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Extra help required by litigants after simple fractures--a questionnaire based study.

John J Atkinson1, Mark J Woods, Martyn E Lovell

  • 1South Manchester University Hospitals NHS Trust (SMUHT), South Moor Road, Wythenshawe, Manchester, UK. phaedrus@fellnr.demon.co.uk

Injury
|May 25, 2005
PubMed
Summary

Patients seeking compensation for hand, wrist, foot, or ankle fractures required significantly more daily assistance. Litigants needed over 3 extra hours of help daily compared to non-litigants.

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Area of Science:

  • Orthopedics
  • Rehabilitation Medicine
  • Health Economics

Background:

  • Fractures of the extremities often necessitate assistance with daily activities.
  • The impact of litigation on patient-reported needs for care is not well-understood.

Purpose of the Study:

  • To assess the level of help required for activities of daily living (ADL) in patients with common extremity fractures.
  • To determine if compensation claims influence the reported need for assistance.

Main Methods:

  • A questionnaire-based interview was conducted with 100 patients attending a fracture clinic.
  • Patient-reported help with ADL in the first two weeks post-fracture was correlated with litigation status.

Main Results:

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  • Twenty-five percent of patients were litigating for their injuries.
  • Litigants reported significantly more help needed for dressing, shopping, cooking, housework, personal hygiene, and travel (p<0.0001), and feeding (p<0.0022).
  • Litigants required an average of 3.65 hours more daily assistance than non-litigants (6.4 vs. 2.75 hours).

    • Conclusions:

    • Litigation status significantly impacts the reported need for assistance with daily living activities following extremity fractures.
    • Fracture complications did not correlate with increased litigation.
    • The findings highlight a potential disparity in perceived needs based on legal involvement.