Further development and validation of the Hamburger Prognosescores
Prediction of return to work and time off work in patients with hand injuries in the rehabilitation management provided by the German Social Accident Insurance
From 2012 to 2016, a pilot study had been carried out at the Department of Hand, Plastic and Microsurgery of the BG Klinikum Hamburg aiming to identify aspects that allow the prediction of return to work of patients treated according to the rehabilitation management of the German Social Accident Insurance. Based on data on functioning and contextual factors of nearly 500 patients with hand injuries who attended at least one session in the rehabilitation management at the BG Klinikum Hamburg two scores were developed: the Hamburger Prognosescore HandAF (return to work) and the Hamburger Prognosescore HandDAU (time off work). These scores contribute to the prediction of return to work and time off work of patients with hand injuries at admission to rehabilitation management.
The aim of this current study is to further develop and validate both scores by enlarging the data pool on which they are built on. A mono-centre prospective study is carried out at the Department of Hand, Plastic and Microsurgery at the BG Klinikum Hamburg. Data on functioning and contextual factors of 400 patients with simple and complex hand injuries in rehabilitation management are assessed and used to enlarge the data pool for the calculation of both scores. Based on this data pool the precision and predictive power of the scores will be checked, refined and adjusted if needed.
The recruitment phase was completed on 18.03.2020 due to the pandemic. The final report was submitted to the DGUV on time on 31.05.2021.
The project is a joint effort of the Department of Hand, Plastic and Microsurgery at the BG Klinikum Hamburg and the Chair for Public Health and Health Services Research – IBE at Ludwig-Maximilians-Universität (LMU) München.
05/2018 - 02/2021
The project is funded by the German Statutory Accident Insurance (Deutsche Gesetzliche Unfallversicherung, DGUV).
Dr. Michaela Coenen, MPH