Function and quality of life one to four years following major hand injury – a cross-sectional survey

This study explored function, symptoms and health-related quality of life, one to four years post-replantation or revascularization of one or multiple fingers or the hand. Data regarding injury, function, work status, symptoms, sense of coherence and health-related quality of life (EQ-5D-5 L) were collected via phone interview, online survey, and medical records. Function was measured using the Disability of the Arm, Shoulder and Hand questionnaire (DASH), and injury severity was assessed using the Modified Hand Injury Severity Score. Sixty patients participated, they had a median DASH score of 15.8 and median EQ-5D VAS score of 77. Ninety-five percent had returned to their previous work situation. Cold intolerance and stiffness were the most persistent symptoms. Results showed no correlation between injury severity and DASH (rs = 0.1), but a significant correlation between sense of coherence and DASH (rs = 0.43). Overall, function and health-related quality of life were only slightly impacted 1-4 years post-injury.