Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
Br J Neurosurg. 2024 Jun;38(3):643-647. doi: 10.1080/02688697.2021.1947975. Epub 2021 Jul 9.
Until now, a scoring system for determining functional prognosis in traumatic brachial plexus injury (TBPI) does not yet exist.
This research is a retrospective study with analytic design to find data for each parameter that affect the functional prognosis in patients with TBPI and assess these factors for comparison using the DASH score. The parameters that are proven to affect the functional prognosis included in a scoring system that we have designed.
It resulted that the functional prognosis of TBPI patients can be determined based on the mechanism of injury, initial pain scale, pain time, level of injury, time of surgery, and initial electromyography (EMG) result.
Based on the scoring system created in this study, we can conclude that the total score <15 has a good functional prognosis, while a score of ≥15 has a bad functional prognosis, with sensitivity and specificity of 76.6% and 70.2% respectively. This research is categorized as level 3 of evidence.
到目前为止，还没有用于确定创伤性臂丛神经损伤（TBPI）功能预后的评分系统。
这是一项回顾性分析研究，旨在寻找影响 TBPI 患者功能预后的每个参数的数据，并使用 DASH 评分评估这些因素进行比较。已证明会影响功能预后的参数被纳入我们设计的评分系统中。
研究结果表明，TBPI 患者的功能预后可以根据损伤机制、初始疼痛量表、疼痛持续时间、损伤程度、手术时间和初始肌电图（EMG）结果来确定。
基于本研究创建的评分系统，我们可以得出结论，总分<15 具有良好的功能预后，而总分≥15 具有较差的功能预后，其敏感性和特异性分别为 76.6%和 70.2%。本研究属于证据等级 3。
