Incidence, demographics and rehabilitation after digital nerve injury: A population-based study of 1004 adult patients in Sweden.

<h4>Objective</h4>The main objective of this study was to describe the epidemiology of surgically repaired digital nerve injuries in a Swedish population. Secondary objectives were to describe the demographics of the patient population, injury characteristics, post-operative care and reh...

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Main Authors: Linda Evertsson, Carin Carlsson, Christina Turesson, Melih Selcuk Ezer, Marianne Arner, Cecilia Mellstrand Navarro
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0283907
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author Linda Evertsson
Carin Carlsson
Christina Turesson
Melih Selcuk Ezer
Marianne Arner
Cecilia Mellstrand Navarro
author_facet Linda Evertsson
Carin Carlsson
Christina Turesson
Melih Selcuk Ezer
Marianne Arner
Cecilia Mellstrand Navarro
author_sort Linda Evertsson
collection DOAJ
description <h4>Objective</h4>The main objective of this study was to describe the epidemiology of surgically repaired digital nerve injuries in a Swedish population. Secondary objectives were to describe the demographics of the patient population, injury characteristics, post-operative care and rehabilitation.<h4>Methods</h4>From 2012 to 2018, 1004 patients with a surgically repaired digital nerve injury resident in the Stockholm region were identified in the Swedish national quality registry for hand surgery and all medical records were thoroughly reviewed.<h4>Results</h4>The incidence rate was 8.3 per 100.000 person-years and these injuries were more common in men than women. The median age at the time of injury was 37 years and a sharp cut was the most common mechanism of injury. Injuries were equally distributed over weekdays and the year, but surgery was most often performed on Mondays. There were no differences in treatment and rehabilitation regimens between sexes, except women were more likely than men to be operated within three days from injury. Timing and content of rehabilitation varied largely between individuals. One third of patients did not receive any sensory relearning and sensory assessment was performed in only 7%.<h4>Conclusion</h4>The epidemiology shows no major changes over the last decade. However, we found a large individual variation in follow up visits, rehabilitation content and assessments indicating large differences in consumption of health care resources. Our findings expose the need to further improve and evaluate rehabilitation regimens after digital nerve injury.
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spelling doaj.art-f410506542fb4d0f99890d89347fe6cf2023-04-14T05:31:11ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01184e028390710.1371/journal.pone.0283907Incidence, demographics and rehabilitation after digital nerve injury: A population-based study of 1004 adult patients in Sweden.Linda EvertssonCarin CarlssonChristina TuressonMelih Selcuk EzerMarianne ArnerCecilia Mellstrand Navarro<h4>Objective</h4>The main objective of this study was to describe the epidemiology of surgically repaired digital nerve injuries in a Swedish population. Secondary objectives were to describe the demographics of the patient population, injury characteristics, post-operative care and rehabilitation.<h4>Methods</h4>From 2012 to 2018, 1004 patients with a surgically repaired digital nerve injury resident in the Stockholm region were identified in the Swedish national quality registry for hand surgery and all medical records were thoroughly reviewed.<h4>Results</h4>The incidence rate was 8.3 per 100.000 person-years and these injuries were more common in men than women. The median age at the time of injury was 37 years and a sharp cut was the most common mechanism of injury. Injuries were equally distributed over weekdays and the year, but surgery was most often performed on Mondays. There were no differences in treatment and rehabilitation regimens between sexes, except women were more likely than men to be operated within three days from injury. Timing and content of rehabilitation varied largely between individuals. One third of patients did not receive any sensory relearning and sensory assessment was performed in only 7%.<h4>Conclusion</h4>The epidemiology shows no major changes over the last decade. However, we found a large individual variation in follow up visits, rehabilitation content and assessments indicating large differences in consumption of health care resources. Our findings expose the need to further improve and evaluate rehabilitation regimens after digital nerve injury.https://doi.org/10.1371/journal.pone.0283907
spellingShingle Linda Evertsson
Carin Carlsson
Christina Turesson
Melih Selcuk Ezer
Marianne Arner
Cecilia Mellstrand Navarro
Incidence, demographics and rehabilitation after digital nerve injury: A population-based study of 1004 adult patients in Sweden.
PLoS ONE
title Incidence, demographics and rehabilitation after digital nerve injury: A population-based study of 1004 adult patients in Sweden.
title_full Incidence, demographics and rehabilitation after digital nerve injury: A population-based study of 1004 adult patients in Sweden.
title_fullStr Incidence, demographics and rehabilitation after digital nerve injury: A population-based study of 1004 adult patients in Sweden.
title_full_unstemmed Incidence, demographics and rehabilitation after digital nerve injury: A population-based study of 1004 adult patients in Sweden.
title_short Incidence, demographics and rehabilitation after digital nerve injury: A population-based study of 1004 adult patients in Sweden.
title_sort incidence demographics and rehabilitation after digital nerve injury a population based study of 1004 adult patients in sweden
url https://doi.org/10.1371/journal.pone.0283907
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