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Published in: Journal of Orthopaedic Surgery and Research 1/2024

Open Access 01-12-2024 | Distal Radius Fracture | Research article

The association of ICUC trauma score and quick DASH in a distal radius fracture cohort

Authors: Wen-Chih Liu, Magdalena Hartwich, Joseph J. Locascio, Pietro Regazzoni, Jesse B. Jupiter, Alberto Fernandez Dell’Oca

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2024

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Abstract

Background

This study evaluates the association between ICUC trauma and short-form Disabilities of the Arm, Shoulder, and Hand Questionnaire (Quick DASH) scores among patients who underwent surgery for distal radius fractures.

Methods

This research gathered patient-reported outcomes (PROs) from patients registered in the ICUC database at a single trauma center. The study involved 76 adult patients who underwent surgical treatment for distal radius fractures before 2023. These patients received a volar locking plate for their distal radius fracture. The research utilized two different PROs to evaluate the patients’ conditions. The ICUC trauma score measures functional impairment and pain through two 5-point scale questions, allowing patients to self-assess these aspects. The Quick DASH, comprising 11 questions, was used to evaluate symptoms and functionality of the upper extremity.

Results

For patients aged 55.9 ± 15.3 years and 4.6 ± 3.9 years post-op follow-up, the ICUC trauma score was 0.70 ± 0.95, and Quick DASH was 6.07 ± 10.35. A strong correlation between ICUC and Quick DASH was identified (r = 0.71, P < 0.01). The interaction between the ICUC trauma score and age at the surgery to Quick DASH revealed a significant unstandardized partial regression coefficient of 0.19 (95% confidence interval 0.08–0.31; P < 0.01).

Conclusion

This study demonstrated a strong correlation between the ICUC trauma score and the Quick DASH among patients, especially the elderly. It was noted that an elevation in the ICUC trauma score is linked to a more marked increase in the Quick DASH score, particularly in older patients. Given its simplicity and efficacy, the ICUC trauma score may be a viable alternative to the Quick DASH for assessing the patient’s clinical outcomes.
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Metadata
Title
The association of ICUC trauma score and quick DASH in a distal radius fracture cohort
Authors
Wen-Chih Liu
Magdalena Hartwich
Joseph J. Locascio
Pietro Regazzoni
Jesse B. Jupiter
Alberto Fernandez Dell’Oca
Publication date
01-12-2024
Publisher
BioMed Central
Published in
Journal of Orthopaedic Surgery and Research / Issue 1/2024
Electronic ISSN: 1749-799X
DOI
https://doi.org/10.1186/s13018-024-04623-0

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