Estimating disability and quality of life after different degrees of hand and forearm trauma
Background/Aim. Hand injuries comprise up to one fourth of all injuries and require excellent skills and aggressive physical therapy with still a high potential to cause long term physical and functional disability which affects one’s quality of life. The aim of this study was to evaluate d...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2015-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501502155M.pdf |
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| author | Marinković Marija Janjić Zlata Nikolić Jelena |
| author_facet | Marinković Marija Janjić Zlata Nikolić Jelena |
| author_sort | Marinković Marija |
| collection | DOAJ |
| description | Background/Aim. Hand injuries comprise up to one fourth of all injuries and
require excellent skills and aggressive physical therapy with still a high
potential to cause long term physical and functional disability which affects
one’s quality of life. The aim of this study was to evaluate disability and
quality of life in patients with different degrees of hand and forearm
injuries using the two different scoring systems and to examine the
correlation between them. Methods. This retrospective study was performed
among patients operated on at our clinic due to acute hand and forearm trauma
during the period of two years. Four groups of patients were made according
to the Modified Hand Injury Severity Score (MHISS). One year after the
treatment, phone interviews were made with those patients to answer to the
Disability of Arm Shoulder and Hand (quick-DASH) score for estimating
disability and to the World Health Organization Quality of Life BREF
(WHOQoL-BREF) score to estimate the quality of life regerding four domains:
physical, social, environmental and psychological. Results. Out of 182
patients who satisfied the inclusion criteria, only 60 completely answered to
the questionnaires, 46 (17%) men and 14 (23%) women. Most of the patients
were in the group with moderate injuries according to the MHISS, followed by
the group with major and severe injuries. A weak correlation was found
between the MHISS and quick DASH score in the group with minor injuries,
compared to no correlation between these parameters in other groups. The
lowest quality of life was registered in the physical domain, while the
highest in the social one. A negative correlation was found among the four
domains of the WHOQoL BREF score and quick- DASH score in all the groups.
Conclusion. Severity of hand and forearm injuries does not necessarily
correlate with patient’s perception of disability. The quality of life was
less affected by severity of injury than by the patient’s perception of
disability. |
| format | Article |
| id | doaj-art-73c04e338ee548ccbcd989bc302c06f8 |
| institution | OA Journals |
| issn | 0042-8450 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-73c04e338ee548ccbcd989bc302c06f82025-08-20T02:07:05ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502015-01-0172215515910.2298/VSP1502155M0042-84501502155MEstimating disability and quality of life after different degrees of hand and forearm traumaMarinković Marija0Janjić Zlata1Nikolić Jelena2Clinical Center of Vojvodina, Clinic for Plastic and Reconstructive Surgery, Novi SadClinical Center of Vojvodina, Clinic for Plastic and Reconstructive Surgery, Novi SadClinical Center of Vojvodina, Clinic for Plastic and Reconstructive Surgery, Novi SadBackground/Aim. Hand injuries comprise up to one fourth of all injuries and require excellent skills and aggressive physical therapy with still a high potential to cause long term physical and functional disability which affects one’s quality of life. The aim of this study was to evaluate disability and quality of life in patients with different degrees of hand and forearm injuries using the two different scoring systems and to examine the correlation between them. Methods. This retrospective study was performed among patients operated on at our clinic due to acute hand and forearm trauma during the period of two years. Four groups of patients were made according to the Modified Hand Injury Severity Score (MHISS). One year after the treatment, phone interviews were made with those patients to answer to the Disability of Arm Shoulder and Hand (quick-DASH) score for estimating disability and to the World Health Organization Quality of Life BREF (WHOQoL-BREF) score to estimate the quality of life regerding four domains: physical, social, environmental and psychological. Results. Out of 182 patients who satisfied the inclusion criteria, only 60 completely answered to the questionnaires, 46 (17%) men and 14 (23%) women. Most of the patients were in the group with moderate injuries according to the MHISS, followed by the group with major and severe injuries. A weak correlation was found between the MHISS and quick DASH score in the group with minor injuries, compared to no correlation between these parameters in other groups. The lowest quality of life was registered in the physical domain, while the highest in the social one. A negative correlation was found among the four domains of the WHOQoL BREF score and quick- DASH score in all the groups. Conclusion. Severity of hand and forearm injuries does not necessarily correlate with patient’s perception of disability. The quality of life was less affected by severity of injury than by the patient’s perception of disability.http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501502155M.pdfhand injuriesquality of lifedisability evaluationquestionnaires |
| spellingShingle | Marinković Marija Janjić Zlata Nikolić Jelena Estimating disability and quality of life after different degrees of hand and forearm trauma Vojnosanitetski Pregled hand injuries quality of life disability evaluation questionnaires |
| title | Estimating disability and quality of life after different degrees of hand and forearm trauma |
| title_full | Estimating disability and quality of life after different degrees of hand and forearm trauma |
| title_fullStr | Estimating disability and quality of life after different degrees of hand and forearm trauma |
| title_full_unstemmed | Estimating disability and quality of life after different degrees of hand and forearm trauma |
| title_short | Estimating disability and quality of life after different degrees of hand and forearm trauma |
| title_sort | estimating disability and quality of life after different degrees of hand and forearm trauma |
| topic | hand injuries quality of life disability evaluation questionnaires |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501502155M.pdf |
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