[Predictive value of the HISS-scoring system for estimation of trauma severity and the time off work after hand injuries].
BACKGROUND
The estimation of the time off work depending on the injury pattern and severity is of major interest in the treatment of hand injuries. The predictive value of the HISS score (Hand Injury Severity Scoring System) was evaluated.


METHODS
According to this score, 184 work-related injuries (1999 to 2002) were analyzed prospectively, excluding injuries of both hands. The median age was 37.9 years (18 to 65 years), 11 % of the patients were female.


RESULTS
A significant correlation was established between the HISS score and the time off work (p < 0.0001, r = 0.51). The score also correlated with the degree of work incapacity (p < 0.0001).


CONCLUSIONS
Our data confirm the predictive value of the HISS score for the early estimation of the time off work resulting from hand injuries. However, the estimation is limited to injuries distal to the wrist.
Wachter
N J
NJ
Abteilung für Unfallchirurgie, Hand-, Plastische und Wiederherstellungschirurgie, Universitätsklinik Ulm, 89081 Ulm. nikolaus.wachter@medizin.uni-ulm.de
Gülke
J
J
Krischak
G D
GD
Katzmaier
P
P
Ebinger
T
T
Mentzel
M
M
D000062:Accidents, Occupational; D000293:Adolescent; D000328:Adult; D000368:Aged; D003627:Data Interpretation, Statistical; D004185:Disability Evaluation; D005260:Female; D006230:Hand Injuries / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006801:Humans; D015601:Injury Severity Score; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011446:Prospective Studies; D018582:Sick Leave