Cut-Off Value for Self-Reported Abnormal Cold Sensitivity and Predictors for Abnormality and Severity in Hand Injuries

Research output: Contribution to journalArticle


Our aim was to identify a cut-off value for self-reported, abnormal cold sensitivity and to identify cold sensitivity predictors after hand injuries. The Cold Intolerance Symptom Severity (CISS) questionnaire and a VAS question concerning discomfort on exposure to cold were investigated in 94 normal people and 88 patients. A CISS score >450 was defined as abnormal cold sensitivity. Multiple injured digits, an increased number of injured vessels, complete nerve injury and replantation were variables associated with high VAS scores. Factors linked to both abnormality and worse CISS or VAS scores were: the presence of bone injury; a larger number of repaired vessels; the use of vascular grafts and a high Hand Injury Severity Score (HISS). The causes of abnormality and severity suggest a multifactorial aetiology with bony, vascular and neural components. A cut-off for abnormality is useful for descriptive, comparative and assessment purposes.


Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Surgery


  • hand injury severity score, predictors, cold intolerance symptom severity questionnaire, cold intolerance, visual analogue scale, traumatic hand injuries, cut-off, abnormality
Original languageEnglish
Pages (from-to)409-416
JournalJournal of Hand Surgery, European Volume
Issue number5
Publication statusPublished - 2010
Publication categoryResearch