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Hand Injury Severity Scoring system may accurately predict physical health-related quality of life
Chang J, et al. J Trauma. Published online April 29, 2011. doi: 10.1097/TA.0b013e318216a56e.
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Physical health-related quality of life can be accurately predicted through use of the Hand Injury Severity Scoring system, according to Taiwanese investigators.
The team recruited 173 patients who had been hospitalized for surgery for hand injuries between 2004 and 2008. A hand surgeon calculated each patient’s Hand Injury Severity Scoring (HISS) score, and the patients were interviewed for demographic information as well as health-related quality of life (HRQoL) status. Physical and mental component summaries of HRQoL, were compared with initial HISS scores through multiple regression models.
According to the abstract, the investigators found that the greater the HISS score, the lower the score of the physical component of HRQoL.
“Trend tests showed a significant correlation between the physical component of HRQoL in the dominant hand injured group, but not in the nondominant hand injured group,” the authors wrote.
They added that with regard to age, a significant correlation was found between the physical component of HRQoL in older patients but not in younger patients. There was no significant relationship with HISS severity for any outcome of mental component scores.
The authors concluded by recommending surgical therapy departments provide “more detailed physiotherapy programs for the high-risk groups, such as dominant hand surgery and [patients 40 years of age or greater], to improve their physical HRQoL.”