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Epidemiology of upper extremity peripheral nerve injury in South Korea, 2008 to 2018

Peripheral nerve injuries (PNIs) in the upper extremities is an important medical problem, causing significant morbidity at a relatively young age. The epidemiology of PNI in South Korea has not been comprehensively evaluated. The purpose of our study was to examine the incidence of upper extremity...

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Autores principales: Kim, Sung Jae, Kwon, Young Min, Ahn, Sang Min, Lee, Jang Hoon, Lee, Chang-Hun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9726405/
https://www.ncbi.nlm.nih.gov/pubmed/36482555
http://dx.doi.org/10.1097/MD.0000000000031655
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author Kim, Sung Jae
Kwon, Young Min
Ahn, Sang Min
Lee, Jang Hoon
Lee, Chang-Hun
author_facet Kim, Sung Jae
Kwon, Young Min
Ahn, Sang Min
Lee, Jang Hoon
Lee, Chang-Hun
author_sort Kim, Sung Jae
collection PubMed
description Peripheral nerve injuries (PNIs) in the upper extremities is an important medical problem, causing significant morbidity at a relatively young age. The epidemiology of PNI in South Korea has not been comprehensively evaluated. The purpose of our study was to examine the incidence of upper extremity PNI in South Korea based on an analysis of nationwide data and to investigate the association between PNI and patients’ demographic characteristics. Patient claims data from the Health Insurance Review and Assessment Service from 2008 to 2018 were collected. Demographic characteristics, such as the age, sex, region, admission route, length of hospital stay, healthcare facility level, and cost were evaluated. Annual incidence, body sites affected, damaged nerves, accompanying injuries, and surgical procedures were analyzed. Annual incidence trends, injured anatomical area, seasonal injury trends, and injury trend according to sex were also evaluated. A total of 57,209 cases were identified during the study period. Mean age was 39.7 ± 16.3 years. Of these cases, 51,651 (90.28%) were surgically treated. About 79% of accompanying injuries occurred in the hand area (hand lacerations, 69.5%; fractures or joint dislocations of the hands, 6.86%; crushing injuries of the hands, 2.67%). Overall, injuries to the digital nerve showed the greatest frequency (62.7%). In the upper arm and forearm, the ulnar nerve was most frequently injured; however, in the hand, radial nerve injuries were most common. The annual incidence rate per 100,000 persons decreased from 10.67 in 2008 to 7.88 in 2018. The annual incidence decreased by 0.98 times per year. PNI occurred 33.91 times more frequently in the finger than in the upper arm, and there were 1.16 times more PNIs in the summer and 2.14 times more in men. We investigated the incidence trend and epidemiologic characteristics of upper extremity peripheral nerve injury in South Korea from 2008 to 2018. A decreasing tendency of annual incidence was observed from 2013 onwards. Finger and digital nerve were most commonly injured, and the incidence of PNI was higher in the summer and in men.
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spelling pubmed-97264052022-12-09 Epidemiology of upper extremity peripheral nerve injury in South Korea, 2008 to 2018 Kim, Sung Jae Kwon, Young Min Ahn, Sang Min Lee, Jang Hoon Lee, Chang-Hun Medicine (Baltimore) 4400 Peripheral nerve injuries (PNIs) in the upper extremities is an important medical problem, causing significant morbidity at a relatively young age. The epidemiology of PNI in South Korea has not been comprehensively evaluated. The purpose of our study was to examine the incidence of upper extremity PNI in South Korea based on an analysis of nationwide data and to investigate the association between PNI and patients’ demographic characteristics. Patient claims data from the Health Insurance Review and Assessment Service from 2008 to 2018 were collected. Demographic characteristics, such as the age, sex, region, admission route, length of hospital stay, healthcare facility level, and cost were evaluated. Annual incidence, body sites affected, damaged nerves, accompanying injuries, and surgical procedures were analyzed. Annual incidence trends, injured anatomical area, seasonal injury trends, and injury trend according to sex were also evaluated. A total of 57,209 cases were identified during the study period. Mean age was 39.7 ± 16.3 years. Of these cases, 51,651 (90.28%) were surgically treated. About 79% of accompanying injuries occurred in the hand area (hand lacerations, 69.5%; fractures or joint dislocations of the hands, 6.86%; crushing injuries of the hands, 2.67%). Overall, injuries to the digital nerve showed the greatest frequency (62.7%). In the upper arm and forearm, the ulnar nerve was most frequently injured; however, in the hand, radial nerve injuries were most common. The annual incidence rate per 100,000 persons decreased from 10.67 in 2008 to 7.88 in 2018. The annual incidence decreased by 0.98 times per year. PNI occurred 33.91 times more frequently in the finger than in the upper arm, and there were 1.16 times more PNIs in the summer and 2.14 times more in men. We investigated the incidence trend and epidemiologic characteristics of upper extremity peripheral nerve injury in South Korea from 2008 to 2018. A decreasing tendency of annual incidence was observed from 2013 onwards. Finger and digital nerve were most commonly injured, and the incidence of PNI was higher in the summer and in men. Lippincott Williams & Wilkins 2022-12-02 /pmc/articles/PMC9726405/ /pubmed/36482555 http://dx.doi.org/10.1097/MD.0000000000031655 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
spellingShingle 4400
Kim, Sung Jae
Kwon, Young Min
Ahn, Sang Min
Lee, Jang Hoon
Lee, Chang-Hun
Epidemiology of upper extremity peripheral nerve injury in South Korea, 2008 to 2018
title Epidemiology of upper extremity peripheral nerve injury in South Korea, 2008 to 2018
title_full Epidemiology of upper extremity peripheral nerve injury in South Korea, 2008 to 2018
title_fullStr Epidemiology of upper extremity peripheral nerve injury in South Korea, 2008 to 2018
title_full_unstemmed Epidemiology of upper extremity peripheral nerve injury in South Korea, 2008 to 2018
title_short Epidemiology of upper extremity peripheral nerve injury in South Korea, 2008 to 2018
title_sort epidemiology of upper extremity peripheral nerve injury in south korea, 2008 to 2018
topic 4400
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9726405/
https://www.ncbi.nlm.nih.gov/pubmed/36482555
http://dx.doi.org/10.1097/MD.0000000000031655
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