Economical treatment-related burden assessment of maxillofacial trauma among Ukrainians patients

Abstract

Aim: Quantitative evaluation of prognostic correspondence between initial maxillofacial traumatic injury assessed by facial injury severity score and maxillofacial injury severity score, treatment cost and duration of hospitalization among Ukrainian patients. Methods: Design of present study was retrospective and based on the medical data of patients hospitalized with signs of maxillofacial trauma. Quantitative assessment of maxillofacial trauma was held with the use of facial injury severity score (FISS) and maxillofacial injury severity score (MFISS). Average treatment cost and hospitalization duration were used as coordinative criteria for economical treatmentrelated burden verification. Results: Levels of correlation between FISS, treatment charges and hospitalization duration were r=0.69 (р<0.05) and r=0.67 (р<0.05) respectively, while analogical correlations for MFISS were 0.74 (р<0.05) and 0.69 respectively (р<0.05). Statistical correspondence between FISS and MFISS scores among study sample reached r=0.71 (р<0.05). Cases with milder maxillofacial trauma types, characterized with initial lower levels of FISS and MFISS scores, demonstrated greater degree of FISS-to-MFISS inter-relation compare to cases with severe maxillofacial trauma. Conclusion: Even though FISS and MFISS scores both demonstrated reliable levels of correlation with hospitalization duration and cost of dental rehabilitation after maxillofacial trauma injury, but MFISS approach characterized by prognostically greater level of statistical relationship with economically related treatment derivates. Moreover, differentiation capabilities of MFISS is relative greater than FISS, since independent grading of separate functional disabilities becomes possible.

Mapping Evidence on the Epidemiology and Cost Associated with Maxillofacial Injury among Adults in Sub-Saharan Africa: A Scoping Review Protocol

“…Studies have identified the commonest mechanisms of injury in the maxillofacial region as; motor vehicle and motorcycle collisions [ 12 , 13 , 14 ], assault [ 8 , 15 , 16 ], and falls [ 17 , 18 ]. Additionally, MI has been identified as one of the commonest forms of injury in gender-based violence [ 19 , 20 , 21 ].…”

“…This disproportionality in association results from the lack of a functional injury surveillance system and the weakness in the medical certification of causes of death as per international classifications [ 42 ]. The economic burden emanates from the management and rehabilitation associated with restoring aesthetic, physical, and functional damage [ 12 , 33 ] on the individual and the healthcare system [ 16 , 33 , 43 ]. The average cost for managing combined maxillofacial traumas per patient ranges from $1716 to $24,004 in Turkey and Malaysia, respectively [ 33 , 44 ].…”

Порівняння Даних Проєктів EURMAT Та WORMAT Щодо Епідеміології Травм Щелепно-Лицевої Ділянки

“…Вступ. Більшість доступних для аналізу досліджень, присвячених питанням епідеміології травм щелепнолицевої ділянки, є ретроспективними за своїм характером та були проведені на базі одного, рідко -декількох дослідницьких центрів (лікарень, клінік, відділень травматології), певного географічного регіону [1][2][3][4][5][6].…”