Effects of loss of consciousness on maxillofacial fractures in simple falls

Hino, Shunsuke; Yamada, Miki; Araki, Ryuichiro; Kaneko, Takahiro; Horie, Norio

doi:10.1111/edt.12452

Cited by 11 publications

(23 citation statements)

References 32 publications

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“…The association between falls and AC seems to be worth examining because falls are among the most frequent causes of facial bone fractures (Boffano et al, 2015b; Boffano, Kommers, Karagozoglu, & Forouzanfar, 2014). A simple fall is a fall that is not affected by height, because a fall from a height causes more severe injuries (Hino, Yamada, Araki, Kaneko, & Horie, 2019). Therefore, it is reasonable to think that a simple fall is a good example to compare the effects of AC on patients with falls.…”

Section: Introductionmentioning

confidence: 99%

Effects of alcohol consumption on maxillofacial fractures in simple falls

Hino

Yamada

Iijima

et al. 2020

Clinical & Exp Dental Res

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Objectives: This study aimed to investigate the effects of alcohol consumption (AC) on maxillofacial fractures caused by falls on a level surface (simple falls). Material and Methods: Patients with maxillofacial fractures caused by falls who visited the Oral and Maxillofacial Surgery Clinic from January 2006 to December 2016 were evaluated. Patients with simple falls were subdivided into those who fell with AC (Falls with AC) and those who fell without AC (Falls without AC). Results: Of 180 patients with falls with maxillofacial fractures, 155 had simple falls, and 25 patients had falls from a height. Of the simple falls, 52 were Falls with AC, and 102 were Falls without AC. Falls with AC were significantly more frequent in males (p = .0005). The average number of fracture lines in the mandible was significantly higher in Falls with AC (2.13 ± 0.99 [mean ± SD]) than in Falls without AC (1.76 ± 0.91) (p = .011). The average Facial Injury Severity Scale was significantly higher in Falls with AC (3.08 ± 1.43) than in Falls without AC (2.43 ± 1.29) (p = .007). Conclusions: Falls with AC were associated with more severe maxillofacial fractures than Falls without AC.

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Section: Introductionmentioning

confidence: 99%

Effects of alcohol consumption on maxillofacial fractures in simple falls

Hino

Yamada

Iijima

et al. 2020

Clinical & Exp Dental Res

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“…This seven-year exploratory study showed that traffic accidents are the main etiological agent of MFT, followed by falls, similar to what has been reported in other studies ( 2 , 3 , 5 - 8 , 13 - 24 ). Traffic accidents and falls are two of the leading causes of trauma worldwide, including MFT ( 1 , 5 , 7 , 9 - 11 ).…”

Section: Discussionmentioning

confidence: 99%

“…Studies have shown that traffic accidents and falls are the most prevalent etiologies of MFT ( 5 - 9 ). These etiologies represent real challenges both for the management of public policies targeting the care of this population through the implementation of primary care programs focused on the prevention of the main etiological factors and the factors associated with MFT and for the care professionals involved in the treatment of increasingly severe injuries ( 1 , 5 , 6 , 7 , 9 - 11 ).…”

Section: Introductionmentioning

confidence: 99%

“…MFT related to traffic accidents is more common among males 21 to 40 years of age ( 1 - 3 , 5 , 8 , 9 , 11 - 19 ), while falls are the main causes of MFT in children and the elderly ( 5 , 10 , 11 ). Factors such as alcohol consumption ( 8 , 10 , 20 ), urban violence and the violation of traffic rules contribute to the increasing prevalence of MFT ( 8 , 12 , 13 , 14 ).…”

Section: Introductionmentioning

confidence: 99%

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Maxillofacial trauma due to traffic accidents and falls: an exploratory study of associated factors

