Injury to the human median and ulnar nerves in the forearm -: Analysis of costs for treatment and rehabilitation of 69 patients in Southern Sweden

Injury to the human median and ulnar nerves in the forearm -: Analysis of costs for treatment and rehabilitation of 69 patients in Southern Sweden
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DOI:
10.1016/j.jhsb.2004.09.003
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发表时间:
2005-02-01
期刊:
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME
影响因子:
--
通讯作者:
Dahlin, LB
Dahlin, LB
中科院分区:
其他
文献类型:
--
作者:
Rosberg, HE;Carlsson, KS;Dahlin, LB

文献摘要

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本研究分析了人类前臂正中神经和尺神经损伤的成本以及影响这些成本的因素。对69名前臂正中神经和(或)尺神经受伤患者的医疗保健部门费用和生产损失费用进行了计算,这些损伤通常是由玻璃、刀或剃须刀片造成的。分析了与成本和结果变化相关的因素。中位神经损伤和尺神经损伤的雇员的总中位成本分别为51,238欧元和31,186欧元,总成本的87%是由于生产损失。伴有肌腱损伤(大于或等于4根肌腱)的患者的所有费用均较高。对于受伤后换工作的患者和双神经受伤的患者,医疗保健部门的费用也较高。结果取决于年龄和修复方法。
This study analysed the costs of median and ulnar nerve injuries in the forearm in humans and factors affecting such costs. The costs within the health-care sector and costs of lost production were calculated in 69 patients with an injury to the median and/or ulnar nerve in the forearm, usually caused by glass, a knife, or a razorblade. Factors associated with the variation in costs and outcome were analysed. The total median costs for an employed person with a median and an ulnar nerve injury were EUR 51,238 and EUR 31,186, respectively, and 87% of the total costs were due to loss of production. All costs were higher for patients with concomitant tendon injuries (greater than or equal to4 tendons). The costs within the health-care sector were also higher for patients who changed work after the injury and if both nerves were injured. Outcome was dependent on age and repair method.