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282 Follow-up for Evaluation for Nerve Repair Surgery: The Role of Socioeconomic and Geographic Factors in Victims of Violent Nerve Injury

OBJECTIVES/GOALS: We have created the first-ever database for all patients who have acute peripheral nerve injuries. Our goal is to use this data to construct two clinical scoring systems to facilitate triaging by emergency room physicians by 1.) identifying patients who would likely benefit from a...

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Autores principales: Liebendorfer, Adam, Marsh, Evan, Finnan, Michael, Bruce, Jordan, Skolnick, Gary, Kells, Amy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2022
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9209131/
http://dx.doi.org/10.1017/cts.2022.154
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author Liebendorfer, Adam
Marsh, Evan
Finnan, Michael
Bruce, Jordan
Skolnick, Gary
Kells, Amy
author_facet Liebendorfer, Adam
Marsh, Evan
Finnan, Michael
Bruce, Jordan
Skolnick, Gary
Kells, Amy
author_sort Liebendorfer, Adam
collection PubMed
description OBJECTIVES/GOALS: We have created the first-ever database for all patients who have acute peripheral nerve injuries. Our goal is to use this data to construct two clinical scoring systems to facilitate triaging by emergency room physicians by 1.) identifying patients who would likely benefit from a nerve surgery, and 2.) identify patients who are less likely to follow up. METHODS/STUDY POPULATION: Based on 2,606 consult emails from the Washington University in St. Louiss Division of Plastic and Reconstructive Surgery, from 2013 to 2019, we have identified more than 600 patient cases in which patients presented after an injury with any kind of nerve deficit. We have defined nerve deficits as any abnormality on motor or sensory exam of the extremities, excluding those younger than 18 years old and those with other disease processes that may affect function of the peripheral nervous system. Data for these patients was collected from electronic medical records and include handedness, nerve injured, operative details, area deprivation index decile, mechanism of injury, insurance and employment status, and whether injuries were a result of work or violence. RESULTS/ANTICIPATED RESULTS: Our plan is to provide the first descriptive statistics for such a population, as well as multiple regression analysis for our two endpoints, loss to follow up and need for surgery. Following regression analysis, we also look to perform cluster analysis to further study co-occurring clinical and social features that affect our endpoints. We are excitedly awaiting to perform the analysis after the final data has been collected. DISCUSSION/SIGNIFICANCE: Nerve injury is a common symptom of penetrating injuries. Many of the socioeconomic factors associated with increased risk for violent injury are also risk factors for decreased rates of follow up. This problem is particularly worrisome given that nerve repair surgery is only viable as an option to return function within the first year after injury.
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spelling pubmed-92091312022-07-01 282 Follow-up for Evaluation for Nerve Repair Surgery: The Role of Socioeconomic and Geographic Factors in Victims of Violent Nerve Injury Liebendorfer, Adam Marsh, Evan Finnan, Michael Bruce, Jordan Skolnick, Gary Kells, Amy J Clin Transl Sci Valued Approaches OBJECTIVES/GOALS: We have created the first-ever database for all patients who have acute peripheral nerve injuries. Our goal is to use this data to construct two clinical scoring systems to facilitate triaging by emergency room physicians by 1.) identifying patients who would likely benefit from a nerve surgery, and 2.) identify patients who are less likely to follow up. METHODS/STUDY POPULATION: Based on 2,606 consult emails from the Washington University in St. Louiss Division of Plastic and Reconstructive Surgery, from 2013 to 2019, we have identified more than 600 patient cases in which patients presented after an injury with any kind of nerve deficit. We have defined nerve deficits as any abnormality on motor or sensory exam of the extremities, excluding those younger than 18 years old and those with other disease processes that may affect function of the peripheral nervous system. Data for these patients was collected from electronic medical records and include handedness, nerve injured, operative details, area deprivation index decile, mechanism of injury, insurance and employment status, and whether injuries were a result of work or violence. RESULTS/ANTICIPATED RESULTS: Our plan is to provide the first descriptive statistics for such a population, as well as multiple regression analysis for our two endpoints, loss to follow up and need for surgery. Following regression analysis, we also look to perform cluster analysis to further study co-occurring clinical and social features that affect our endpoints. We are excitedly awaiting to perform the analysis after the final data has been collected. DISCUSSION/SIGNIFICANCE: Nerve injury is a common symptom of penetrating injuries. Many of the socioeconomic factors associated with increased risk for violent injury are also risk factors for decreased rates of follow up. This problem is particularly worrisome given that nerve repair surgery is only viable as an option to return function within the first year after injury. Cambridge University Press 2022-04-19 /pmc/articles/PMC9209131/ http://dx.doi.org/10.1017/cts.2022.154 Text en © The Association for Clinical and Translational Science 2022 https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
spellingShingle Valued Approaches
Liebendorfer, Adam
Marsh, Evan
Finnan, Michael
Bruce, Jordan
Skolnick, Gary
Kells, Amy
282 Follow-up for Evaluation for Nerve Repair Surgery: The Role of Socioeconomic and Geographic Factors in Victims of Violent Nerve Injury
title 282 Follow-up for Evaluation for Nerve Repair Surgery: The Role of Socioeconomic and Geographic Factors in Victims of Violent Nerve Injury
title_full 282 Follow-up for Evaluation for Nerve Repair Surgery: The Role of Socioeconomic and Geographic Factors in Victims of Violent Nerve Injury
title_fullStr 282 Follow-up for Evaluation for Nerve Repair Surgery: The Role of Socioeconomic and Geographic Factors in Victims of Violent Nerve Injury
title_full_unstemmed 282 Follow-up for Evaluation for Nerve Repair Surgery: The Role of Socioeconomic and Geographic Factors in Victims of Violent Nerve Injury
title_short 282 Follow-up for Evaluation for Nerve Repair Surgery: The Role of Socioeconomic and Geographic Factors in Victims of Violent Nerve Injury
title_sort 282 follow-up for evaluation for nerve repair surgery: the role of socioeconomic and geographic factors in victims of violent nerve injury
topic Valued Approaches
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9209131/
http://dx.doi.org/10.1017/cts.2022.154
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