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Costs and outcome for serious hand and arm injuries during the first year after trauma - a prospective study

Rosberg, HansE LU ; Steen Carlsson, Katarina LU ; Cederlund, Ragnhild LU ; Ramel, Eva LU and Dahlin, Lars LU (2013) In BMC Public Health 13.
Abstract
Background: To study costs and outcome for serious hand and arm injuries during the first year after the trauma. Methods: 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. Coxregression analysis stratifying for mechanism of injury was used to analyse return to work. Results: 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,... (More)
Background: To study costs and outcome for serious hand and arm injuries during the first year after the trauma. Methods: 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. Coxregression analysis stratifying for mechanism of injury was used to analyse return to work. Results: 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]. Conclusions: 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. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Hand injury, HISS, DASH, EQ-5D, Costs, Health care costs, Complex, injury, Nerve injury
in
BMC Public Health
volume
13
publisher
BioMed Central
external identifiers
  • wos:000320277200001
  • scopus:84878007597
ISSN
1471-2458
DOI
10.1186/1471-2458-13-501
language
English
LU publication?
yes
id
decc0187-7cfe-4e25-92b3-87e1e3f8e4cf (old id 3927343)
date added to LUP
2013-08-01 07:36:10
date last changed
2019-09-26 02:24:19
@article{decc0187-7cfe-4e25-92b3-87e1e3f8e4cf,
  abstract     = {Background: To study costs and outcome for serious hand and arm injuries during the first year after the trauma. Methods: 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. Coxregression analysis stratifying for mechanism of injury was used to analyse return to work. Results: 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]. Conclusions: 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.},
  articleno    = {501},
  author       = {Rosberg, HansE and Steen Carlsson, Katarina and Cederlund, Ragnhild and Ramel, Eva and Dahlin, Lars},
  issn         = {1471-2458},
  keyword      = {Hand injury,HISS,DASH,EQ-5D,Costs,Health care costs,Complex,injury,Nerve injury},
  language     = {eng},
  publisher    = {BioMed Central},
  series       = {BMC Public Health},
  title        = {Costs and outcome for serious hand and arm injuries during the first year after trauma - a prospective study},
  url          = {http://dx.doi.org/10.1186/1471-2458-13-501},
  volume       = {13},
  year         = {2013},
}