Prognostic value of initial psychological assessment for long-term outcomes in multiple trauma patients: a retrospective cohort study using posttraumatic growth, disability acceptance, and resilience scales - Scorecard - MDSpire

Initial Psychological Evaluation as a Predictor of Long-Term Outcomes in Patients with Multiple Trauma: A Retrospective Cohort Analysis Utilizing Scales for Posttraumatic Growth, Disability Acceptance, and Resilience

  • By

  • Xiaoli Xu

  • Jin-hong Chen

  • Fei-fei Kong

  • July 17, 2026

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Clinical Scorecard: Initial Psychological Evaluation as a Predictor of Long-Term Outcomes in Patients with Multiple Trauma: A Retrospective Cohort Analysis Utilizing Scales for Posttraumatic Growth, Disability Acceptance, and Resilience

At a Glance

CategoryDetail
ConditionMultiple Trauma
Key MechanismsInitial psychological assessment for early risk identification and prognostic evaluation of long-term outcomes.
Target PopulationPatients with multiple trauma treated in a hospital setting.
Care SettingTrauma care with standardized psychological assessments.

Key Highlights

  • Initial psychological assessment associated with higher posttraumatic growth and resilience.
  • Observation group had shorter hospital stays and lower complication rates.
  • Significant correlation between psychological scores and clinical outcomes.
  • Age and injury severity negatively predicted posttraumatic growth scores.
  • Better outcomes observed in patients injured in traffic accidents.

Guideline-Based Recommendations

Diagnosis

  • Utilize standardized psychological assessments within 24 hours of admission.

Management

  • Incorporate psychological evaluations into trauma care protocols.

Monitoring & Follow-up

  • Assess long-term outcomes using PTGI, AODS, and CD-RISC at 6 months post-discharge.

Risks

  • Consider age and injury severity as factors influencing psychological recovery.

Patient & Prescribing Data

160 multiple trauma patients treated between May 2022 and December 2024.

Standardized psychological assessments can enhance long-term recovery outcomes.

Clinical Best Practices

  • Implement early psychological screening in trauma care.
  • Use validated tools like PTGI and CD-RISC for outcome assessment.
  • Develop individualized rehabilitation plans based on psychological evaluations.

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