Helm P A, Walker S C, Peyton S A
Arch Phys Med Rehabil. 1986 May;67(5):297-8.
Time to return to work following hand burns was studied in 70 patients in relation to several variables: 1. total body surface area (TBSA) burned; 2. hand burned; 3. grafting; 4. patient age; 5. occupational category. Return to work data were also compared by meta-analysis to data in prior reports on return to work in nonburn hand injuries. Patients were evaluated during their hospital stay on all independent variables, and at 8 months following discharge as to the date of return to work. Of the 70 patients selected for the study, 52 (74%) had returned to work at the 8-month assessment. The best predictor of time to return to work was TBSA burned, followed by "grafting" and "hand burned." No significant differences or predictors were found for patient age, occupational category, or between nonburn hand trauma patients in prior reports. Conclusions are drawn concerning the usefulness of these results in terms of case management and economic impact in hand-burn injuries.
对70例手部烧伤患者恢复工作的时间与几个变量进行了研究：1. 烧伤的体表面积（TBSA）；2. 手部烧伤情况；3. 植皮情况；4. 患者年龄；5. 职业类别。还通过荟萃分析将恢复工作的数据与之前关于非烧伤手部损伤恢复工作的报告中的数据进行了比较。在住院期间对患者的所有自变量进行评估，并在出院后8个月评估其恢复工作的日期。在入选该研究的70例患者中，52例（74%）在8个月评估时已恢复工作。恢复工作时间的最佳预测因素是烧伤的体表面积，其次是“植皮”和“手部烧伤”。在患者年龄、职业类别或之前报告中的非烧伤手部创伤患者之间未发现显著差异或预测因素。得出了关于这些结果在手部烧伤损伤的病例管理和经济影响方面的有用性的结论。
