Causes and consequences of hand injuries
Causes and consequences of hand injuries
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DOI：
10.1016/j.amjsurg.2005.10.055
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发表时间：
2006-07-01
影响因子：
3
通讯作者：
Hladki, Waldemar
中科院分区：
文献类型：
--
作者：
Trybus, Marek;Lorkowski, Jacek;Hladki, Waldemar
背景资料：手损伤被认为是最常见的身体损伤，其治疗持续时间长且社区费用高。本研究的目的是确定调查材料中手损伤的最常见原因;手损伤的严重程度和在典型创伤外科病房进行的治疗结果;以及手损伤治疗的总费用。在1987年至2000年期间，1199名患者（平均年龄37.0岁（+/- 15））在克拉科夫的II外科诊所接受了复杂手损伤的治疗。手损伤的原因、部位和机制以及治疗的类型和持续时间进行了评价。我们还估计了总（直接和间接）治疗costs.Results：在所有的手外伤，45.3%发生在家里和19.7%在工作中。机械性手损伤占首位（34.9%），也是最严重的。高达26.7%的伤害发生在饮酒后。平均总治疗时间为76.9天（+/- 67）。手损伤的可变严重程度被发现在58.5%的患者;间接费用构成了占主导地位的一部分，总costs（96%）。结论：复杂的治疗受伤的手在专科中心允许较短的治疗时间，改善治疗效果，并减少间接费用。(c)2006 Excerpta Medica Inc. All rights reserved.
Background: Hand injuries are considered to be the most frequent body injuries, the treatment of which is of long duration and great community expense. The aim of this study was to define the most frequent causes of hand injury in the investigated materials; the severity of hand injuries and outcome of treatment performed in the typical trauma surgery ward; and overall costs of hand-injury treatment.Methods: Between 1987 and 2000, 1199 patients (average age 37.0 years (+/- 15) were treated for complex hand injuries in II Surgery Clinic in Cracow. Causes, places, and mechanisms of hand injuries were evaluated as were types and duration of treatment. We also estimated also total (direct and indirect) treatment costs.Results: Of all hand injuries, 45.3% occurred at home and 19.7% at work. Hand injuries caused by mechanical equipment predominated (34.9%) and were the most severe. Up to 26.7% of injuries occurred after alcohol consumption. Average total treatment time was 76.9 days (+/- 67). Hand impairment of variable severity was found in 58.5% of patients; Indirect costs constituted a dominant part-of overall costs (96%).Conclusions: The complex treatment of the injured hand at specialist centers allows for shorter treatment duration, improved treatment results, and decreased indirect expenses. (c) 2006 Excerpta Medica Inc. All rights reserved.