Description

Boscarino et al reported the New York PTSD risk score to evaluate patients in clinical practice for post-traumatic stress disorder. The authors are from Geisinger Clinic, Mount Sinai School of Medicine, Temple University, Kent State University and Tulane University.


Parameters:

(1) primary care PTSD screen

(2) responses to PHQ2 depression screen

(3) number of traumatic injuries

(4) difficulty sleeping during the past year

(5) regular primary care provider

 

Parameter

Finding

Points

primary care PTSD screen

negative

0

 

positive

100

PHQ2

0 items positive

0

 

1 items positive

21.4

 

2 items positive

60.3

number of injuries

0

5.4

 

1

0

 

2 or 3

24.5

 

>= 4

25.5

difficulty sleeping

no

0

 

yes

45.9

regular care provider

no

21.4

 

yes

0

 

total score =

= SUM(points for all 5 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 253.1

• The higher the score the greater the likelihood that the patient has PTSD.

 

Score

Probability PTSD

< 168.6

< 10%

168.6 to 263.8

(0.002358 * ((score)^2)) - (0.3732 * (score)) + 5.329

 

Performance:

• The claimed area under the ROC curve is 0.943. The maximum probability from the nomogram is about 62%.


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