General/Vascular Session
AB080. SOH24AB_212. The MISHAP trial: managing injuries—A study of hand appearance and psychosocial dysfunction
Iulia Marinescu1, Eimear Phoenix2,3, Ellen Geary3,4, Roisin Dolan2,3, Lylas Aljohmani2, Diarmuid McLaughlin5, Jordan Wilkinson2, Colin Morrison2, Paul D’Alton6
1School of Medicine, University College Dublin, Dublin, Ireland;
2Department of Plastic Surgery, St. Vincent’s University Hospital, Dublin, Ireland;
3Department of Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland;
4Department of Plastic Surgery, Mater Misericordiae University Hospital, Dublin, Ireland;
5School of Psychology, University College Dublin, Dublin, Ireland;
6Department of Psychology, St. Vincent’s University Hospital, Dublin, Ireland
Background: Over 24 million hand injuries occur globally every year. Patients suffer chronic pain, functional impairment and loss of income, causing significant psychological distress. The aim of this study was to investigate the functional and psychosocial impact of hand injuries and their association with injury severity.
Methods: A single-centre, prospective, observational study was conducted over a six-month period in St. Vincent’s University Hospital. Patients with traumatic hand injuries were assessed for inclusion. Patient-reported outcome measures were collected at two and six weeks postoperatively using the Disabilities of the Arm, Shoulder and Hand (DASH) scale, Derriford Appearance Scale-24 (DAS-24), Conor-Davidson Resilience Scale-25 (CD-RISC-25), Post Traumatic Growth Inventory-Short Form (PTGI-SF), Hospital Anxiety and Depression Scale (HADS) and Short Form-36 (SF-36). The hand injury severity score (HISS) and demographic data were obtained from medical records. Paired samples t-test and correlation analyses were performed to analyse data.
Results: Data were collected from 62 patients at baseline and 44 (71%) at follow-up. The mean age was 44 years (range: 20–72 years) with a male preponderance (89%). The mean HISS was 38 (range: 2–204), with 21% scoring severe injuries. HADS, DASH, SF-36 and CD-RISC-25 scores were less favourable than the general population mean. Ten and fourteen percent of participants had above-average DAS-24 scores at baseline and follow-up, respectively. HADS, DASH and SF-36 scores significantly improved at follow-up. Scores were not significantly correlated with HISS.
Conclusions: Our patient cohort demonstrated higher-than-average psychological distress and functional disability, irrespective of injury severity, highlighting the need for psychological input in the multidisciplinary management of hand trauma.
Keywords: Appearance anxiety; function; hand injury; outcomes; psychological distress
Acknowledgments
Funding: None.
Conflicts of Interest: The authors have no conflicts of interest to declare.
Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.
doi: 10.21037/map-24-ab080
Cite this abstract as: Marinescu I, Phoenix E, Geary E, Dolan R, Aljohmani L, McLaughlin D, Wilkinson J, Morrison C, D’Alton P. AB080. SOH24AB_212. The MISHAP trial: managing injuries—A study of hand appearance and psychosocial dysfunction. Mesentery Peritoneum 2024;8:AB080.
