Rosberg Hans-Eric, Carlsson Katarina Steen, Dahlin Lars B
Department of Hand Surgery, Malmö University Hospital, Malmö, Sweden.
Scand J Plast Reconstr Surg Hand Surg. 2005;39(6):360-9. doi: 10.1080/02844310500340046.
Patients with injured hands and forearms of varying severity [Hand Injury Severity Score (HISS)] were studied prospectively, including analysis of costs, hand/arm function (DASH), and health status (SF-36). Costs, duration of sick-leave, DASH-score (high score; impaired function) increased by severity of injury (higher HISS) and the greatest proportion of total costs resulted from lost production. Most employed patients returned to work within a year, but even minor injuries were expensive. HISS and costs of care during an emergency were significantly associated with duration of sick-leave, although HISS did not fully explain variation in costs and duration of sick-leave. DASH-score at one year was associated with variation in age, HISS, and residual health care costs. Results of DASH and subgroups for physical and bodily pain on SF-36 were consistent. Injuries to hand and forearm may generate high costs for society in terms of health care and long periods of sick-leave (lost production), but even minor injuries should be accounted for.
我们对不同严重程度手部和前臂损伤的患者[手部损伤严重程度评分（HISS）]进行了前瞻性研究，包括成本分析、手/臂功能（DASH）和健康状况（SF - 36）。成本、病假时长、DASH评分（高分表示功能受损）随损伤严重程度（更高的HISS）增加，总成本的最大部分来自生产损失。大多数就业患者在一年内重返工作岗位，但即使是轻伤也代价高昂。尽管HISS不能完全解释成本和病假时长的变化，但HISS和急诊期间的护理成本与病假时长显著相关。一年时的DASH评分与年龄、HISS及剩余医疗保健成本的变化相关。DASH结果以及SF - 36身体和躯体疼痛亚组的结果是一致的。手部和前臂损伤在医疗保健和长期病假（生产损失）方面可能给社会带来高昂成本，但即使是轻伤也应予以考虑。
