Trauma Unit, Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands.
Trauma Unit, Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands.
J Hand Ther. 2018 Jul-Sep;31(3):287-294. doi: 10.1016/j.jht.2017.10.007. Epub 2017 Nov 11.
Cross-sectional study.
The Patient-Rated Wrist Evaluation (PRWE) questionnaire is used to evaluate functional outcomes after treatment of wrist and hand injuries and nontraumatic conditions. Since patients commonly present with an injury, it is impossible to assess preinjury physical functioning. Therefore, it is important to be aware of the population-based normative data.
The aim of this study was to determine the normative data for the PRWE questionnaire. Secondary, we aimed to determine if there were factors influencing these normative data.
Visitors and employees of 4 hospitals were requested to participate. Excluded were all participants who were scheduled for surgery or were in treatment or after treatment for an injury of the wrist or hand within 1 year after trauma. All participants were asked to complete the PRWE questionnaire and were asked for their age, sex, history of wrist or hand fracture or surgery, daily activities, and the type of employment. The socioeconomic status was determined based on the zip code.
The median PRWE score was 0 (interquartile range: 0-8.5) and the mean score 7.7 (standard deviation: 15.0). Women had significantly higher scores compared to men, and younger individuals had significantly lower scores. Participants with a history of wrist or hand fracture or surgery, and participants who were unfit for work had significantly higher scores. Socioeconomic status was not correlated with the PRWE score.
The purpose was to provide an representative overview of the normative data for the normal population. We did not want to present the data of an unnatural healthy population, which is not representative of the normal population. Deleting patients with chronic wrist or hand complaints, would have resulted in normative values which are not representable for the normal, average population.
Low scores are observed for the PRWE in the general population. These scores are age and sex dependent and are higher in individuals with a history of wrist or hand fracture or surgery or who are unfit for work.
横断面研究。
患者腕关节评估（PRWE）问卷用于评估手腕和手部损伤及非创伤性疾病治疗后的功能结果。由于患者通常因受伤就诊，因此无法评估受伤前的身体功能。因此，了解基于人群的正常值数据非常重要。
本研究旨在确定 PRWE 问卷的正常值数据。其次，我们旨在确定是否存在影响这些正常值数据的因素。
要求 4 家医院的访客和员工参与。排除所有计划接受手术或在创伤后 1 年内手腕或手部受伤接受治疗或治疗后的患者。所有参与者均被要求完成 PRWE 问卷，并被问及年龄、性别、手腕或手部骨折或手术史、日常活动以及就业类型。社会经济地位根据邮政编码确定。
PRWE 评分中位数为 0（四分位距：0-8.5），平均评分为 7.7（标准差：15.0）。女性的评分明显高于男性，而年轻患者的评分明显较低。有手腕或手部骨折或手术史的患者和无法工作的患者的评分明显较高。社会经济地位与 PRWE 评分无关。
本研究旨在提供正常人群正常值数据的代表性概述。我们不想呈现出不自然的健康人群的数据，因为这些数据不能代表正常人群。删除慢性手腕或手部投诉的患者，将导致不能代表正常人群的正常值。
在一般人群中，PRWE 的评分较低。这些评分与年龄和性别有关，并且在手腕或手部骨折或手术史或无法工作的患者中更高。
