Costs and outcome for serious hand and arm injuries during the first year after trauma - a prospective study.
Costs and outcome for serious hand and arm injuries during the first year after trauma - a prospective study.
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DOI：
10.1186/1471-2458-13-501
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发表时间：
2013-05-24
影响因子：
4.5
通讯作者：
Dahlin LB
中科院分区：
文献类型：
--
作者：
Rosberg HE;Carlsson KS;Cederlund RI;Ramel E;Dahlin LB
研究创伤后第一年严重手部和手臂损伤的费用和结果。在手部损伤严重程度评分(HISS) &> 50、DASH和EQ-5D评分以及与医疗保健部门成本相关的因素的患者中，评估了因生产损失而产生的成本和总成本。采用COX回归分析伤害机制分层方法进行复工分析。在纳入的45例患者中，大多数是严重(n = 9)或重度(n = 36)合并不同类型的损伤(截肢n = 13；复杂损伤n = 18；重大神经损伤/全屋n = 13；烧伤n = 1)的男性。在一年中，DASH和EQ-5D分别随着时间的推移而显著减少和增加。工伤人员的总成本(+34%)和生产损失成本最高。与更高的医疗费用相关的因素是年龄和50岁(+52%)、工伤(+40%)和部分劳动力市场活动(+66%)。损失的生产成本在伤害总成本中起着重要作用。重伤患者病假时间较长。严重创伤患者重返工作岗位的可能性更大[(COX回归分析RR 3.76(95%可信区间1.38~10.22)，控制年龄、性别和神经损伤情况]。尽管过去几十年来工作环境不断改善，但我们发现，在医疗保健和生产损失成本方面，工作中的手部伤害是最昂贵的，尽管其严重性，即嘶嘶声，与在家里或休闲时发生的伤害没有区别。
To study costs and outcome for serious hand and arm injuries during the first year after the trauma. In patients with a Hand Injury Severity Score (HISS) > 50, DASH and EQ-5D scores as well as factors related to costs within the health care sector, costs due to lost production and total costs were evaluated. Cox-regression analysis stratifying for mechanism of injury was used to analyse return to work. The majority of the 45 included patients (median 42 years 16–64) were men with severe (n = 9) or major (n = 36) injuries with different type of injuries (amputations n = 13; complex injuries n = 18; major nerve injuries/full house n = 13; burn injury n = 1). DASH and EQ-5D decreased and increased, respectively, significantly over time during one year. Total costs (+34%) and costs of lost production were highest for persons injured at work. Factors associated with higher health care costs were age >50 years (+52%), injury at work (+40%) and partial labour market activity (+66%). Costs of lost production had a significant role in total costs of injury. Patients with major injuries had longer duration of sick leave. Patients with severe injuries were more likely to return to work [(RR 3.76 (95% CI 1.38-10.22) from Cox regression, controlling for age, gender and presence of nerve injury]. Despite the fact that work environments have constantly improved over the last decades, we found that hand injuries at work were most costly both in terms of health care and costs of lost production, although the severity, i.e. HISS, did not differ from injuries occurring at home or during leisure.
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DOI：
10.1016/j.jhsb.2004.09.003
发表时间：
2005-02-01
期刊：
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME
影响因子：
--
作者：
Rosberg, HE;Carlsson, KS;Dahlin, LB
通讯作者：
Dahlin, LB
DOI：
10.3233/wor-2012-1373
发表时间：
2013-01-01
影响因子：
2.3
作者：
Ramel, Eva;Rosberg, Hans-Eric;Cederlund, Ragnhild I.
通讯作者：
Cederlund, Ragnhild I.
影响因子：
1.9
作者：
Hoxie, Samuel C.;Capo, Jason A.;Shin, Alexander Y.
通讯作者：
Shin, Alexander Y.
影响因子：
2.7
作者：
Amirfeyz, Rouin;Pentlow, Alanna;Leslie, Ian
通讯作者：
Leslie, Ian
影响因子：
5.3
作者：
de Putter, C. E.;Selles, R. W.;van Beeck, E. F.
通讯作者：
van Beeck, E. F.