Hofmann Veronika, Maleki Maryam, Brown Hazel, Quick Tom, Samii Madjid, Rasulić Lukas, Pott Peter P, Schneider Urs
Biomechatronic Systems, Fraunhofer Institute for Manufacturing Engineering and Automation, Stuttgart, Germany; Human-Technology Interaction, Institute of Industrial Manufacturing and Management, University of Stuttgart, Stuttgart, Germany.
Sanitätshaus Wurster GmbH, Freudenstadt, Germany.
World Neurosurg. 2025 Feb;194:123632. doi: 10.1016/j.wneu.2024.123632. Epub 2025 Jan 23.
Each year, thousands of individuals, particularly young adults, experience traumatic brachial plexus injuries (TBPIs), leading to significant limitations, permanent disabilities, reduced quality of life, and infrequent return to work. Current treatments and assistive devices have shown limited success, resulting in considerable social and economic challenges for patients. Given the devastating nature of this injury and the lack of literature on return to work rates among young adults, this study aims to determine the percentage of individuals reintegrating into work after a TBPI. Furthermore, it compares outcomes across different health care systems, including those in Germany, Serbia, and the United Kingdom. This dual approach has been selected to investigate the influence of various factors on the outcomes associated with returning to work after TBPI. Preliminary findings indicate that approximately 60% of patients with TBPI return to work, although most require a change in their occupational roles. Despite variations in health care systems and governmental support, the reintegration of patients with TBPI into work and society remains a critical and universal challenge. This comparative analysis highlights disparities in TBPI research and outcomes, providing valuable insights for future improvements in patient care and support mechanisms.
每年,成千上万的人,尤其是年轻人,会遭受创伤性臂丛神经损伤(TBPI),导致严重的功能受限、永久性残疾、生活质量下降以及很少能重返工作岗位。目前的治疗方法和辅助设备成效有限,给患者带来了巨大的社会和经济挑战。鉴于这种损伤的严重性以及关于年轻人重返工作岗位比率的文献匮乏,本研究旨在确定创伤性臂丛神经损伤后重新融入工作的个体比例。此外,它还比较了不同医疗体系(包括德国、塞尔维亚和英国的医疗体系)的结果。选择这种双重方法是为了研究各种因素对创伤性臂丛神经损伤后重返工作相关结果的影响。初步研究结果表明,约60%的创伤性臂丛神经损伤患者能重返工作岗位,尽管大多数人需要改变职业角色。尽管医疗体系和政府支持存在差异,但创伤性臂丛神经损伤患者重新融入工作和社会仍然是一项关键且普遍的挑战。这种比较分析突出了创伤性臂丛神经损伤研究和结果的差异,为未来改善患者护理和支持机制提供了宝贵的见解。