Alcohol-related hand injuries: an unnecessary social and economic cost

R A Marston1

  • 1Department of Plastic Surgery, West Norwich Hospital, Norfolk.

Insights

Severe hand injuries are a major cause of plastic surgery referrals, often leading to longer wait times. A significant portion of these injuries are preventable, alcohol-related incidents, impacting healthcare costs.

Area of Science:

  • Plastic Surgery
  • Trauma Surgery
  • Public Health

Background:

  • Severe hand injuries represent a significant burden on plastic surgery units.
  • Patient admissions for hand injuries can displace elective procedures, increasing waiting lists.

Purpose of the Study:

  • To analyze the incidence and causes of severe hand injuries presenting to a plastic surgery unit.
  • To identify the proportion of these injuries that are alcohol-related and preventable.
  • To discuss the economic implications for the plastic surgery unit.

Main Methods:

  • Retrospective analysis of patient referrals and admissions for severe hand injuries.
  • Data collection on injury mechanisms, patient demographics, and alcohol involvement.
  • Assessment of the impact on hospital bed availability and waiting list times.

Main Results:

  • Severe hand injuries are the leading cause of acute referrals to the plastic surgery unit.
  • A high percentage of these injuries were found to be alcohol-related.
  • These preventable injuries contribute to bed shortages and extended waiting list times.

Conclusions:

  • Alcohol-related severe hand injuries place a substantial strain on plastic surgery resources.
  • Interventions aimed at reducing alcohol consumption could mitigate the incidence of these injuries.
  • Addressing the economic cost associated with these preventable injuries is crucial for resource management.

Related Concept Videos

Alcohols from Carbonyl Compounds: Reduction02:23

Alcohols from Carbonyl Compounds: Reduction

Reduction is a simple strategy to convert a carbonyl group to a hydroxyl group. The three major pathways to reduce carbonyls to alcohols are catalytic hydrogenation, hydride reduction, and borane reduction.
Catalytic hydrogenation is similar to the reduction of an alkene or alkyne by adding H2 across the pi bond in the presence of transition metal catalysts like Raney Ni, Pd–C, Pt, or Ru. Aldehydes and ketones can be reduced by this method, often under mild to moderate heat (25–100°C) and...
Protection of Alcohols02:31

Protection of Alcohols

This lesson delves into the concept of protection and deprotection of a functional group fundamental to synthetic organic chemistry. These phenomena are explained in the context of aliphatic and aromatic alcohols.
Protection
It defines a protecting group as the masking agent to make the more reactive species inert to a given set of conditions. This concept is depicted via the illustration of liquid flow through different outlets in an assembly of pipes. The analogy helps to understand the role...
Hand hygiene01:23

Hand hygiene

Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Burn Injuries01:22

Burn Injuries

Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
CNS Depressants: Alcohol and Nicotine01:27

CNS Depressants: Alcohol and Nicotine

Ethanol, a clear colorless alcohol, has been consumed by humans for millennia, but its effects on the body are far from benign. At lower doses, it induces decreased inhibitions and loquaciousness, leading to its social appeal. However, it can cause severe consequences at higher doses, such as coma and respiratory depression, due to its zero-order elimination kinetics. Chronic ethanol abuse wreaks havoc on multiple organ systems, particularly the CNS and the liver. Abrupt cessation of ethanol...
Stress Prevention and Stress Management Techniques IV01:26

Stress Prevention and Stress Management Techniques IV

Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...