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A-0107 Prognostic factors for resumption of work, ADL and hobbies after traumatic hand or wrist injury
N. Neutel 1, P. Houpt 2, A.H. Schuurman 1, 1 University Medical Centre Utrecht, the Netherlands; 2 Isala Hospital, Zwolle, the Netherlands
Thursday, June 14, 2018 · 3:25 p.m. · 05m 16s
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00:00:00
okay uh let's say something about features work and elective these after traumatic hand injury
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a a handy wrist injuries are the single most expensive type of injury
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i'm more expensive on the other categories listed here and this is mainly due to their high uh productivity
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cost patients would hand every strum are mostly in there working age and they almost always miss
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a sort of their work and this makes them a very expensive type of injury
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so it's worth partners in which patients are at risk for problem time of work
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uh encourage literature several proposed factors have been identified those are listed here
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however a great literature is a known by a low level of evidence with
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menu retrospective cohort studies with small groups and it often found opposing outcomes
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so we decided to set up a study looking for partners to factors for return to work about partially in fully
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uh eighty a resumption only resumption and the time into patients were free of symptoms
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so we set up a perspective course study and we included for onto aids patients
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i data was collected through direct interviews patients were contacted every two three months
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it was a single sender study and we include it's all adults
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would handle this trauma who presented at the emergency departments
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we followed them for six to nine months and we ended up with the complete follow up in eighty seven percent of patients
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here are the baseline characteristics uh males or females are almost equally distributed in a group
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um the majority of patients eighty eight per cents a
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saw the trauma as an accident restaurant falls in
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a minority of twelve percent of patients us all the trauma of blame someone else for trauma
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uh most of the patients in group we're we're blue collar workers uh almost two thirds
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uh i hated cats go viewed a a diagnosis under frequencies are listed uh in the disco ready structure
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mccorkle fracture very common uh is descending listed more rare diagnosis liked a trick but to fracture
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okay let's proceed to the outcomes i'm here to patients uh
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injector dominant hands are uh and displayed in white bars
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i see that patients who injured or dominant hands uh i take longer to
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resume all the activities that take longer to reach into work partially fully
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longer today uh until there should be a d. l. there will be and it takes some longer to be free of symptoms
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when you look at gender yeah i see the females in the back in the black bars
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a female steak also longer than men to shoe mold activities
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and they have a sentence for a bit longer
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uh we look at patients who had a complication does are listed in the white bars and you
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see the complication uh makes patients which into work much later uh both partially or fully
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uh the basic load resume eighty l. your hobbies and i
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have symptoms for a yeah more than twice as long
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we look at a blading for trauma a patients who blame someone else
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for their trauma uh that that's listed in the black bars
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yeah take twice as long to return to work and they have a symptoms for more than twice as long
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we look at the type of work this was the strongest predictor for return
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to work um you see the blue collar workers in the white bars
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much longer to return to work and then uh and then the white collar workers
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here's a list of the diagnoses and it's on mental patients which are into work fully
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um patients wooden amputation or dissuade you structure take relatively long and it's a dissenting listed
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a mallard finger uh they should another thing to go to work almost immediately
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so to conclude spotless affects for trying to work our uh that they should look or job
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take much longer patients with a complication take much longer those are the two strongest predictors
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uh for the more patients who blame someone else for the trauma take
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longer and patients of female gender take longer thank you ha
00:04:31
hi thank you very much for a very interesting
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presentation now some questions or comments you audience
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i have one question yet according to the study what would be your conclusion to the page
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blue collar female worker come to your or you are with these kind of injury what would
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you say to her uh yes yes and do worse prognosis for return to work
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yeah yeah yeah maori continue
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