Student Research Committee, School of Medicine, Shahroud University of Medical Sciences, 7 Tir SQ, 36147-73943 Shahroud, Iran.
School of Medicine, Shahroud University of Medical Sciences, Plastic Reconstructive & Hand Surgery, 7 Tir SQ, 36147-73943 Shahroud, Iran.
Hand Surg Rehabil. 2022 Dec;41(6):695-700. doi: 10.1016/j.hansur.2022.08.010. Epub 2022 Sep 8.
Socioeconomic status (SES) is an important factor affecting different aspects of human health, including self-care and healthcare service use. The relation between SES and hand injury severity is not well defined; therefore, the present study aimed to investigate the relation between SES and hand injury severity. This cross-sectional descriptive and analytical study included 215 patients with hand injury. Demographic, clinical, and SES-related factors were collected by questionnaire. Injury severity was assessed on Hand Injury Severity Score (HISS). Statistical analysis used the Student t-test, chi-square test and a multinomial regression model to calculate the odds ratio (OR) of each predictive factor. Mean age was 38.02 ± 13.49 years (range, 12-80 years). 73.5% of the participants were men. Patients with low SES were significantly more likely to develop severe hand injury (OR = 5.25 and 9.25 at HISS levels 3 and 4, respectively). In addition, there was a significant association between being born in rural areas and severe (HISS level 3, OR = 2.63) or major (HISS level 4, OR = 2.63) hand injury. Also, major (HISS level 4) hand injuries were significantly more prevalent in patients living in rural areas (OR = 4.23) and those injured in road accidents (OR = 1.98) or practicing sports (OR = 3.51). The study concluded that patients with low SES were 5-10-fold more likely to suffer from severe and major hand injuries, and thus provided valuable information for Iranian policymakers to take preventive measures for hand injuries. It is recommended to improve postoperative care in patients with low SES who underwent hand surgery, take the necessary measures to decrease the incidence of road accident injuries, facilitate early referral of patients with hand injury to trauma centers, and improve postoperative follow-up until full recovery. LEVEL OF EVIDENCE: III.
社会经济地位（SES）是影响人类健康各个方面的一个重要因素，包括自我护理和医疗保健服务的使用。SES 与手部损伤严重程度之间的关系尚未明确；因此，本研究旨在探讨 SES 与手部损伤严重程度之间的关系。这是一项横断面描述性和分析性研究，纳入了 215 名手部损伤患者。通过问卷调查收集人口统计学、临床和 SES 相关因素。手部损伤严重程度采用手部损伤严重程度评分（HISS）进行评估。统计分析采用学生 t 检验、卡方检验和多项回归模型计算每个预测因素的优势比（OR）。平均年龄为 38.02±13.49 岁（范围 12-80 岁）。73.5%的参与者为男性。SES 较低的患者发生严重手部损伤的可能性显著更高（HISS 水平 3 和 4 时分别为 OR=5.25 和 9.25）。此外，出生在农村地区与严重（HISS 水平 3，OR=2.63）或重大（HISS 水平 4，OR=2.63）手部损伤之间存在显著关联。同样，农村地区（OR=4.23）和道路交通事故（OR=1.98）或运动（OR=3.51）中患者的重大（HISS 水平 4）手部损伤更为常见。研究得出结论，SES 较低的患者发生严重和重大手部损伤的可能性是 5-10 倍，为伊朗政策制定者提供了有价值的信息，以便采取手部损伤预防措施。建议改善 SES 较低的手部手术患者的术后护理，采取必要措施降低道路交通事故伤害的发生率，促进手部损伤患者及时转诊至创伤中心，并改善术后随访直至完全康复。证据水平：III。
