Eriksson Martin, Karlsson Johan, Carlsson Katarina Steen, Dahlin Lars B, Rosberg Hans-Eric
Department of Economics, Lund University Centre for Health Economics, LUCHE, Lund, Sweden.
J Plast Surg Hand Surg. 2011 Feb;45(1):28-34. doi: 10.3109/2000656X.2010.542654.
We estimated costs associated with injuries to hands from log splitters and circular saws used to cut up firewood and assessed the value of prevention. The study was carried out as a cost of illness study with an incidence approach based on 57 consecutive patients (median age 51; range 8-81) with injuries to the hand or forearm. Twenty-six of the 57 had an amputation which required microsurgery and 31/57 had various injuries. Median Hand Injury Severity Score (HISS) reflecting the severity of all injuries was 67 (range 6-332). Median DASH score after 2-7 years was 12.5 (0-73.3). Total cost (direct costs, costs of lost productivity, and lost quality of life) was estimated to roughly EUR 14 million (EUR 2.8 million/year), where the cost of lost quality of life is 82% of the total cost and loss of productivity and direct costs are 9% each. Injuries sustained from log splitters and circular saws account for considerable costs, but first and foremost human suffering.
我们估算了使用劈木机和圆锯劈柴时手部受伤造成的成本，并评估了预防的价值。该研究采用疾病成本研究方法，基于57例手部或前臂受伤的连续患者（中位年龄51岁；范围8 - 81岁）进行发病率分析。57例患者中有26例需要显微外科手术进行截肢，31例有各种不同损伤。反映所有损伤严重程度的中位手部损伤严重程度评分（HISS）为67（范围6 - 332）。2至7年后的中位DASH评分为12.5（0 - 73.3）。总成本（直接成本、生产力损失成本和生活质量损失成本）估计约为1400万欧元（每年280万欧元），其中生活质量损失成本占总成本的82%，生产力损失和直接成本各占9%。劈木机和圆锯造成的伤害不仅带来了可观的成本，更重要的是造成了人类痛苦。
