Affiliation:
1. Clinical Center of Vojvodina, Clinic for Plastic and Reconstructive Surgery, Novi Sad
Abstract
Background/Aim. Hand injuries comprise up to one fourth of all injuries and
require excellent skills and aggressive physical therapy with still a high
potential to cause long term physical and functional disability which affects
one?s quality of life. The aim of this study was to evaluate disability and
quality of life in patients with different degrees of hand and forearm
injuries using the two different scoring systems and to examine the
correlation between them. Methods. This retrospective study was performed
among patients operated on at our clinic due to acute hand and forearm trauma
during the period of two years. Four groups of patients were made according
to the Modified Hand Injury Severity Score (MHISS). One year after the
treatment, phone interviews were made with those patients to answer to the
Disability of Arm Shoulder and Hand (quick-DASH) score for estimating
disability and to the World Health Organization Quality of Life BREF
(WHOQoL-BREF) score to estimate the quality of life regerding four domains:
physical, social, environmental and psychological. Results. Out of 182
patients who satisfied the inclusion criteria, only 60 completely answered to
the questionnaires, 46 (17%) men and 14 (23%) women. Most of the patients
were in the group with moderate injuries according to the MHISS, followed by
the group with major and severe injuries. A weak correlation was found
between the MHISS and quick DASH score in the group with minor injuries,
compared to no correlation between these parameters in other groups. The
lowest quality of life was registered in the physical domain, while the
highest in the social one. A negative correlation was found among the four
domains of the WHOQoL BREF score and quick- DASH score in all the groups.
Conclusion. Severity of hand and forearm injuries does not necessarily
correlate with patient?s perception of disability. The quality of life was
less affected by severity of injury than by the patient?s perception of
disability.
Publisher
National Library of Serbia
Subject
Pharmacology (medical),General Medicine
Cited by
9 articles.
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