An objective assessment of a damaged hand and the effectiveness of treatment with the help of a computer test program

Prof., MD, PhD     Sergey Yakovlev

City Clinical Hospital № 6, the Regional Burn Center;
Mailing address of the index: str. Rumyantsev, City Clinical Hospital № 6, Chelyabinsk, Russia, 454047; Phone +7-( 351) -721-27-82 (Burn Center) .

Introduction

Currently there are several questionnaires to determine the function of the arm and hand. The most famous of them – DASH, HISS, SF-36. However, these tests primarily reflect the subjective opinion of a patient. Tests bulky, difficult to process and do not reflect the quality outcome.

Materials and Methods

From 2010 to 2015 treated over 650 patients with thermal and mechanical trauma brush. 106 patients (study group) completed assessment on 7 criteria: pain, position segments the Brush, skin, bone damage on radiographs, the condition of the tendons and nerves, impaired range of motion in joints, impaired self-care and labor. 220 patients (control group) examined by conventional scales. Was used a computer program “Express-examination of patients with pathology of the brush” for the calculation and assessment of the patient with trauma brush at the beginning and end of treatment, and evaluation of effectiveness of treatment and rehabilitation.

The results

Using a program allowed the objectify and to present not only in the analog-to-quality form but affordable to aggregate the digital value as self brush injury, and held the effectiveness of treatment and rehabilitation, monitoring the quality of surgical care. Comparative evaluation of the results of a survey on the proposed criteria showed a high degree of reliability and correlation with the assessment on the known scales. In the program is based on objective and subjective criteria brush injuries, as set out above. Calculation of the patients with pathology of the brush is held on the basis of accounting and physiological indicators of the nature of the disease, followed by an analog indication of the result of the survey, as well as the impact of therapeutic action according to the comparison of the initial and final state. The program includes the Part of passport (information about the patient), evaluation sheets before and after treatment, description of treatment, a list of patients (current and archive), and also allows you to obtain a hard conclusion. Using a computer program for rapid examination of patients with pathology of the brush has greatly simplified the process of assessing the condition of patients.

Conclusions

Using a program allowed the maximum competently and efficiently, choose the tactics of treatment, objectively assess the condition of patients before and after therapy, perform quality checks on treatment of patients with injuries of the hand and their consequences, as well standardize criteria for evaluating the effectiveness of treatment.

Key Words

Burns, treatment, brush, a computer test program, damaged hand, the effectiveness of treatment.

Biography

Fiona Wood has been a burns surgeon and researcher for the past 20 years and is Director of the Burns Service of Western Australia (BSWA). She is a Consultant Plastic Surgeon at Fiona Stanley Hospital (previously at Royal Perth Hospital) and Princess Margaret Hospital for Children. She is the current ANZBA President.

About ANZBA

ANZBA is a not for profit organisation and the peak body for health professionals responsible for the care of the burn injured in Australia and New Zealand. ANZBA encourages higher standards of care through education, performance monitoring and research.

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