The prognostic value of the Hand Injury Severity Score in industrial hand injuries

BACKGROUND: We evaluated the value of the “Hand Injury Severity Score” (HISS) in determining the prognosis of industrial hand
injuries. METHODS: Hand injury severity scores of 112 patients (17 females, 95 males; mean age 31 years; range 15 to 54 years) were calculated following surgery for industrial hand injuries. During the course of rehabilitation program, the patients were followed-up regularly. Pearson correlation coefficients were used to determine the relationship between the HISS scores and the time intervals from injury to healing and return to work. RESULTS: The mean HISS score was 37.1±27 (range 6 to 116). The time
to healing ranged from 12 to 210 days (mean 73.7±40.7 days). All the patients returned to work after a mean of 80.4±52.9 days (range 7 to 300 days), mainly to previous working places with (12%) or without (79%) changing job activities. Nine per cent of the workers had to change their jobs. The HISS scores were found to be correlated with the healing period and the time to work (p<0.05 and p<0.000, respectively). CONCLUSION: The results of this study indicated that HISS was a useful system in predicting the prognosis in the early stages of industrial hand injuries.

El Yaralanmasý Ciddiyet Skoru’nun endüstriyel el yaralanmalarýnda prognozu belirlemedeki rolü