scholarly journals Prediction of hand strength by hand injury severity scoring system in hand injured patients

2011 ◽  
Vol 34 (5) ◽  
pp. 423-428 ◽  
Author(s):  
Delmar C.Y. Lin ◽  
Jer-Hao Chang ◽  
Shyh-Jou Shieh ◽  
Feruth H.J. Tsai ◽  
Yungling Leo Lee
1996 ◽  
Vol 21 (3) ◽  
pp. 295-298 ◽  
Author(s):  
D. A. Campbell ◽  
S. P. J. Kay

A descriptive severity scoring system for injuries to the hand, distal to the carpus, has been designed. Each ray of the hand is assessed separately. Each ray’s score is then multiplied by a weighting factor for that ray and added to the scores of the other rays to obtain a total score for the injury. This system has been tested on a series of specimen injuries and compared with the opinion of experienced hand surgeons. A retrospective study of hand injuries has also been conducted, and the Hand Injury Severity Score (HISS) has been found to closely correlate with return to work. Four grades of increasing severity of hand injury have been described. Although this system has been designed as a research tool, it is envisaged that it would be a useful immediate measure of severity and a guide to likely outcome.


Injury ◽  
1996 ◽  
Vol 27 (5) ◽  
pp. 367 ◽  
Author(s):  
D.A. Campbell ◽  
S. Kay

2003 ◽  
Vol 28 (4) ◽  
pp. 295-299 ◽  
Author(s):  
A. B. MINK VAN DER MOLEN ◽  
A. M. ETTEMA ◽  
S. E. R. HOVIUS

This study was designed to evaluate correlations between the hand injury severity scoring system (HISS) and measures of impairment and disability obtained 6 months after a hand injury. A statistically significant positive correlation was found between the severity of the injury (HISS) and residual impairment, as measured with the American Medical Association’s (AMA) “Guides to the evaluation of permanent impairment, 4th edition”. No statistically significant correlation was found between the severity of the injury (HISS) and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, which measures disability from the patient’s perspective. There was however a statistically significant correlation between AMA total body impairment measured and the results of the DASH questionnaire. The results indicate the potential of the HISS for predicting the final impairment after hand injuries.


1999 ◽  
Vol 24 (2) ◽  
pp. 184-186 ◽  
Author(s):  
A. B. MINK VAN DER MOLEN ◽  
H. S. MATLOUB ◽  
W. DZWIERZYNSKI ◽  
J. R. SANGER

The Hand Injury Severity Score was retrospectively applied to a group of workers’ compensation cases in Wisconsin, USA. A statistically significant correlation was found between the score and the time interval between injury and the end of healing. These results are comparable to the findings in the original study of Campbell and Kay (1996) . We provide some suggestions for further development of this scoring system.


1996 ◽  
Vol 17 (6) ◽  
pp. 552-557 ◽  
Author(s):  
David L. Brown ◽  
Stephen B. Archer ◽  
David G. Greenhalgh ◽  
Mark A. Washam ◽  
Laura E. James ◽  
...  

2010 ◽  
Vol 36 (1) ◽  
pp. 57-61 ◽  
Author(s):  
A. Lindqvist ◽  
M. Hjalmarsson ◽  
O. Nilsson

The purpose of the study was to describe the outcome after hand injury from powered wood splitters, and to investigate the relation between injury severity and outcome. Injury severity was rated according to the Hand Injury Severity Scoring System (HISS system) and the Injury Severity Score method. The patients were evaluated with the Disabilities of the Arm Shoulder and Hand outcome questionnaire (DASH), and 26 of the most severely injured patients were evaluated with the Sollerman test. The mean DASH score was moderately elevated at 15, indicating that many of these patients have sequelae. A statistically significant correlation between HISS and DASH scores was found, implying that initial injury severity is of importance for outcome. The mean Sollerman score in the injured hand was 66, which amounts to a significantly impaired hand function.


2018 ◽  
Vol 85 (2) ◽  
pp. 334-340 ◽  
Author(s):  
Junxin Shi ◽  
Jiabin Shen ◽  
Sarah Caupp ◽  
Angela Wang ◽  
Kathryn E. Nuss ◽  
...  

Author(s):  
Nikhil Bansal ◽  
Sanjay Yadav ◽  
R L Dayma ◽  
Aditya Singh Rathore

Background: We conducted this study to establish the predictability of HISS system to hand strength in patients with traumatic hand injury. Methods: This retrospective study was conducted on 30 hospitalized patients for surgery in in Jaipur due to traumatic hand injury. All of them received rehabilitation occupational therapy in the same trauma center with established protocols and were supervised by the same group of therapists within one month after surgery. Passive/active range of motion exercise, hand grip strength training, proprioception/functional training were included in this standardized protocol. Results: The mean age of patients was 41.36±13.69 Yrs. Among them, 23 patients were male and 7 patients were female.  63.33% were dominant hand injured. The mean value of total HISS score is 53.21 ± 36.35. A positive correlation exists between the differences of the strength of two hands, and the severity shown by HISS system. Conclusion: In conclusion, initial anatomical injury severity assessed by HISS system may predict hand strength in traumatic hand injured patients after an adequate recovery period. Poor hand strength could be expected with initial high total HISS score. Keywords: HISS, Hand injury, Palmer pinch.


Author(s):  
Michel Paul Johan Teuben ◽  
Carsten Mand ◽  
Laura Moosdorf ◽  
Kai Sprengel ◽  
Alba Shehu ◽  
...  

Abstract Background Simultaneous trauma admissions expose medical professionals to increased workload. The impact of simultaneous trauma admissions on hospital allocation, therapy, and outcome is currently unclear. We hypothesized that multiple admission-scenarios impact the diagnostic pathway and outcome. Methods The TraumaRegister DGU® was utilized. Patients admitted between 2002–2015 with an ISS ≥ 9, treated with ATLS®- algorithms were included. Group ´IND´ included individual admissions, two individuals that were admitted within 60 min of each other were selected for group ´MULT´. Patients admitted within 10 min were considered as simultaneous (´SIM´) admissions. We compared patient and trauma characteristics, treatment, and outcomes between both groups. Results 132,382 admissions were included, and 4,462/3.4% MULTiple admissions were found. The SIM-group contained 1,686/1.3% patients. The overall median injury severity score was 17 and a mean age of 48 years was found. MULT patients were more frequently admitted to level-one trauma centers (68%) than individual trauma admissions were (58%, p < 0.001). Mean time to CT-scanning (24 vs. 26/28 min) was longer in MULT / SIM patients compared to individual admissions. No differences in utilization of damage control principles were seen. Moreover, mortality rates did not differ between the groups (13.1% in regular admissions and 11.4%/10,6% in MULT/SIM patients). Conclusion This study demonstrates that simultaneous treatment of injured patients is rare. Individuals treated in parallel with other patients were more often admitted to level-one trauma centers compared with individual patients. Although diagnostics take longer, treatment principles and mortality are equal in individual admissions and simultaneously admitted patients. More studies are required to optimize health care under these conditions.


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