|Title:||The initial anatomical severity in patients with hand injuries predicts future health-related quality of life||Authors:||YUNG-LING LEE
|Keywords:||Epidemiology; Hand injury; HISS; Quality of life||Issue Date:||2011||Journal Volume:||71||Journal Issue:||5||Start page/Pages:||1352-1358||Source:||Journal of Trauma - Injury, Infection and Critical Care||Abstract:||
Background: There have been no rigorous studies exploring whether the severity of hand injury can predict health-related quality of life (HRQoL). The purpose of our study is to examine the relationship between the initial anatomic severity of hand injuries (evaluated by the Hand Injury Severity Scoring [HISS] system) and HRQoL in patients with hand injuries. Methods: Patients with hand injuries hospitalized for surgery between 2004 and 2008 were recruited and HISS scores were calculated by a hand surgeon. One hundred seventy-three patients were interviewed for demographic information and HRQoL status. The physical and mental component summaries of HRQoL were compared with the initial HISS scores by multiple regression models. Results: The greater the HISS score, the lower the score of the physical component of HRQoL. Trend tests showed a significant correlation between the physical component of HRQoL in the dominant hand injured group (p = 0.04), but not in the nondominant hand injured group (p = 0.49). With regard to age, trend tests showed a significant correlation between the physical component of HRQoL in older patients (p < 0.01) but not in younger patients (p = 0.40). For all outcomes of mental component scores, we found no significant relationship with HISS severity in neither main effects nor stratified analyses. Conclusions: HISS is able to predict the physical HRQoL with useful levels of accuracy. It is strongly recommended that surgical therapy departments provide more detailed physiotherapy programs for the high-risk groups, such as dominant hand injury and age of ?40, to improve their physical HRQoL. Copyright ? 2011 by Lippincott Williams & Wilkins.
|DOI:||10.1097/TA.0b013e318216a56e||SDG/Keyword:||accuracy; adult; article; correlation analysis; disease severity; female; hand injury; hand injury severity score; human; injury severity; major clinical study; male; prediction; priority journal; quality of life; scoring system; Adult; Age Factors; Female; Hand Injuries; Humans; Injury Severity Score; Male; Quality of Life; Questionnaires; Regression Analysis; Retrospective Studies; Risk Factors
|Appears in Collections:||流行病學與預防醫學研究所|
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