Department of Plastic, Reconstructive, and Aesthetic Surgery, University College Hospital, Ibadan, Nigeria.
Department of Surgery, College of Medicine, University of Ibadan, Nigeria.
Niger J Clin Pract. 2024 Jul 1;27(7):880-885. doi: 10.4103/njcp.njcp_30_24. Epub 2024 Jul 27.
The management of upper limb injury is aimed at a timely return to work, and other activities of daily living. The modified hand injury severity score (MHISS) has been found to predict a return to work. Upper limb injuries are common in our subregion, but there is little or no data on the time to return to work.
This study, therefore, aimed to determine the prevalence of return to work and to identify the predictors of time to return to work following reconstruction of upper limb injuries.
This was a cross-sectional analytic study carried out between April 2022 and March 2023. The statistical test was at a confidence interval of 95%, and statistical significance set at a P value of <0.05.
A total of 49 upper-limb-injured patients had reconstruction in the time under review. Male-to-female ratio was 4.4:1. The mean MHISS was 87.9 ± 79.2. Of the 43 patients who participated in the return-to-work analysis, 41.9% had returned to work, with a mean time of 14.3 ± 10.5 weeks. Work-related injuries (r = 0.357, P = 0.019), male gender (r = 0.354, P = 0.020), and MHISS (r = 0.333, P = 0.029) correlated significantly with late return to work. On multiple logistic regression, work-related injuries (β =0.321, P = 0.037), MHISS (β =0.376, P = 0.032), and male gender (β =0.326, P = 0.044) were found to be the significant predictors of late return to work.
There is a low prevalence of return to work, with a high mean time to return. Work-related injuries, MHISS, and male gender are significant predictors of time to return to work.
上肢损伤的治疗目标是及时恢复工作和日常生活活动。改良手损伤严重程度评分（MHISS）已被证明可预测工作恢复情况。在我们的次区域，上肢损伤很常见，但有关工作恢复时间的数据很少或没有。
因此，本研究旨在确定工作恢复的发生率，并确定上肢损伤重建后工作恢复时间的预测因素。
这是一项在 2022 年 4 月至 2023 年 3 月期间进行的横断面分析研究。统计检验置信区间为 95%，统计学意义设定为 P 值<0.05。
在审查期间，共有 49 名上肢受伤患者接受了重建。男女比例为 4.4:1。平均 MHISS 为 87.9±79.2。在参与工作恢复分析的 43 名患者中，41.9%已经恢复工作，平均时间为 14.3±10.5 周。工作相关损伤（r=0.357，P=0.019）、男性（r=0.354，P=0.020）和 MHISS（r=0.333，P=0.029）与工作恢复时间延迟显著相关。多元逻辑回归显示，工作相关损伤（β=0.321，P=0.037）、MHISS（β=0.376，P=0.032）和男性（β=0.326，P=0.044）是工作恢复时间延迟的显著预测因素。
工作恢复的发生率较低，平均恢复时间较长。工作相关损伤、MHISS 和男性是工作恢复时间的重要预测因素。
