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Patient-reported quality of life and hand disability in elderly patients after a traumatic hand injury - A retrospective study

Reitan, Ingrid; Dahlin, Lars B. LU and Rosberg, Hans Eric LU (2019) In Health and Quality of Life Outcomes 17(1).
Abstract

Background: Hand injuries occur at any age and cause disability in hand and arm function as well as impaired quality of life, but no study has focused on hand disability and quality of life in the elderly after a hand injury. Globally, the population over 60 years of age is expected to double by 2050 and more hand injuries are estimated among the elderly population. Our goal is to obtain more information and a better understanding of problems elderly patients experience after a hand injury to be able in the future to optimally relocate resources in the health care sector with respect to numbers and injury pattern as well as to health status of these patients. Methods: Patients aged more than 65 years with a traumatic hand/wrist/forearm... (More)

Background: Hand injuries occur at any age and cause disability in hand and arm function as well as impaired quality of life, but no study has focused on hand disability and quality of life in the elderly after a hand injury. Globally, the population over 60 years of age is expected to double by 2050 and more hand injuries are estimated among the elderly population. Our goal is to obtain more information and a better understanding of problems elderly patients experience after a hand injury to be able in the future to optimally relocate resources in the health care sector with respect to numbers and injury pattern as well as to health status of these patients. Methods: Patients aged more than 65 years with a traumatic hand/wrist/forearm injury treated (July 1st 2013 - June 30th 2014) at department of Hand Surgery, Malmö, Sweden were included. Health-related outcome questionnaires, i.e. QuickDASH, SF-36, Visual Analogue Scale (VAS), Cold Intolerance Severity Score (CISS), and general information were mailed to the patients (time from injury: > 1.5-2.5 years). The participants were compared in groups according to age, gender, cold intolerance, injury severity and previous occupation. Results: One hundred and thirty-seven participants responded [response rate 55%; non-responders (n = 113); only difference between groups was that non-responders were older]. Women were older than men at the time of injury (p = 0.04) and differed regarding living conditions. The main differences in QuickDASH, all VAS questions, and the majority of SF-36 subscales (p < 0.05) were found in the participants with CISS > 50, who experienced more impairment. More serious injuries (Modified HISS) were found to have higher QuickDASH and CISS score as well as more functional impairment (p < 0.05). Few differences were found in groups divided according to age, gender (although men experiencing less functional impairment in QuickDASH), previous occupation and injured hand. Conclusions: Patients aged more than 65 years at the time a hand injury was sustained, generally experience a high-level quality of life and limited functional problems after such an injury, but patients with CISS > 50 and with a more serious injury were more severely affected.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
CISS, Elderly, Hand disability, Hand injury, Quality of life, QuickDASH
in
Health and Quality of Life Outcomes
volume
17
issue
1
publisher
BioMed Central
external identifiers
  • scopus:85071762332
ISSN
1477-7525
DOI
10.1186/s12955-019-1215-9
language
English
LU publication?
yes
id
337949e2-1181-4848-ac7b-a2fcc624fd90
date added to LUP
2019-09-18 12:01:08
date last changed
2019-10-08 03:58:04
@article{337949e2-1181-4848-ac7b-a2fcc624fd90,
  abstract     = {<p>Background: Hand injuries occur at any age and cause disability in hand and arm function as well as impaired quality of life, but no study has focused on hand disability and quality of life in the elderly after a hand injury. Globally, the population over 60 years of age is expected to double by 2050 and more hand injuries are estimated among the elderly population. Our goal is to obtain more information and a better understanding of problems elderly patients experience after a hand injury to be able in the future to optimally relocate resources in the health care sector with respect to numbers and injury pattern as well as to health status of these patients. Methods: Patients aged more than 65 years with a traumatic hand/wrist/forearm injury treated (July 1st 2013 - June 30th 2014) at department of Hand Surgery, Malmö, Sweden were included. Health-related outcome questionnaires, i.e. QuickDASH, SF-36, Visual Analogue Scale (VAS), Cold Intolerance Severity Score (CISS), and general information were mailed to the patients (time from injury: &gt; 1.5-2.5 years). The participants were compared in groups according to age, gender, cold intolerance, injury severity and previous occupation. Results: One hundred and thirty-seven participants responded [response rate 55%; non-responders (n = 113); only difference between groups was that non-responders were older]. Women were older than men at the time of injury (p = 0.04) and differed regarding living conditions. The main differences in QuickDASH, all VAS questions, and the majority of SF-36 subscales (p &lt; 0.05) were found in the participants with CISS &gt; 50, who experienced more impairment. More serious injuries (Modified HISS) were found to have higher QuickDASH and CISS score as well as more functional impairment (p &lt; 0.05). Few differences were found in groups divided according to age, gender (although men experiencing less functional impairment in QuickDASH), previous occupation and injured hand. Conclusions: Patients aged more than 65 years at the time a hand injury was sustained, generally experience a high-level quality of life and limited functional problems after such an injury, but patients with CISS &gt; 50 and with a more serious injury were more severely affected.</p>},
  articleno    = {148},
  author       = {Reitan, Ingrid and Dahlin, Lars B. and Rosberg, Hans Eric},
  issn         = {1477-7525},
  keyword      = {CISS,Elderly,Hand disability,Hand injury,Quality of life,QuickDASH},
  language     = {eng},
  month        = {08},
  number       = {1},
  publisher    = {BioMed Central},
  series       = {Health and Quality of Life Outcomes},
  title        = {Patient-reported quality of life and hand disability in elderly patients after a traumatic hand injury - A retrospective study},
  url          = {http://dx.doi.org/10.1186/s12955-019-1215-9},
  volume       = {17},
  year         = {2019},
}