Mink van der Molen A B, Ettema A M, Hovius S E R
Department of Plastic and Reconstructive Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands.
J Hand Surg Br. 2003 Aug;28(4):295-9. doi: 10.1016/s0266-7681(03)00082-2.
This study was designed to evaluate correlations between the hand injury severity scoring system (HISS) and measures of impairment and disability obtained 6 months after a hand injury. A statistically significant positive correlation was found between the severity of the injury (HISS) and residual impairment, as measured with the American Medical Association's (AMA) "Guides to the evaluation of permanent impairment, 4th edition". No statistically significant correlation was found between the severity of the injury (HISS) and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, which measures disability from the patient's perspective. There was however a statistically significant correlation between AMA total body impairment measured and the results of the DASH questionnaire. The results indicate the potential of the HISS for predicting the final impairment after hand injuries.
本研究旨在评估手部损伤严重程度评分系统（HISS）与手部损伤6个月后获得的功能障碍和残疾测量指标之间的相关性。研究发现，损伤严重程度（HISS）与采用美国医学协会（AMA）《永久性损伤评估指南（第4版）》测量的残余功能障碍之间存在统计学上显著的正相关。未发现损伤严重程度（HISS）与从患者角度测量残疾情况的上肢、肩部和手部功能障碍（DASH）问卷之间存在统计学上显著的相关性。然而，AMA全身功能障碍测量结果与DASH问卷结果之间存在统计学上显著的相关性。结果表明，HISS在预测手部损伤后的最终功能障碍方面具有潜力。
