An Epidemiological and Etiological Analysis of 5026 Peripheral Nerve Lesions from a European Level I Trauma Center.
epidemiology
nerve injury
nerve reconstruction
nerve treatment
peripheral nerve
trauma
Journal
Journal of personalized medicine
ISSN: 2075-4426
Titre abrégé: J Pers Med
Pays: Switzerland
ID NLM: 101602269
Informations de publication
Date de publication:
08 Oct 2022
08 Oct 2022
Historique:
received:
21
08
2022
revised:
01
10
2022
accepted:
06
10
2022
entrez:
27
10
2022
pubmed:
28
10
2022
medline:
28
10
2022
Statut:
epublish
Résumé
Peripheral nerve lesions are associated with debilitating long-term consequences. Albeit being essential for evidence-based clinical decision making, epidemiological and etiological data are scarce. We therefore aimed to comprehensively analyze epidemiological and etiological factors of peripheral nerve lesions in one of the largest cohorts. We screened a total of 110,667 patients treated at our level I trauma center between January 2012 and July 2020 for nerve lesions. Subsequently, demographics, etiologies, concomitant injuries, and lesion characteristics were analyzed. A total of 5026 patients, predominantly young males suffering from non-work-related nerve injuries, were treated. Proximal levels of injury were more likely to be accompanied by fractures, whereas more distal injuries with concomitant vessel or tendon injury. Main causes were 54.6% lacerations. Acute traumatic nerve injury was treated within 24 h in 55.9% of cases. Given the young age of affected patients, early diagnosis and treatment in specialized centers may facilitate their early return to work and improve long-term functional outcomes. The data show the importance of a special attention on nerve injuries, which may be masked by large accompanying injuries. New findings on lesion characteristics of selected subgroups and accompanying circumstances can support a change in treatment strategies.
Sections du résumé
BACKGROUND
BACKGROUND
Peripheral nerve lesions are associated with debilitating long-term consequences. Albeit being essential for evidence-based clinical decision making, epidemiological and etiological data are scarce. We therefore aimed to comprehensively analyze epidemiological and etiological factors of peripheral nerve lesions in one of the largest cohorts.
METHODS
METHODS
We screened a total of 110,667 patients treated at our level I trauma center between January 2012 and July 2020 for nerve lesions. Subsequently, demographics, etiologies, concomitant injuries, and lesion characteristics were analyzed.
RESULTS
RESULTS
A total of 5026 patients, predominantly young males suffering from non-work-related nerve injuries, were treated. Proximal levels of injury were more likely to be accompanied by fractures, whereas more distal injuries with concomitant vessel or tendon injury. Main causes were 54.6% lacerations. Acute traumatic nerve injury was treated within 24 h in 55.9% of cases.
CONCLUSIONS
CONCLUSIONS
Given the young age of affected patients, early diagnosis and treatment in specialized centers may facilitate their early return to work and improve long-term functional outcomes. The data show the importance of a special attention on nerve injuries, which may be masked by large accompanying injuries. New findings on lesion characteristics of selected subgroups and accompanying circumstances can support a change in treatment strategies.
Identifiants
pubmed: 36294812
pii: jpm12101673
doi: 10.3390/jpm12101673
pmc: PMC9605203
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
PLoS One. 2020 Apr 6;15(4):e0229530
pubmed: 32251479
Scand J Plast Reconstr Surg Hand Surg. 2004;38(6):347-55
pubmed: 15841802
Scand J Trauma Resusc Emerg Med. 2018 May 15;26(1):40
pubmed: 29764455
BMC Public Health. 2013 May 24;13:501
pubmed: 23706070
J Plast Surg Hand Surg. 2012 Sep;46(3-4):184-90
pubmed: 22686434
Int Rev Neurobiol. 2013;109:151-64
pubmed: 24093611
Handchir Mikrochir Plast Chir. 2018 Aug;50(4):232-240
pubmed: 29694987
Neurol India. 2017 May-Jun;65(3):551-555
pubmed: 28488619
J Bone Joint Surg Br. 2012 Apr;94(4):523-8
pubmed: 22434470
J Hand Surg Eur Vol. 2017 May;42(4):433-434
pubmed: 28399785
J Hand Surg Br. 2005 Feb;30(1):35-9
pubmed: 15620489
J Hand Surg Eur Vol. 2017 Jan;42(1):105
pubmed: 30178707
Ann Plast Surg. 2019 Dec;83(6):676-680
pubmed: 31688105
Scand J Trauma Resusc Emerg Med. 2018 Sep 10;26(1):76
pubmed: 30201025
Hand (N Y). 2022 Jul;17(4):615-623
pubmed: 33084377