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Cut-Off Value for Self-Reported Abnormal Cold Sensitivity and Predictors for Abnormality and Severity in Hand Injuries

Carlsson, Ingela LU ; Nilsson, Jan-Åke LU and Dahlin, Lars LU (2010) In Journal of Hand Surgery, European Volume 35E(5). p.409-416
Abstract
Our aim was to identify a cut-off value for self-reported, abnormal cold sensitivity and to identify cold sensitivity predictors after hand injuries. The Cold Intolerance Symptom Severity (CISS) questionnaire and a VAS question concerning discomfort on exposure to cold were investigated in 94 normal people and 88 patients. A CISS score >450 was defined as abnormal cold sensitivity. Multiple injured digits, an increased number of injured vessels, complete nerve injury and replantation were variables associated with high VAS scores. Factors linked to both abnormality and worse CISS or VAS scores were: the presence of bone injury; a larger number of repaired vessels; the use of vascular grafts and a high Hand Injury Severity Score (HISS).... (More)
Our aim was to identify a cut-off value for self-reported, abnormal cold sensitivity and to identify cold sensitivity predictors after hand injuries. The Cold Intolerance Symptom Severity (CISS) questionnaire and a VAS question concerning discomfort on exposure to cold were investigated in 94 normal people and 88 patients. A CISS score >450 was defined as abnormal cold sensitivity. Multiple injured digits, an increased number of injured vessels, complete nerve injury and replantation were variables associated with high VAS scores. Factors linked to both abnormality and worse CISS or VAS scores were: the presence of bone injury; a larger number of repaired vessels; the use of vascular grafts and a high Hand Injury Severity Score (HISS). The causes of abnormality and severity suggest a multifactorial aetiology with bony, vascular and neural components. A cut-off for abnormality is useful for descriptive, comparative and assessment purposes. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
hand injury severity score, predictors, cold intolerance symptom severity questionnaire, cold intolerance, visual analogue scale, traumatic hand injuries, cut-off, abnormality
in
Journal of Hand Surgery, European Volume
volume
35E
issue
5
pages
409 - 416
publisher
SAGE Publications Inc.
external identifiers
  • wos:000278325100010
  • scopus:77953111465
ISSN
2043-6289
DOI
10.1177/1753193409354184
language
English
LU publication?
yes
id
58c7bbf5-29c4-4244-9b14-3c99da964fbf (old id 1632174)
date added to LUP
2010-07-21 14:21:17
date last changed
2018-10-04 13:50:59
@article{58c7bbf5-29c4-4244-9b14-3c99da964fbf,
  abstract     = {Our aim was to identify a cut-off value for self-reported, abnormal cold sensitivity and to identify cold sensitivity predictors after hand injuries. The Cold Intolerance Symptom Severity (CISS) questionnaire and a VAS question concerning discomfort on exposure to cold were investigated in 94 normal people and 88 patients. A CISS score >450 was defined as abnormal cold sensitivity. Multiple injured digits, an increased number of injured vessels, complete nerve injury and replantation were variables associated with high VAS scores. Factors linked to both abnormality and worse CISS or VAS scores were: the presence of bone injury; a larger number of repaired vessels; the use of vascular grafts and a high Hand Injury Severity Score (HISS). The causes of abnormality and severity suggest a multifactorial aetiology with bony, vascular and neural components. A cut-off for abnormality is useful for descriptive, comparative and assessment purposes.},
  author       = {Carlsson, Ingela and Nilsson, Jan-Åke and Dahlin, Lars},
  issn         = {2043-6289},
  keyword      = {hand injury severity score,predictors,cold intolerance symptom severity questionnaire,cold intolerance,visual analogue scale,traumatic hand injuries,cut-off,abnormality},
  language     = {eng},
  number       = {5},
  pages        = {409--416},
  publisher    = {SAGE Publications Inc.},
  series       = {Journal of Hand Surgery, European Volume},
  title        = {Cut-Off Value for Self-Reported Abnormal Cold Sensitivity and Predictors for Abnormality and Severity in Hand Injuries},
  url          = {http://dx.doi.org/10.1177/1753193409354184},
  volume       = {35E},
  year         = {2010},
}