A prospective evaluation of the Modified Hand Injury Severity Score in predicting return to work

Abstract

Hand injuries are the main cause of work-related disability in young adults. We have devised the Modified Hand Injury Scoring System to quantify hand, wrist and forearm injuries. This study aims to determine its value in predicting ability and time taken to return to work after such injury. Prospectively-assigned MHISS at presentation was compared with demographic, injury, employment and quality of life information 40-52months after acute hand or forearm injury. MHISS score was the only variable investigated found to predict ability to return to work. Factors not associated included age at injury, occupation, hand injury side or dominance, main earner status and compensation-seeking. Median time to return to work increased from 30 to 760days for Mild and Major MHISS categories respectively. Injury severity quantified using MHISS is an important determinant of return to work after hand or forearm injury. Only 60% of patients return to work following a Major injury and may take over a year to do so. Such information may allow the patient to make early informed personal financial and retraining decisions after their injury.

Investigation of Relationship Between Severity of Injury, Return to Work, Impairment and Activity Participation in Hand and Forearm Injuries

“…Urso-Baiarda ve ark. [27] MEYCS'nin el ve önkol yaralanmalarında işe geri dönüş sü-resini öngörebilmek için önemli bir belirleyici olduğunu bildirmişlerdir. El, el bileği ve önkolun birlikte fonksiyonel bir zincir oluşturduğunu düşünerek MEYCS'nin işe geri dönüş süresini öngörmede daha geçerli olabileceğini düşünüyoruz ve bizde çalışmamızda MEYCS'yi kullandık.…”

“…Konuya ilişkin kapsamlı çalışmalarda da bildirildiği üzere; MEYCS skoru 25'in altında olan tüm hastaların eski işlerine dönebildikleri, ciddi yaralanma düzeyindeki hastaların ancak yarısının eski iş-lerine dönebildikleri, MEYCS skorları 150 ve üzerinde olan hastaların eski işlerine geri dönemedikleri sonucu çarpıcıdır. [24][25][26][27] Zira, bu sonuçlar el ve üst ekstremite yaralanmalarında cerrahi teknik, erken fizyoterapi, ekip çalışması ve hasta uyu- mu faktörlerinin önemini bir kez daha ön plana çıkarmıştır.…”

Coping strategies in daily occupations 3 months after a severe or major hand injury

“…A severe or major hand injury was defi ned by modifi ed Hand Injury Severity Scoring system (HISS) (Urso-Baiarda et al, 2008), also including injuries to the arm. The HISS score is based on which tissue and which fi ngers are affected by the injury (Campbell and Kay, 1996;Urso-Baiarda et al, 2008). A HISS score >50 is a severe and >100 a major injury (Campbell and Kay, 1996).…”

Rescue procedures in the major trauma of upper extremities – The role of the polish medical air rescue in the therapeutic process

“…wykazują, że aż 40% pacjentów z najcięższymi urazami rąk nie wraca do wcześniej wykonywanej pracy (12). Z kolei u pozostałej części poszkodowanych proces leczenia i powrotu do przerwanej aktywności zawodowej może trwać nawet ponad rok (12).…”