Shashikant Prakash
ESIC-PGIMSR, IndiaPresentation Title:
To compare ESIC Hand Injury Severity Score (ESICHISS) with pre-existing Hand Injury Severity Score (HISS) for hand injuries in predicting return to work
Abstract
Background: Hand injuries contribute significantly to the workload of all accident and emergency departments and are main cause of work-related disability in young adults. Descriptive scoring systems like HISS and MHISS have been employed for many years in grading hand injuries and allow hand trauma to be compared with regard to severity and to prognostic value determining return to work. We have devised a simple, easy to conduct newly proposed hand injury severity score (NPHISS) to quantify hand injuries. This study aims to determine its value in predicting ability about time to return to work after such injury. The idea is to see if the more functional NPHISS correlates with the outcomes as measured by a descriptive HISS or is even more accurate.
Material and methods: All the hand injury patients presented in the hospital Casualty were assessed at the time of de novo presentation, and objective information to calculate HISS and NPHISS were captured and return to work data collected during their regular follow up in OPD. Spearman’s rank correlation test is used to analyse the correlation between severity of hand injury as assessed using prospectively assigned NPHISS and HISS score at presentation and their return-to-work data. Correlations between the return-to-work data and severity of amputational hand injuries and integument only injuries (injuries on opposite end of variety of hand injuries spectrum) as per HISS and NPHISS were assessed separately.
Result: The study shows a statistically significant association between the severity of majority of injuries as per HISS and NPHISS and return to work. However, the severity of amputational and integument only injuries as measured by HISS does not show any association with return-to-work data.
Conclusion: This study shows that all types of hand injury severity quantified using NPHISS is more accurate in predicting return to work than pre-existing HISS and such information may allow the patient to make early informed personal, financial and retraining decisions after their injury.
Biography
Dr Shashikant Prakash has completed his post-graduation in Orthopaedics at the age 30 from Delhi University, India. He is one of the youngest residents in orthopaedics department of the university to carry extensive work in the field of hand and upper limb trauma with a special interest in Arthroplasty and arthroscopy. He has just completed his prestigious fellowship in the same field from King’s College Hospital, London, UK.
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