Department of Orthopaedic Surgery, Carilion Clinic Institute for Orthopaedics and Neurosciences, Roanoke, VA, USA.
Department of Health Analytics, Carilion Clinic, VA, USA.
Hand (N Y). 2023 Sep;18(6):918-924. doi: 10.1177/15589447221077363. Epub 2022 Mar 6.
Patient return-to-driving following minor hand surgery is unknown. Through daily text message surveys, we sought to determine return-to-driving after minor hand surgery and the factors that influence return-to-driving.
One hundred five subjects undergoing minor hand surgery received daily text messaging surveys postoperatively to assess: (1) if they drove the day before and if so; (2) whether they wore a cast, sling, or splint. Additional patient-, procedure-, and driving-related data were collected.
More than half of subjects, 54 out of 105, returned to driving by the end of postoperative day #1. While patient-related factors had no effect on return-to-driving, significant differences were seen in anesthesia type, procedure laterality, driving assistance, and distance. Return-to-driving was significantly later for subjects who had general anesthetic compared to wide awake local anesthetic with no tourniquet (4 ± 4 days vs 1 ± 3 days, = 0.020), as well as for bilateral procedures versus unilateral procedures (5 ± 5 days vs 1 ± 3 days, = 0.046). Lack of another driver and driving on highways led to earlier return-to-driving ( = 0.040 and, = 0.005, respectively).
Most patients rapidly return to driving after minor hand surgery. Use of general anesthetic and bilateral procedures may delay return-to-driving. Confidential real-time text-based surveys can provide valuable information on postoperative return-to-driving and other patient behaviors.
患者在手部小手术后能否恢复驾驶状态并不明确。我们通过每日短信调查，旨在确定手部小手术后患者恢复驾驶的情况，以及影响患者恢复驾驶的因素。
105 例行手部小手术的患者术后每天接受短信调查，以评估：（1）他们前一天是否开车，如果开车；（2）他们是否佩戴了石膏、吊带或夹板。还收集了患者、手术和驾驶相关的其他数据。
超过一半的患者（105 例中有 54 例）在术后第 1 天结束前恢复驾驶。尽管患者相关因素对恢复驾驶无影响，但麻醉类型、手术侧别、驾驶辅助和距离存在显著差异。与清醒局部麻醉无止血带相比，全身麻醉的患者恢复驾驶的时间明显更晚（4±4 天比 1±3 天， = 0.020），双侧手术比单侧手术更晚（5±5 天比 1±3 天， = 0.046）。没有其他驾驶员和在高速公路上行驶会更早地恢复驾驶（ = 0.040 和 = 0.005）。
大多数患者在手部小手术后能迅速恢复驾驶。全身麻醉和双侧手术可能会延迟恢复驾驶的时间。使用机密的实时基于文本的调查可以提供有关术后恢复驾驶和其他患者行为的有价值的信息。
