Brain & spine · 2026
Improving lives: Health-related quality of life after surgery for traumatic brachial plexus lesions in a single center retrospective study.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Sannwald Lennart W, Greiner Jasmin, Deininger Stefanie, Mayer Benjamin, Pala Andrej, Knoll Andreas, Wirtz Christian R, Grübel Nadja, Antoniadis Gregor, Pedro Maria T
Аннотация
INTRODUCTION: Traumatic injuries of the brachial plexus are life-altering, associated with complex injury patterns and commonly affect young people. Since the introduction of brachial plexus microsurgery, studies have largely focused on improving motor outcomes without patient-reported outcome measures.
RESEARCH QUESTION: To assess the development of quality of life after surgical treatment for traumatic injuries of the brachial plexus in addition to neurological outcome.
MATERIAL AND METHODS: This retrospective study investigated neurological outcome and health-related quality of life in 98 patients treated at Ulm University, District Hospital Günzburg between 1st January 2020 and 31st December 2023. EQ-5D-5L-, PainDetect- and two items of the PSQI-questionnaire were sent to all patients regarding their state before surgery and at last follow-up. Clinical data were gathered by chart review.
RESULTS: 62 patients returned the questionnaires. Mean follow-up was 22.3 months. MRC grade 2/5 or more was achieved in 59.5% of musculocutaneous nerve, 61.9% of axillary nerve and 54.8% or suprascapular nerve reconstructions. Mean health utility index increased from 0.41 (standard deviation ± 0.34) to 0.57 (±0.28) (p < 0.05) correlating with motor improvement (Spearmans's Rho 0.34, p < 0.05). PainDetect scores showed a significant reduction of mean values from 19.7 (±9.0) to 16.5 (±8.0) (p < 0.05). Sleep duration and quality showed a non-significant trend towards improvement.
DISCUSSION AND CONCLUSION: Brachial plexus surgery offers an invaluable possibility to improve patients' lives and a vital and oftentimes sole therapeutic opportunity for commonly young patients suffering from a profoundly life-altering condition.
RESEARCH QUESTION: To assess the development of quality of life after surgical treatment for traumatic injuries of the brachial plexus in addition to neurological outcome.
MATERIAL AND METHODS: This retrospective study investigated neurological outcome and health-related quality of life in 98 patients treated at Ulm University, District Hospital Günzburg between 1st January 2020 and 31st December 2023. EQ-5D-5L-, PainDetect- and two items of the PSQI-questionnaire were sent to all patients regarding their state before surgery and at last follow-up. Clinical data were gathered by chart review.
RESULTS: 62 patients returned the questionnaires. Mean follow-up was 22.3 months. MRC grade 2/5 or more was achieved in 59.5% of musculocutaneous nerve, 61.9% of axillary nerve and 54.8% or suprascapular nerve reconstructions. Mean health utility index increased from 0.41 (standard deviation ± 0.34) to 0.57 (±0.28) (p < 0.05) correlating with motor improvement (Spearmans's Rho 0.34, p < 0.05). PainDetect scores showed a significant reduction of mean values from 19.7 (±9.0) to 16.5 (±8.0) (p < 0.05). Sleep duration and quality showed a non-significant trend towards improvement.
DISCUSSION AND CONCLUSION: Brachial plexus surgery offers an invaluable possibility to improve patients' lives and a vital and oftentimes sole therapeutic opportunity for commonly young patients suffering from a profoundly life-altering condition.