Manley Oliver W G, Wormald Justin C R, Furniss Dominic
1 Department of Plastic Surgery, Stoke Mandeville Hospital, Aylesbury, Buckinghamshire, UK.
2 Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Botnar Research Centre, University of Oxford, Oxford, UK.
J Hand Surg Eur Vol. 2019 Jun;44(5):532-536. doi: 10.1177/1753193419828986. Epub 2019 Feb 14.
Hospital Episode Statistics (HES) include freely accessible records of all hospital episodes in England. We analysed HES from 1998-1999 to 2014-2015 for diagnoses of hand fractures, tendon injuries, nerve injuries, blood vessel injuries, traumatic amputations and nail bed injuries. Population data were used to calculate the incidence. The overall incidence of the injuries increased from 70 to 110 per 100,000. There were especially large increases in the incidence of fractures in the over 75 years age group and nail bed injuries in the 0-14 years age group. The incidence of nerve injuries also increased. We conclude from this study that HES is a useful tool. The information from HES may help plan service provision and also highlight important clinical problems that may benefit from further research.
医院事件统计（HES）包括英格兰所有医院事件的免费可获取记录。我们分析了1998 - 1999年至2014 - 2015年的HES数据，以了解手部骨折、肌腱损伤、神经损伤、血管损伤、外伤性截肢和甲床损伤的诊断情况。使用人口数据来计算发病率。这些损伤的总体发病率从每10万人70例增加到110例。75岁以上年龄组的骨折发病率和0 - 14岁年龄组的甲床损伤发病率尤其大幅上升。神经损伤的发病率也有所增加。我们从这项研究得出结论，HES是一个有用的工具。HES提供的信息可能有助于规划服务提供，还能突出那些可能受益于进一步研究的重要临床问题。
