gms | German Medical Science

49. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen (DGPRÄC), 23. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen (VDÄPC)

13.09. - 15.09.2018, Bochum

Life quality and reconstructive surgery efforts in severe hand injuries

Meeting Abstract

  • presenting/speaker Seyed Arash Alawi - Medizinische Hochschule Hannover
  • Andreas Jokuszies - Medizinische Hochschule Hannover
  • Peter M. Vogt - Medizinische Hochschule Hannover
  • Dennis Werner - Medizinische Hochschule Hannover
  • Sören Könneker - Medizinische Hochschule Hannover

Deutsche Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen. Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen. 49. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen (DGPRÄC), 23. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen (VDÄPC). Bochum, 13.-15.09.2018. Düsseldorf: German Medical Science GMS Publishing House; 2018. Doc061

doi: 10.3205/18dgpraec061, urn:nbn:de:0183-18dgpraec0613

Published: September 20, 2018

© 2018 Alawi et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.


Outline

Text

Introduction: Severe hand trauma, leading to extensive skeletal and tissue defects, requires plastic surgical reconstruction of the highest level aiming at maximizing function and aesthetics. The intention of the study was to investigate clinical parameters and resource consumption connected with severe hand injuries with specific emphasis on a follow-up evaluation of quality of life after the reconstruction process.

Material and Methods: In this retrospective study, we evaluated patients with severe hand injuries from 2013 to 2016 who had completed surgical and non-surgical treatment. Measures included total period of therapy in days (TPT), total duration of operations including anesthesia (TOA), total duration of all operations (TO) and total number of operations (TNO). We also determined total inpatient stay (TIS), total number of clinic presentations with interventions (TNPI), initial Hand Injury Severity Score (iHISS) and inpatient proceeds in Euros (IPP). Finally, these patients were reexamined in a follow-up inquiry and the life quality was assessed with EQ-5D-5L profile.

Results: We analyzed 12 patients with an average age of 44 years (min. 24 years, max. 75 years). Patients receiving reconstructive surgery experienced median (͂) TPT of 175 days [interquartile range (IQR), 51-499], TOA of 13 hours (IQR, 6-37), TO of 9 hours (IQR, 4-25), and TNO of 5 (IQR, 3-11). Further, patients" median TIS was 22 days (IQR, 9-86), TNPI was 4 (IQR, 2-8), and iHISS was 77 (IQR, 44-162). The median IPP was 14.595 € (IQR, 5.541-33.709 €). iHISS was positively correlated with Pearson’s r for TIS (0.817), TOA (0.857) and TNO (0.871). The EQ-5D-5L Index Value resulted in a high level of life quality with a median of 0.898 (min. 0.8, max. 1).

Conclusion: Severe hand injuries are related to high efforts for surgical and functional reconstruction and result in high quality of life measured with the EQ-5D-5L assessment.