A national audit of hand injuries in UK.
Обработка статьи · этапы, ошибки и управление
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.
Devetzis Konstantinos, Lane Jennifer C E, Darveniza Ella, Sousi Sara, Giddins Grey, Horwitz Maxim D, Hand Injury Prevention Collaborativeg, Mason Will, Curtis Alexander, Jalloh Binta, Gopireddy Rajesh, Sawant Nitin, Gomes Kudamaduwage, Rooker Jemma, Kurar Langhit, Hughes Juliana, Teoh Sayhow, Trickett Ryan, Gwyn Rhodri, Hamlin Kath, David Michael, Abed Haneen, Naqui Zaf, Lipede Christiana, Akhavani Mo, Banhidy Francis, Wigley Catrin, Caine P, Rabie Sheeva, Khera Gursharan, Moledina Jamil, Labib Amir, Gargan Alice, Greenfield Maximillian, Hunter Alistair, Hardman John, Birks Meg, Weston Matt, Power Dominic, Burahee Abdus, Murphy Adrian, Wohlgemut Helen, Wimsey Simon, Matheron George, Ong Joshua, Poulter Robert, Ayeko Segun, Hassan Sami, Yaghmour Khaled M, Warwick David, Fetouh Sherif, Berber Onur, Cuthbert Rory, Wheble George, West Emily, Wright Edmund, Leonard Lisa, Reay Emma, Martin Rebecca, Clarke David, Sokota Sian, Zaghloul Ahmed
Аннотация
METHODS: A multicentre cross-sectional study was conducted across 23 hospitals, with clinicians prospectively recording consecutive hand injuries over a 2-week period (February-March 2022). Eligible cases included referrals to Orthopaedic, Plastic, or Hand surgery services. Data were submitted using a standardised online proforma, and preventability was classified using predefined criteria.
RESULTS: 2,309 injuries were recorded from 23 hospitals - a 21% rise. Males made up 60% of cases. Median age was 34, similar to the lockdown period of 40. Sports-related injuries increased (10.2% to 22.7%), while DIY-related injuries declined (8% to 4%). Phalangeal and metacarpal fractures were the most common injuries. Alcohol and drug-related injuries rose from 2.4% to 4.5%. Overall, preventable injuries decreased from 50% to 35%, with only 19% of injuries in children under 16 deemed preventable. Most cases (63%) were managed non-operatively, and 43% required follow-up.
CONCLUSION: Following the lifting of COVID-19 restrictions, hand injuries increased, with a shift toward sports-related mechanisms and fewer preventable injuries. Despite this reduction, preventable injuries remain a substantial public health concern, highlighting opportunities for targeted safety interventions.