Department of Hand Surgery, Skåne University Hospital, Jan Waldenströms gata 5, SE-20502, Malmö, Sweden.
Department of Translational Medicine - Hand Surgery, Lund University, Skåne University Hospital, Jan Waldenströms gata 5, SE-20502, Malmö, Sweden.
Health Qual Life Outcomes. 2019 Aug 30;17(1):148. doi: 10.1186/s12955-019-1215-9.
Hand injuries occur at any age and cause disability in hand and arm function as well as impaired quality of life, but no study has focused on hand disability and quality of life in the elderly after a hand injury. Globally, the population over 60 years of age is expected to double by 2050 and more hand injuries are estimated among the elderly population. Our goal is to obtain more information and a better understanding of problems elderly patients experience after a hand injury to be able in the future to optimally relocate resources in the health care sector with respect to numbers and injury pattern as well as to health status of these patients.
Patients aged more than 65 years with a traumatic hand/wrist/forearm injury treated (July 1st 2013 - June 30th 2014) at department of Hand Surgery, Malmö, Sweden were included. Health-related outcome questionnaires, i.e. QuickDASH, SF-36, Visual Analogue Scale (VAS), Cold Intolerance Severity Score (CISS), and general information were mailed to the patients (time from injury: > 1.5-2.5 years). The participants were compared in groups according to age, gender, cold intolerance, injury severity and previous occupation.
One hundred and thirty-seven participants responded [response rate 55%; non-responders (n = 113); only difference between groups was that non-responders were older]. Women were older than men at the time of injury (p = 0.04) and differed regarding living conditions. The main differences in QuickDASH, all VAS questions, and the majority of SF-36 subscales (p < 0.05) were found in the participants with CISS > 50, who experienced more impairment. More serious injuries (Modified HISS) were found to have higher QuickDASH and CISS score as well as more functional impairment (p < 0.05). Few differences were found in groups divided according to age, gender (although men experiencing less functional impairment in QuickDASH), previous occupation and injured hand.
Patients aged more than 65 years at the time a hand injury was sustained, generally experience a high-level quality of life and limited functional problems after such an injury, but patients with CISS > 50 and with a more serious injury were more severely affected.
手部损伤可发生于任何年龄，导致手和手臂功能障碍以及生活质量受损，但尚无研究关注老年人手部损伤后的手部残疾和生活质量。在全球范围内，预计到 2050 年，60 岁以上人口将翻一番，老年人手部损伤的人数预计会增加。我们的目标是获得更多信息，更好地了解老年人手部损伤后的问题，以便将来能够根据患者数量和损伤模式以及健康状况，在卫生保健部门优化资源配置。
纳入在瑞典马尔默手外科接受治疗（2013 年 7 月 1 日-2014 年 6 月 30 日）、年龄在 65 岁以上的创伤性手部/腕部/前臂损伤患者。将健康相关的结果问卷，即 QuickDASH、SF-36、视觉模拟量表（VAS）、冷感觉耐量严重程度评分（CISS）和一般信息寄给患者（受伤后时间：>1.5-2.5 年）。根据年龄、性别、冷不耐受、损伤严重程度和以前的职业，将参与者分为不同的组进行比较。
137 名参与者做出了回应[回应率为 55%；未回应者（n=113）；仅两组之间的差异是未回应者年龄较大]。受伤时女性比男性年龄大（p=0.04），生活条件也不同。在 QuickDASH、所有 VAS 问题和大多数 SF-36 子量表方面（p<0.05），CISS>50 的参与者差异最大，他们的损伤程度更严重。发现更严重的损伤（改良 HISS）有更高的 QuickDASH 和 CISS 评分以及更多的功能障碍（p<0.05）。根据年龄、性别（尽管男性在 QuickDASH 中功能障碍程度较低）、以前的职业和受伤手的不同，将参与者分为不同的组，发现差异很小。
受伤时年龄超过 65 岁的患者，通常在手部损伤后生活质量较高，功能障碍问题有限，但 CISS>50 和损伤更严重的患者受影响更严重。
