Defining Population-Specific Craniofacial Fracture Patterns and Resource Use in Geriatric Patients

Mundinger, Gerhard S.; Bellamy, J; Miller, Devin; Christy, Michael R.; Bojovic, Branko; Dorafshar, Amir H.

doi:10.1097/01.prs.0000475800.15221.cd

Cited by 21 publications

(15 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although such changes in bone density have been shown to extend to facial bones, our data demonstrate an overall male predominance among this injury population (60.5%). This finding differs from fractures seen throughout the rest of the body, where certain fractures have a strong female predominance, as well as from previous studies showing significantly higher rates of facial fractures in women among the older population . This finding suggests that facial fractures specifically due to recreational activities do not follow the typical distributions seen among fractures in older adults as a whole, which is an important distinction for health care professionals to keep in mind when considering facial trauma diagnosis and management, as well as preventive counseling.…”

Section: Discussioncontrasting

confidence: 83%

“…Mandible fractures have previously been associated with facial fractures in younger patients. 20,32 Hence, while results for women and men 65 years of age or older coincide with previous findings 20 and depend largely on structural changes associated with sex and age, fractures sustained during recreation by men younger than 65 years of age are likely influenced more by the mechanism of injury and often display different fracture patterns.…”

Section: Recreational Activity and Facial Trauma Among Older Adultssupporting

confidence: 80%

“…Many analyses have demonstrated a positive association between facial fractures among older adults, longer hospital stays, and mortality rates, all leading to a greater health care burden. 20 There are several potential reasons for this association, including the profound effect that facial trauma may have on independence and functionality, including effects on breathing, speech, swallowing, and sight. Nonetheless, extensive investigations into fractures among adults focus largely on injuries elsewhere throughout the body, and there remains a paucity of literature detailing the causes of facial fractures among older adults.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…This finding differs from fractures seen throughout the rest of the body, where certain fractures have a strong female predominance, 31 as well as from previous studies showing significantly higher rates of facial fractures in women among the older population. 20 This finding suggests that facial fractures specifically due to recreational activities do not follow the typical distributions seen among fractures in older adults as a whole, which is an important distinction for health care professionals to keep in mind when considering facial trauma diagnosis and management, as well as preventive counseling. Furthermore, a survey-based study exploring sex differences in the rates of participation in recreational activities may help further elucidate the considerations responsible for our findings.…”

Section: Recreational Activity and Facial Trauma Among Older Adultsmentioning

confidence: 97%

See 4 more Smart Citations

Recreational Activity and Facial Trauma Among Older Adults

Plawecki

Bobian

Kandinov

et al. 2017

JAMA Facial Plast Surg

View full text Add to dashboard Cite

IMPORTANCEAs the US population ages, public health agencies have released guidelines encouraging aerobic activity and muscle-strengthening exercises among older individuals. Facial trauma from such activities among elderly individuals has long been underappreciated.OBJECTIVES To evaluate the incidence of recreational activity-associated facial fractures among older adults and to further delineate injury characteristics including demographics, fracture location, and specific activities. DESIGN, SETTING, AND PARTICIPANTSThe National Electronic Injury Surveillance System was used to collect data on emergency department visits from January 1, 2011, to December 31, 2015, for individuals 55 years of age or older who sustained facial fractures from recreational activities. Individual entries were evaluated for activity code, fracture site, and demographics. Weighting data were used to extrapolate national incidence. MAIN OUTCOMES AND MEASURES Incidence and location of facial fractures and associated recreational activity.RESULTS During the study period, there were 20 519 emergency department visits for recreational activity-associated facial fractures among adults 55 years of age or older (8107 women and 12 412 men; mean [SD] age, 66.5 [9.1] years). The annual incidence of facial fractures increased by 45.3% from 2011 (n = 3174) through 2015 (n = 4612). Bicycling (26.6%), team sports (15.4%), outdoor activities (10.1%), and gardening (9.5%) were the most common causes of facial fractures. Walking and jogging caused 5.5% of fractures. In cases specifying site of fracture, nasal (65.4%) and orbital (14.1%) fractures were the most common. A greater proportion of men than women sustained bicycle-associated fractures (35.7% vs 14.9%; P = 3.1056 × 10 −170 ), while more women than men sustained fractures associated with gardening (15.5% vs 6.1%; P = 2.1029 × 10 −97 ), outdoor activities (14.6% vs 7.7%; P = 4.3156 × 10 −50 ), and gym exercise (7.7% vs 1.3%; P = 3.0281 × 10 −114 ). Men harbored a greater likelihood than women of orbital (14.9% vs 12.8%; P = 6.1468 × 10 −5 ) and mandible fractures (9.3% vs 2.0%; P = 9.3760 × 10 −64 ). Walking and jogging and gardening comprised a greater proportion of injuries in older cohorts.CONCLUSIONS AND RELEVANCE Facial fractures sustained from recreational activity increased by 45.3% during a 5-year period among older adults. Although bicycling was the most common activity facilitating these injuries, many other pursuits represent areas of concern. Nasal fractures predominated, although orbital fractures increased with age. These findings offer areas for targeted prevention and provide valuable information for patient counseling. Furthermore, initiatives encouraging greater activity among this population may need to be accompanied by guidelines for injury prevention.LEVEL OF EVIDENCE NA.

show abstract

Section: Discussioncontrasting

confidence: 83%

Section: Recreational Activity and Facial Trauma Among Older Adultssupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Recreational Activity and Facial Trauma Among Older Adultsmentioning

confidence: 97%

See 3 more Smart Citations

Recreational Activity and Facial Trauma Among Older Adults

Plawecki

Bobian

Kandinov

et al. 2017

JAMA Facial Plast Surg

View full text Add to dashboard Cite

show abstract

Health Disparities Research in Facial Plastic and Reconstructive Surgery: A Scoping Review

Barr,

Mackie,

Gorelik

et al. 2024

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

ObjectiveHealth disparities contribute significantly to disease, health outcomes, and access to care. Little is known about the state of health disparities in facial plastic and reconstructive surgery (FPRS). This scoping review aims to synthesize the existing disparities research in FPRS and guide future disparities‐related efforts.Data SourcesPubMed, Embase, Web of Science.Review MethodsWe conducted a scoping review in adherence with the Preferred Reporting Items for Systematic reviews and Meta‐Analyses extension for Scoping Reviews checklist. Our search included all years through March 03, 2023. All peer‐reviewed primary literature of any design related to disparities in FPRS was eligible for inclusion.ResultsOf the 12283 unique abstracts identified, 215 studies underwent full‐text review, and 108 remained for final review. The most frequently examined topics were cleft lip and palate (40.7%), facial trauma (29.6%), and gender affirmation (9.3%). There was limited coverage of other areas. Consideration of race/ethnicity (68.5%), socioeconomic status (65.7%), and gender/sex (40.7%) were most common. Social capital (0%), religion, occupation, and features of relationships were least discussed (0.01% each). The majority of studies were published after 2018 (59.2%) and were of nonprospective designs (95.4%). Most studies focused on disparity detection (80.6%) and few focused on understanding (13.9%) or reducing disparities (0.06%).ConclusionThis study captures the existing literature on health disparities in FPRS. Studies are concentrated in a few areas of FPRS and are primarily in the detecting phase of public health research. Our review highlights several gaps and opportunities for future disparities‐related focus.

show abstract