Patient-reported quality of life and hand disability in elderly patients after a traumatic hand injury – a retrospective study

Table 5 Differences in hand-arm function/symptoms and general health in patients after a hand/wrist/forearm injury sustained at an age > 65 evaluated 19–40 months after the injury, divided into groups according to Modified Injury Severity Score (MHISS)

	Mild n = 87 (64%)	Moderate n = 32 (23%)	Severe-Major n = 18 (13%)	P-value^a
QuickDASH^e Score	6.8[0.0–21.5]	12.5[6.8–42.0]	35.2[15.9–54.0]	< 0.001^b,c
VAS^f Pain	3.0[2.0–13.0]	24.5[3.3–42.5]	41.0[10.5–64.5]	< 0.001^b,c
VAS Hand Mobility	5.0[2.0–24.0]	17.0[3.5–43.8]	55.0[26.5–80.0]	< 0.001^b,c,d
VAS Sensory Function	3.0[2.0–16.0]	17.0[2.0–41.5]	52.0[27.5–78.0]	< 0.001^b,c,d
VAS Grip Strength	6.0[2.0–41.0]	29.0[3.5–65.0]	55.0[29.0–82.0]	< 0.001^b,c,d
VAS Fine Motor Skill	6.5[2.0–34.5]	18.0[3.5–52.3]	80.0[46.0–86.0]	< 0.001^b,c,d
VAS Sleep	3.0[1.0–20.0]	4.0[1.3–36.3]	8.0[2.3–34.5]	0.471
SF-36^g PF^h	80.0[60.0–95.0]	70.0[41.3–95.0]	77.5[32.5–90.0]	0.417
SF-36 RPⁱ	100.0[50.0–100.0]	100.0[50.0–100.0]	37.5[0.0–100.0]	0.045^c
SF-36 RE^j	100.0[75.0–100.0]	100.0[66.7–100.0]	100.0[0.0–100.0]	0.088
SF-36 SF^k	100.0[75.0–100.0]	100.0[65.6–100.0]	75.0[46.9–100.0]	0.058
SF-36 BP^l	74.0[51.0–100.0]	52.0[41.0–84.0]	41.0[22.0–100.0]	0.004^b,c
SF-36 Vitality	70.0[55.0–85.0]	65.0[51.3–88.8]	67.5[42.5–85.0]	0.766
SF-36 MH^m	88.0[72.0–96.0]	84.0[69.0–98.0]	78.0[62.0–93.0]	0.602
SF-36 GHⁿ	77.0[57.0–90.0]	67.0[50.5–85.8]	68.5[35.0–93.3]	0.611
CISS^o score	12.0[4.0–28.3]	25.0[4.0–41.8]	49.0[14.0–64.5]	0.003^c

Presenting median [25th -75th percentiles]. ^a = Kruskal-Wallis test with post hoc tests with Mann Whitney’s U test. ^b = mild and moderate; ^c = mild and severe-major; ^d = moderate and severe-major. ^e = Quick Disabilities of the Arm, Shoulder and Hand Score; ^f = Visual Analogue Scale; ^g = Short Form (36) Health Survey; ^h = Physical Functioning; ⁱ = Role Physical; ^j = Role Emotional; ^k = Social Functioning; ^l = Bodily Pain; ^m = Mental Health; ⁿ = General Health; ^o = Cold Intolerance Severity Score. MHISS = Modified Injury Severity Score. The score for Quick DASH range from 0 to 100; 0 indicating no disability and 100 signifying the most severe disability. For CISS, a score between 4 and 100 was calculated with higher scores indicating more severe cold intolerance. For SF-36, an impaired health status produces low scores on a scale from 0 to 100. For VAS, a score between 0 and 100 was given; 0 = no pain/impairment to 100 = maximal pain/impairment

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