Impact of Facial Fractures and Intracranial Injuries on Hospitalization Outcomes Following Firearm Injuries

Allareddy, Veerajalandhar; Nalliah, Romesh; Lee, Min Kyeong; Rampa, Sankeerth; Allareddy, Veerasathpurush

doi:10.1001/jamaoto.2014.61

Cited by 17 publications

(22 citation statements)

References 13 publications

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“…Our data may underestimate the total number of injuries resulting from penetrating neck trauma involving the carotid artery or jugular vein or injuries from hanging and strangulation as many of these patients are dead on arrival to the ED 12 or have other predominate injuries. The prevalence of facial fractures is lower than reported by Allareddy et al 6 ; in their analysis of the 2007 NEDS database, they identified craniofacial fractures coded in any of the 15 diagnostic columns provided and did not exclude intracranial injuries. However, the present report performed detailed analysis only of primary injuries attributed to the head, face, or neck to ensure regression results predicting mortality and admission could be attributed solely to head and neck injuries.…”

Section: Discussionmentioning

confidence: 79%

“…Recent estimates suggest the burden of trauma may be significantly greater; Allareddy et al identified 407,157 facial fracture-related ED visits in the United States in 2007, the majority of which were nasal fractures and infrequently resulted in admission (5). Using the Nationwide Emergency Department Sample, the same group identified 13,090 firearm injuries involving facial or skull fractures between 2003 and 2010 (6). …”

Section: Introductionmentioning

confidence: 99%

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Epidemiological Survey of Head and Neck Injuries and Trauma in the United States

Sethi

Kozin

Fagenholz

et al. 2014

Otolaryngol.--head neck surg.

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Background Trauma to the head and neck results in a range of injuries, spanning minor lacerations to life threatening airway compromise. Few studies provide a global analysis of trauma-injuries to the head and neck region. We aim to 1) describe head and neck injury prevalence, 2) quantify procedures, and 3) investigate outcomes, including predictors of admission and mortality. Study Design The 2011 U.S. Nationwide Emergency Department Sample was queried for encounters with a primary diagnosis of head and neck injury, as categorized by the Barell Injury Matrix. Weighted estimates for demographic data, injury category, and mechanism were extracted. Predictors of mortality and admission were determined by multivariable logistic regression. Results We identified 131 million ED encounters. A weighted total of 5,418,539 visits were related to primary injuries of the head and neck. Average patient age was 30 years (SE=0.4) and 56.8% were male. Sixty-four percent of injuries were attributed to fall or blunt trauma. Open wounds comprised 41.8% of injuries. The most common procedure was laceration repair (70%). The majority of patients (97%) were discharged home. Mortality rate was less than 1%. Predictors of admission and mortality (p<0.05) included multiple trauma, trauma to blood vessels, and burns. Other risk factors included foreign body, older age, and male gender. Conclusions We provide a landscape analysis of U.S. head and neck trauma, including investigation of types of injuries, and risk factors for admission and mortality. These data have broad implications for surgical training and resource management.

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Section: Discussionmentioning

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Epidemiological Survey of Head and Neck Injuries and Trauma in the United States

Sethi

Kozin

Fagenholz

et al. 2014

Otolaryngol.--head neck surg.

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“…[2][3][4][5][6][7][8][9][10][11] Studies have reported interpersonal violence as the etiology of 11-52% of all mandibular and facial fractures. 2,4,5,8,9,[23][24][25] The differences between these studies are mostly attributable to the differences in study settings including inpatient versus outpatient, age group of the patients, and country and region in which each study was performed.…”

Section: Discussionmentioning

confidence: 99%

“…1 Interpersonal violence and assault have been known as frequent mechanisms of facial fractures and several studies have identified the craniofacial region as the most common body part injured during interpersonal violence. [2][3][4][5][6][7][8][9][10][11][12][13][14] Facial fractures have a special place among injuries as the facial skeleton has a complex structure which protects the eyes, forms the airway, and is the entrance to the alimentary canal. It has also been shown that facial fractures are frequently accompanied by severe injuries of other body parts.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology and resource utilization in pediatric facial fractures

Soleimani

Greathouse

Sood

et al. 2016

Journal of Surgical Research

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“…The fact that these encompass trauma to soft and neurological tissue, the bone and sense organs, lead to create a situation where much is compromised, not only for the practitioner, but also for the patient´s quality of life (3). In the U.S., it has been reported that firearm injuries to facial and intracranial structures represent 15% of all hospitalizations due these type of impacts (4). In a local, Mexican context, studies have reported that firearm injuries represent up to 20% of all impacts in hospitalized settings (5,6).…”

Section: Introductionmentioning

confidence: 99%

Surgical Management of a Firearm Injury in the Infraorbital Area

et al. 2017

Odovtos - Int J Dent Sc

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The surgical management of firearm injuries to the zygomaticomaxillary complex is a topic that needs to be addressed with much care. The complications that can arise during treatment, as well as the potential residual problems that can appear, lead to the need of recognizing these injuries as a maxillofacial treatment challenge. The infraorbital zone is the second most common area of injury in the face, accounting for up to 45% of midfacial fractures. The case presented is of a 54 year old man affected by the backward firing of a gun rifle that caused an oblique impaction towards the posterior lateral inferior side of the infraorbital complex. He was rapidly stabilized with an antibiotic and analgesic scheme, yet presented the following: a comminute fracture of the orbit floor with consequent communication towards the maxillary sinus, a non-displacing fracture of the frontomalar suture, a non-displacing fracture of the zygomatic arch and a lesion with loss of osseous tissue in the petrous region of the temporal bone. Rigid fixation followed stabilization, and the area was covered with a titanium mesh. Occasional tinnitus and photopsia were reported by the patient upon return, yet all other evaluated factors were in order. There have been different forms of management described in the literature, and it is recognized that each patient has different needs, therefore each case must be closely evaluated, so it is approached in the most appropriate manner.

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Impact of Facial Fractures and Intracranial Injuries on Hospitalization Outcomes Following Firearm Injuries

Abstract: AND RELEVANCE Occurrence of intracranial injuries was an independent risk factor for poor outcomes. Teaching hospitals had higher mortality rates but also treated more complex cases than nonteaching hospitals.

Cited by 17 publications

References 13 publications

Epidemiological Survey of Head and Neck Injuries and Trauma in the United States

Epidemiological Survey of Head and Neck Injuries and Trauma in the United States

Epidemiology and resource utilization in pediatric facial fractures

Surgical Management of a Firearm Injury in the Infraorbital Area

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