Hand injuries occur at any age and cause disability in hand and arm function as well as impaired quality of life, but no study has focused on hand disability and quality of life in the elderly after a hand injury. Globally, the population over 60 years of age is expected to double by 2050 and more hand injuries are estimated among the elderly population. Our goal is to obtain more information and a better understanding of problems elderly patients experience after a hand injury to be able in the future to optimally relocate resources in the health care sector with respect to numbers and injury pattern as well as to health status of these patients. Patients aged more than 65 years with a traumatic hand/wrist/forearm injury treated (July 1st 2013 - June 30th 2014) at department of Hand Surgery, Malmö, Sweden were included. Health-related outcome questionnaires, i.e. QuickDASH, SF-36, Visual Analogue Scale (VAS), Cold Intolerance Severity Score (CISS), and general information were mailed to the patients (time from injury: > 1.5–2.5 years). The participants were compared in groups according to age, gender, cold intolerance, injury severity and previous occupation. One hundred and thirty-seven participants responded [response rate 55%; non-responders (n = 113); only difference between groups was that non-responders were older]. Women were older than men at the time of injury (p = 0.04) and differed regarding living conditions. The main differences in QuickDASH, all VAS questions, and the majority of SF-36 subscales (p < 0.05) were found in the participants with CISS > 50, who experienced more impairment. More serious injuries (Modified HISS) were found to have higher QuickDASH and CISS score as well as more functional impairment (p < 0.05). Few differences were found in groups divided according to age, gender (although men experiencing less functional impairment in QuickDASH), previous occupation and injured hand. Patients aged more than 65 years at the time a hand injury was sustained, generally experience a high-level quality of life and limited functional problems after such an injury, but patients with CISS > 50 and with a more serious injury were more severely affected.

中文翻译：

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患者报告的手部外伤后的生活质量和手部残疾–一项回顾性研究

任何年龄的人均会发生手部受伤，并导致手和手臂功能障碍以及生活质量下降，但尚无针对手部残疾和老年人手部受伤后生活质量的研究。在全球范围内，到2050年，预计60岁以上的人口将增加一倍，而老年人口的手伤估计会增加。我们的目标是获得更多信息并更好地理解老年人患者手部受伤后所遇到的问题，以便将来能够在数量，伤害方式以及这些人的健康状况方面最佳地重新分配医疗保健领域的资源。耐心。包括在瑞典马尔默手外科接受治疗的手部，腕部/前臂外伤超过65岁的患者（2013年7月1日至2014年6月30日）。将与健康相关的结果调查表，即QuickDASH，SF-36，视觉模拟量表（VAS），耐寒性严重程度评分（CISS）和一般信息邮寄给患者（受伤时间：> 1.5-2.5年）。根据年龄，性别，耐寒性，损伤严重程度和以前的职业对参与者进行分组比较。一百三十七名参与者回答了[回应率55％；无回应者（n = 113）；组之间的唯一区别是无响应者年龄较大]。妇女在受伤时比男子大（p = 0.04），生活条件也有所不同。QuickDASH，所有VAS问题以及大部分SF-36量表（p <0.05）的主要差异是在CISS> 50的受试者中发现的，他们的损伤更大。发现更严重的伤害（改良的HISS）具有更高的QuickDASH和CISS评分以及更多的功能障碍（p <0.05）。在按年龄，性别（尽管男性在QuickDASH中功能障碍较少的男性），以前的职业和手受伤的程度划分的组中，几乎没有差异。发生手部受伤时年龄超过65岁的患者通常会经历高水平的生活质量，并且在此类损伤后会出现功能受限的问题，但是CISS> 50且损伤更为严重的患者受到的影响更大。