Porto¹,

Yw²,

Fd³

2021

Med Oral

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Background This study aimed to determine the pattern of Maxillofacial trauma (MFT) due to traffic accidents and falls in a reference hospital in a rural region of northeastern Brazil between December 2011 and December 2018 and to identify associated factors. Material and Methods This was a cross-sectional study using 585 medical records of patients with MFT. The data were subjected to a Poisson-Tweedie multiple regression analysis to estimate the Prevalence ratio (PR), with a 95% confidence interval (95% CI) and a significance level of p <0.05. Results MFT due to traffic accidents was more prevalent among patients 21 to 40 years old (PR=2.30; 95% CI=1.20-4.41; p <0.001) diagnosed with zygomatic-orbital complex fractures (PR=1.80; 95% CI=1.08-2.98; p =0.023). Falls were more frequent among older groups of 41 to 60 years (PR=1.83; 95% CI=1.09-3.06; p =0.022) and over 61 years (PR=2.23; 95% CI=1.09-3.06; p =0.022). In traffic accidents, alcohol consumption increased the length of stay (PR=2.081; 95% CI=1.553-2.787; p <0.001), and patients who did not use personal protective equipment (PPE) had higher hospital costs (PR=179.964; 95% CI=1.485-1.994; p <0.001) for this etiology. Traffic accidents and falls are two of the main etiologies of MFT, especially for males in the young adult age group (traffic accidents) and those above 41 years (falls). Alcohol consumption and the nonuse of PPE influenced the length of the hospital stay and hospital costs. Conclusions Strategies to confront this problem, such as road and highway improvements, effective enforcement of laws and intersectoral coordination involving the entire community to implement policies and prevention programs targeted at these populations, can be implemented. Key words: Maxillofacial Injuries, public policy, hospital cost.

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“…In the case of syncope, the occurrence of an injury is more frequent in cardiac syncope, in which a sudden "dead weight" fall occurs compared with reflex syncope where the decrease in blood pressure is usually slower resulting in a crumpling fall, usually accompanied by less injuries. Hino et al reported that patients with loss of consciousness and maxillofacial fractures tend to have more severe maxillofacial injuries than those without loss of consciousness (22). The absence of links between bone fracture and long-term prognosis (after exclusion from analysis of patients who died within 4 months) indicates that bone fracture should be considered a surrogate of other factors related to long-term survival and not directly determining survival.…”

Section: Discussionmentioning

confidence: 99%

Prognosis of Syncope With Head Injury: a Tertiary Center Perspective

Furtan

Pochciał

Timler

et al. 2020

Front. Cardiovasc. Med.

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Aim: Head injury is the most common trauma occurring in syncope. We aimed to assess whether syncope as cause of head-trauma affects short-and long-term prognosis. Methods: From a database retrospective analysis of 97,014 individuals attending Emergency Department (ED), we selected data of patients with traumatic head injury including age, gender, injury mechanism, brain imaging, multiple traumas, bone fracture, intracranial bleeding, and mortality. Mean follow-up was 6.4 ± 1.8 years. Outcome data were obtained from a digital national population register. The study population included 3,470 ED head injury patients: 117 of them (50.0 ± 23.6 years, 42.7% men) reported syncope as cause of head trauma and 3,315 (32.2 ± 21.1 years, 68.5% men) without syncope preceding head trauma. Results: Thirty-day mortality was low and similar in traumatic head injury with or without syncope. One year and long-term all-cause mortality were both significantly higher in syncopal vs. non-syncopal traumatic head injury (11.1 vs. 2.8% and 32 vs. 10.2%, respectively; both p < 0.001). In adjusted logistic regression analysis, death between 121st-day and 1 year in patients with head-trauma was associated with male gender [odds ratio (OR): 6.48; 95% CI: 2.59-16.25], advancing age (per year) (OR 1.09; 95% CI 1.07-1.11), Glasgow Coma Scale < 13 (OR: 6.18; 95% CI:1.68-22.8), bone fracture (OR 4.72; 95% CI 2.13-10.5), and syncope (OR 3.70; 95% CI: 1;48-9.31). In multivariable Cox regression analysis, syncope was one of the strongest independent predictors of long-term all-cause death (hazard ratio: 1.95; 95% CI 1.37-2.78). Conclusion: In patients with head trauma, history of syncope preceding injury does not increase 30-day all-cause mortality but portends increased 1 year and long-term mortality.

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Effects of loss of consciousness on maxillofacial fractures in simple falls

Cited by 11 publications

References 32 publications

Effects of alcohol consumption on maxillofacial fractures in simple falls

Effects of alcohol consumption on maxillofacial fractures in simple falls

Maxillofacial trauma due to traffic accidents and falls: an exploratory study of associated factors

Prognosis of Syncope With Head Injury: a Tertiary Center Perspective

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