Objective:

To explore the prognostic value of initial psychological assessment on long-term posttraumatic growth in patients with multiple trauma by evaluating psychological and clinical outcome indicators.

Approach:

• Assessment Method: Patients underwent standardized psychological assessment (HADS) within 24 hours of admission to identify early psychological distress; outcomes were assessed at 6 months post-discharge using PTGI, AODS, and CD-RISC.

Key Findings:

• The observation group had significantly higher PTGI (t = 3.462, P < 0.05), AODS (t = 2.793, P < 0.05), and CD-RISC scores (t = 2.341, P < 0.05) compared to the control group.
• Patients in the observation group experienced shorter hospital stays (t = 2.127, P < 0.05), lower complication rates (χ2 = 4.012, P < 0.05), lower readmission rates (χ2 = 4.178, P < 0.05), and reduced pain intensity (t = 2.339, P < 0.05).
• PTGI scores were negatively correlated with hospital stay (r = −0.237, P < 0.05) and positively correlated with CD-RISC scores (r = 0.348, P < 0.05).

Interpretation:

Initial psychological assessment may be associated with better long-term psychological and clinical outcomes in multiple trauma patients.

Limitations:

• The study is retrospective, which may introduce selection bias.
• Small sample size and single-center design limit generalizability and may affect the robustness of the findings.
• Inadequate control for confounding variables and potential measurement errors.

Conclusion:

Early psychological screening may have prognostic value in trauma care, but further prospective validation is required.