Biomedical subjects

Piotr Guzik

Publications and source records attributed to Piotr Guzik.

8 recordsLinked to original sources

PubMed2006

[Hand injuries in adolescents].

MATERIAL AND METHODS: Based on the materials of 134 adolescent patients (age 15-19) with hand injuries treated in the II Department of Surgery of the Jagiellonian University between 1987-2000 results of treatment were described. The adolescents constituted 11.8% of all patients treated due to hand injuries. RESULTS: Home was the most common place of the accident (59 patients - 44.01%), and the most common mechanism of injury was cutting by the glass or another sharp tool (61 patients - 45.52%). The mild and moderate injuries predominated (112 patients - 83.58%). 39 patients (29.10%) were treated after alcohol abuse; unfortunately. 35 patients (26.12%) were hospitalized from 1 to 24 days (av. 7.14 days). Time to obtain complete recovery reached max. 270 days but av. 55.56 days. Various degree of the persistent limitation of the hand function were observed in 65 patients (48.5%). Two of them (1.49%) got the disability pension and 8 (5.77%) had to change former job and activities. CONCLUSION: The time of the complete cure could be shorter and the extent of persistent post-traumatic impairment of the patients with the heavy hand injuries could be limited if they would be treated in the specialized centers for hand surgery.

Accidents, Home↗

PubMed2005

Alcohol-related hand injuries.

The study was based on 1199 patients consecutively treated for hand injuries in the Second Department of Surgery of the Jagiellonian University in Krakow between the years 1987 and 2000. Three hundred and twenty of these patients (26.6%) had consumed alcohol several hours before an accident. Data collected from an interview with the patient and a doctor on duty were used in the study. Routine tests for blood alcohol concentration were not carried out. Young men (89.3%), mostly manual workers (74.3%) (p<0.001), constituted the majority of patients in the alcohol group. They were younger on average (p<0.001) than sober patients. In most cases, the accident had happened at home (65.9%) (p<0.001) and the main cause of injury was a cut with glass (p<0.001). Despite only minor injuries they were treated in hospital due to their state of intoxication. The degree of hand disability was higher (p<0.05) than with sober patients. The average cost of treatment in a state of intoxication was more than twice as high as the cost of treatment in sober patients. Alcohol-related hand injuries present a major medical and socioeconomic problem.

Accidents↗

PubMed2005

[Evaluation of posttraumatic hand function in everyday activities].

The original Hand Disability Score (HDS) questionnaire which subjectively evaluates the quality of hand function in 25 one- and two-handed daily living activities was developed. The strict correlation (p < 0.001) between HDS and both severity of injury and objectively measured hand impairment was confirmed. The HDS may be used as a single estimation of hand function after treatment or as an evaluation of the progress of rehabilitation procedures.

Activities of Daily Living↗

PubMed2004

[Hand injuries in the Krakow Region].

The material of 1199 patients with hand injuries treated in the II Department of Surgery in Krakow within the years 1987-2000 was epidemiologically elaborated. The adult population in this region counts 850,228 thousand inhabitants, therefore the number of hand injuries demanding special procedures amounts 5.74 for 10 thousand inhabitants yearly. Hand injuries most frequently affected young manual workers before 40 years of age (p < 0.001). Almost one half of accidents occurred at home (45.29%), and only 19.68% were work-related (p < 0.001). Machinery accidents (34.87%) and cutting with glass (18.43%) were two the most common causes of these injuries (p < 0.001). After the operation, prevalent number of patients (72.56%) were treated as an outpatient. The mean period of whole treatment amounts 76.95 +/- 67.81 days. It has been depended on the severity of injury and complications as well (p < 0.001). 90.59% of patients returned to previous work, and 4.89% of patients had to change their work. Disability pension was given to 4.50% of all patients.

Accidents, Home↗

PubMed2004

[Occupational hand injuries].

BACKGROUND: Hand injuries are the most frequent bodily traumas sustained at work. The aim of the study was to assess hand injuries and the results of their treatment in a group of our patients. MATERIALS AND METHODS: The study covered 275 patients with occupational hand injuries treated in the II Department of Surgery, Collegium Medicum, Jagiellonian University, Kraków, during the years 1987-2000. The injury severity was estimated according to our own injury severity scale and the degree of hand disability according to the norms for certifying permanent posttraumatic disability issued by the Ministry of Health. The control group comprised 924 patients with non-occupational hand injuries treated in our Department in the same period. RESULTS: The study revealed that occupational hand injuries were more severe than those sustained in other conditions, their treatment was longer and posttraumatic disability more severe. CONCLUSIONS: More severe occupation-related injuries should be treated in hand surgery specialized centers.

Accidents, Occupational↗

PubMed2004

[Hand injuries in elderly patients].

We studied 1199 patients treated in II Department of Surgery in Cracow between 1987 and 2000. In the studied group, 138 patients were aged over 60 years. In most cases the injury took place at home (43.68%) and more often than not they occurred during operating mechanical equipment (52.89%) among which circular saw predominated (35.51%). It was revealed that the hand injuries of senior patients were more severe compared with the other patients and the permanent post-injury disability was more intense. The elderly patients with multi-tissue hand injuries should be treated in specialist centers. It is also essential to start as soon as possible the therapeutic rehabilitation (even during surgical treatment). Only such proceedings enable better final results of treatment.

Age Distribution↗

PubMed2003

[Incidence and risk factors of rebleeding from gastric and duodenal ulcers].

We present the analysis of risk factors of recurrence of bleeding in patients with gastric and duodenal ulcers. The group consisted of 178 patients hospitalized between 1998-2002. Among them there were 76 patients with gastric ulcers and 102 patients with duodenal ulcers. The recurrence of bleeding was observed in 24.3% patients with gastric ulcer and 21.8% of patients with duodenal ulcer. The most important risk factors were: localization of ulcers, intensity of bleeding according to Forrest scale, presence of concomitant diseases, shock on admission and H. pylori infection. 26.3% of patient with gastric ulcer and 36.4% with duodenal ulcer needed emergency operation. The mortality rate among patients with gastric ulcer was 15.6% and with duodenal ulcer 13.6%.

Adult↗

PubMed2003

[The economic impact of hand injury].

Basing on 170 cases treated at the II Surgery Department of the Medical Faculty of Kraków University, the authors have tried to assess the direct and indirect costs of treatment of hand injuries. The rates negotiated between the Małopolska NHS Provides and the University Hospital were analyzed in order to assess direct treatment costs of hand injuries. Indirect cost assessment was based on analysis of insurance costs sustained by insurance providers. The analysis showed that over 96% of total treatment costs are indirect expenses related to compensation, work absence and disability pensions. The costs could probably be extensively reduced if hand injuries were referred directly to specialized surgery units.

Adolescent↗