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自杀未遂与意外导致的严重手腕损伤在感觉运动结果方面并无差异,但在患者报告的结局指标方面存在差异。

Deep wrist injuries from suicide attempts vs. accidents do not differ regarding sensorimotor outcome, but regarding patient-reported outcome measures.

作者信息

Matzkeit Nico, Kisch Tobias, Waldmann Annika, Schweiger Ulrich, Mailänder Peter, Westermair Anna Lisa

机构信息

Clinic of Plastic Surgery, University of Lübeck, Lübeck, Germany.

Institute for Social Medicine and Epidemiology, University of Lübeck, Lübeck, Germany.

出版信息

J Plast Surg Hand Surg. 2023 Feb-Dec;57(1-6):95-102. doi: 10.1080/2000656X.2021.1993868. Epub 2021 Nov 3.

Abstract

Despite the clinical importance of deep wrist injuries (DWIs), data comparing the outcome of suicide attempt survivors vs. accident survivors are lacking. Patients admitted to our Clinic for acute treatment of a DWI from 2008 to 2016 were contacted for a follow-up assessment of sensory, motor and functional outcomes. Patients also completed the Disability of the Arm, Shoulder and Hand Questionnaire, the Modified Mayo Wrist Score, the Boston Carpal Tunnel Questionnaire, and the WHOQOL-BREF questionnaires. 51 patients could be followed up, on average 4.3±2.9years after their injury. Suicide attempt survivors did not differ from accidents survivors concerning two-point discrimination, grip and pinch strength, but showed poorer outcomes in self-reported disability, symptom severity, and quality of life. Patients with DWIs from suicide attempts vs. accidents do not differ in sensorimotor outcomes but patient-reported outcome measures. Level of Evidence: II.

摘要

尽管手腕深部损伤(DWI)具有临床重要性,但缺乏比较自杀未遂幸存者与意外事故幸存者结局的数据。我们联系了2008年至2016年因DWI急性治疗而入住我们诊所的患者,以对其感觉、运动和功能结局进行随访评估。患者还完成了手臂、肩部和手部残疾问卷、改良梅奥手腕评分、波士顿腕管综合征问卷以及世界卫生组织生活质量简表问卷。51例患者得以随访,平均在受伤后4.3±2.9年。自杀未遂幸存者与意外事故幸存者在两点辨别觉、握力和捏力方面没有差异,但在自我报告的残疾、症状严重程度和生活质量方面表现出较差的结局。自杀未遂与意外事故导致DWI的患者在感觉运动结局方面没有差异,但在患者报告的结局指标方面存在差异。证据级别:II级。

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