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World J Psychiatry. Jun 19, 2026; 16(6): 117084
Published online Jun 19, 2026. doi: 10.5498/wjp.v16.i6.117084
Published online Jun 19, 2026. doi: 10.5498/wjp.v16.i6.117084
Incidence and determinants of acute stress disorder after supracondylar humeral fracture surgery in school-age children
Guang-Jian Yan, Tao Cheng, Chun-Xiao Liu, Ji-Xin Shan, Yi Cen, Department of Pediatric Orthopedics, Affiliated Sports Hospital of Chengdu Sport University, Chengdu 610041, Sichuan Province, China
Author contributions: Yan GJ drafted the manuscript; Yan GJ, Cheng T, Liu CX, and Shan JX collected the data; Yan GJ and Liu CX performed the statistical analyses; Yan GJ and Cen Y designed the study; Cen Y supervised the project and critically revised the manuscript. All authors read and approved the final manuscript.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Board of the Affiliated Sports Hospital of Chengdu Sport University.
Informed consent statement: This study was a retrospective analysis using anonymized clinical and psychological assessment data. No direct patient contact or identifiable personal information was involved. Therefore, the requirement for signed informed consent was waived by the Ethics Committee of the Affiliated Sports Hospital of Chengdu Sport University.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The datasets generated and analyzed during the current study are available from the corresponding author upon reasonable request.
Corresponding author: Yi Cen, MD, Department of Pediatric Orthopedics, Affiliated Sports Hospital of Chengdu Sport University, No. 251 Wuhouci Street, Wuhou District, Chengdu 610041, Sichuan Province, China. 16602833066@163.com
Received: December 2, 2025
Revised: January 19, 2026
Accepted: February 26, 2026
Published online: June 19, 2026
Processing time: 176 Days and 23.9 Hours
Revised: January 19, 2026
Accepted: February 26, 2026
Published online: June 19, 2026
Processing time: 176 Days and 23.9 Hours
Core Tip
Core Tip: Acute stress disorder is a frequent but underrecognized psychological complication in school-age children after supracondylar humeral fracture surgery. In this study, 23.6% of children developed acute stress disorder, often accompanied by anxiety and depression. Multivariate analysis identified Gartland type III fractures, severe pain, postoperative complications, and prior trauma history as independent risk factors, while strong family support was protective. Our findings highlight the importance of early screening, effective pain control, complication prevention, and family-centered interventions to reduce psychological trauma and improve recovery in pediatric orthopedic patients.