currently no pediatric study focusing on this subject, apart from
neonatology where the traumatological context remains exceptional.
This research aims to study the occurrence of post-traumatic stress, anxiety or depression in
the parents of a child who has been hospitalized in intensive care unit following a severe
trauma.
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