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首页> 外文期刊>Scandinavian journal of plastic and reconstructive surgery and hand surgery >Prospective study of patients with injuries to the hand and forearm: costs, function, and general health.
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Prospective study of patients with injuries to the hand and forearm: costs, function, and general health.

机译：对手和前臂受伤的患者进行的前瞻性研究：费用，功能和总体健康状况。

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摘要

Patients with injured hands and forearms of varying severity [Hand Injury Severity Score (HISS)] were studied prospectively, including analysis of costs, hand/arm function (DASH), and health status (SF-36). Costs, duration of sick-leave, DASH-score (high score; impaired function) increased by severity of injury (higher HISS) and the greatest proportion of total costs resulted from lost production. Most employed patients returned to work within a year, but even minor injuries were expensive. HISS and costs of care during an emergency were significantly associated with duration of sick-leave, although HISS did not fully explain variation in costs and duration of sick-leave. DASH-score at one year was associated with variation in age, HISS, and residual health care costs. Results of DASH and subgroups for physical and bodily pain on SF-36 were consistent. Injuries to hand and forearm may generate high costs for society in terms of health care and long periods of sick-leave (lost production), but even minor injuries should be accounted for.
机译：前瞻性地研究了具有不同严重程度的手和前臂受伤的患者[手部损伤严重程度评分（HISS）]，包括费用，手/手臂功能（DASH）和健康状况（SF-36）的分析。成本，病假持续时间，DASH评分（高分;功能受损）因伤害的严重程度（HIS较高）而增加，并且总成本的最大比例是生产损失。大多数受雇的患者会在一年内恢复工作，但即使是轻伤也很昂贵。 HISS和紧急情况下的护理费用与病假时间显着相关，尽管HISS不能完全解释病假费用和病程的变化。一年的DASH得分与年龄，HIS和剩余医疗费用的变化有关。 DASH和亚组的SF-36身体和身体疼痛的结果一致。手部和前臂的伤害可能会在医疗保健和长期病假（生产损失）方面为社会带来高昂的成本，但即使是轻伤也应考虑在内。

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