Fulchignoni Camillo, Covino Marcello, Pietramala Silvia, Lopez Ivo, Merendi Gianfranco, De Matthaeis Andrea, Franceschi Francesco, Maccauro Giulio, Rocchi Lorenzo
Orthopedics & Hand Surgery Unit, Department of Orthopedics, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Department of Emergency Medicine, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Geriatrics (Basel). 2023 Nov 15;8(6):112. doi: 10.3390/geriatrics8060112.
The prevalence of hand injuries increases with age, with elderly patients being more prone to hand lesions due to a combination of factors, such as reduced bone density and muscle strength, impaired sensation, and cognitive impairment. Despite the high incidence of hand injuries in the elderly population, few studies have addressed the management and outcomes of hand lesions in this age group. This study aimed to analyze the characteristics and management of hand lesions in patients over 80 years old. The authors conducted a retrospective analysis of medical records of patients over 80 years old who reached their Emergency Department with hand lesions between 2001 and 2020. Data on demographics, injury characteristics, and management were collected and analyzed. A total of 991 patients with hand lesions were included in the study, with a mean age of 84.9 years. The most common causes of injuries were domestic accidents (32.6%) and traffic accidents (12.8%). The most frequent types of hand lesions were fractures (23.5%) and superficial wounds (20.5%). Overall, 23.4% underwent surgical treatment for their hand issue, and 22.1% had associated injuries, among which, the most common were head trauma and other bone fractures. In conclusion, hand lesions in patients over 80 years old are frequent and pose significant challenges in diagnosis and management. Particular attention should be paid to associated injuries and limit indications to surgery when strictly necessary.
手部损伤的患病率随年龄增长而增加，老年患者由于多种因素，如骨密度降低、肌肉力量减弱、感觉受损和认知障碍，更容易发生手部损伤。尽管老年人群中手部损伤的发生率很高，但很少有研究涉及该年龄组手部损伤的治疗及预后情况。本研究旨在分析80岁以上患者手部损伤的特点及治疗情况。作者对2001年至2020年间因手部损伤到急诊科就诊的80岁以上患者的病历进行了回顾性分析。收集并分析了人口统计学、损伤特征及治疗方面的数据。共有991例手部损伤患者纳入研究，平均年龄为84.9岁。损伤的最常见原因是家庭事故（32.6%）和交通事故（12.8%）。最常见的手部损伤类型是骨折（23.5%）和浅表伤口（20.5%）。总体而言，23.4%的患者因手部问题接受了手术治疗，22.1%的患者伴有其他损伤，其中最常见的是头部外伤和其他骨折。总之，80岁以上患者的手部损伤很常见，在诊断和治疗方面面临重大挑战。应特别关注伴发损伤，仅在绝对必要时限制手术指征。
