Among Patients With Facial Fractures, Geriatric Patients Have an Increased Risk for Associated Injuries

Toivari, Miika; Suominen, Anna Liisa; Lindqvist, Christian; Thorén, Hanna

doi:10.1016/j.joms.2016.02.001

Cited by 31 publications

(42 citation statements)

References 20 publications

(36 reference statements)

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“…These specific characteristics of this age group explain the differences found in relation to the traumatic agent and the location of fractures in this group. The most common cause of facial injuries among the elderly was falls, which agreed with other studies 2,6,[9][10][11][12] , although traffic accidents were the most frequent cause of facial traumas among the 60-69 years age group.…”

Section: Discussionsupporting

confidence: 90%

Elderly patients with facial trauma: a 10 year review

Giacomin

Conto

Siqueira³

et al. 2017

Rev. bras. geriatr. gerontol.

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Objective: to analyze the epidemiological profile of geriatric patients with facial trauma treated at a Maxillofacial Surgery Department in southern Brazil over a period of 10 years. Methods: a retrospective analysis of the medical records of patients aged over 60 years treated for facial trauma in the period from January 2001 to December 2010 was performed. Result: of a total of 1,385 analyzed medical records of patients with facial trauma, 86 (6.2%) belonged to the group aged 60-89 years. The male gender was the most affected and the age group 60-69 years was the most frequently involved. The middle third was the most affected, and the zygomatic bone was the most commonly fractured. Conclusion: special attention should be given to the 60-69 age group, as while such patients present physiological changes inherent to aging, they remain active in society and exposed to risk factors for facial trauma.

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Section: Discussionsupporting

confidence: 90%

Elderly patients with facial trauma: a 10 year review

Giacomin

Conto

Siqueira³

et al. 2017

Rev. bras. geriatr. gerontol.

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“…Associated injuries are frequent in geriatric patients . In the present study, the most common concomitant injuries affected the upper (and lower) limbs (41.9%) as well as the neurocranium (34.8%), with a high proportion of cerebral contusion (34.1%) and intracranial bleeding (8.8%).…”

Section: Discussionmentioning

confidence: 49%

Changing trends in epidemiology and management of facial trauma in a Swiss geriatric population

et al. 2019

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Objective To assess the prevalence and surgical treatment of facial fractures in a Swiss population aged 65 and over. Background The knowledge of the characteristics of geriatric trauma may help to prevent injuries and better allocate clinical resources for the management of multimorbid patients. Material and methods This study retrospectively evaluated a cohort of 181 patients who presented at the Bern University Hospital in Switzerland from May 2012 to September 2016. Data on age, gender, aetiology and type of trauma, treatment and complications, co‐morbidities and associated injuries were obtained. Results Women were most frequently affected (55.2%). Mean age was 80 years. Zygomatic complex fractures were the most frequent type of fractures (37%), followed by isolated orbital fractures (27.6%). Falls were the most common cause of trauma (76.1%). Thirty‐five per cent of all patients were taking anticoagulation or platelet aggregation medication. Hospitalisation was required in 88.4%, whereby 92.3% of the patients underwent surgical treatment. Surgery had to be performed immediately in three cases to treat compression of the optic nerve. Median hospital length of stay was 4 days, with 68% of patients returning to a domestic environment and 32% being transferred to another institution for further treatment. Conclusion The most common cause of facial injuries is a fall while standing in a domestic environment. Midface fractures were the most common type of fractures.

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“…In this nationwide, large database analysis, falls were the most common cause of facial fracture among the American older adults, as previous studies with smaller, regional samples have suggested . Falls among older adults are considered a public health issue, as fall‐related burden and costs are rising in many countries, placing a substantial economic challenge on society .…”

Section: Discussionmentioning

confidence: 66%

“…6 Among all types of fractures in the older adults population, the prevalence of facial fractures has seen an increase over recent years, 6 and more participation of older adults in recreational activities may be one of the reasons for this increase. 7 Falls are the most common cause of facial fracture among older adults, [8][9][10][11] and older adults are more likely to sustain higher morbidity related to facial trauma, having longer hospital stays, more associated injuries, and even death as a result of their injuries when compared to younger cohorts. 9,10 Important reasons for higher morbidity and mortality among older cohorts include the effects of facial trauma on breathing, swallowing, speech, chewing, and sight, which may impact older adults' functionality and thus independence.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of facial fractures among older adults: A retrospective analysis of a nationwide emergency department database

Marchini

Allareddy

2019

Dental Traumatology

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Background/Aims The prevalence of facial fractures among older adults has increased in recent years, and nationwide studies about the epidemiological profile and outcomes of hospital‐based ED visits for facial fractures among older adults are scarce. The aim of this study was to provide USA‐wide data of hospital‐based Emergency Department (ED) visits for facial fractures among older adults, and to investigate the outcomes associated with these visits. Material and Methods The Nationwide Emergency Department Sample (NEDS) for the years 2008‐2014 was used for the present study. All ED visits with a diagnosis of facial fractures in any of the diagnoses fields and only patients aged 65 years and above were included. Results A total of 540 748 ED visits matched the criteria (62.7% were females). Public insurance—Medicare—(85.2%) was the most common payer. The three most frequent facial fractures included fractures of the nasal bones (61.3%), fractures of “other” facial bones (16.7%), and fractures of the orbital floor (15.0%). Falls were the most common causes of facial fractures (81.8%). Following ED visits, 64.1% were treated and released, and 30.6% were admitted into the hospital. The mean ED charge per visit was US$5507. Total ED charges across the entire United States was US$2 518 289 555. Conclusions Among older adults, nasal bone fractures are the most common type of facial fracture. Facial fractures are mainly caused by falls. There was no significant trend in mortality rates over the study period, and there was a significant financial burden associated with the facial fracture‐related ED visits.

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Among Patients With Facial Fractures, Geriatric Patients Have an Increased Risk for Associated Injuries

Abstract: AIs are much more frequent and severe in geriatric patients, and the elderly die more often of their injuries. The results emphasize that elderly patients require specific attention and multi-professional collaboration in the diagnosis and sequencing of trauma treatment.

Cited by 31 publications

References 20 publications

Elderly patients with facial trauma: a 10 year review

Elderly patients with facial trauma: a 10 year review

Changing trends in epidemiology and management of facial trauma in a Swiss geriatric population

Epidemiology of facial fractures among older adults: A retrospective analysis of a nationwide emergency department database

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