Facial Fractures in the Aging Population

Atisha, Dunya; Allori, Alexander C.; Nolen, David; Ruane, Edward J.; Christie, Brian R.; Sharma, Ketan; Kellogg, Ryan; Maiga, Amelia W.; Puscus, Liana; Marcus, Jeffrey R.; Erdmann, Detlev

doi:10.1097/01.prs.0000421702.36644.c0

Cited by 3 publications

(4 citation statements)

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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%

“…Among all types of fractures in the older adults population, the prevalence of facial fractures has seen an increase over recent years, and more participation of older adults in recreational activities may be one of the reasons for this increase . Falls are the most common cause of facial fracture among older adults, 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 . 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%

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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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Section: Discussionmentioning

confidence: 66%

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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“…However, the number of maxillofacial fractures in the elderly with musculoskeletal, neurosensory disorders, reduced reflexes and poor eyesight increased over the past decades, especially due to falls . The severity of injuries in geriatric compared to younger patients is characterized as higher as well as lower depending on the study …”

Section: Introductionmentioning

confidence: 99%

Through the ages—Aetiological changes in maxillofacial trauma

Goedecke

Thiem²,

Schneider

et al. 2019

Dental Traumatology

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Aims The number of patients suffering maxillofacial trauma remains constant although the affected patients become older. The aim of this study was to illuminate the patterns of maxillofacial fractures in a University Medical Centre and to analyse potential changes in patient population and treatment methods during a 5‐year period. Materials and methods In a retrospective analysis, the records of 573 patients with maxillofacial fractures treated in a level one trauma centre from January 2010 to December 2014 were analysed with regard to gender, age, date and time of hospitalization as well as discharge, aetiology, type of fracture, surgery details, complications and further injuries. Causes were subdivided into assaults, falls, epileptic seizure, work‐related, traffic accident by car or bicycle, sport‐associated or others (eg caused by explosions, horse kicks or unknown). Results The most common causes for fractures were assaults (28.8%; n = 165), followed by falls (23.9%; n = 137), although falls became the main reason for maxillofacial fractures in 2013 and 2014. The mean age for patients suffering from facial fractures due to falls was significantly higher compared to those injured by other causes. Most commonly, fractures of the zygomatico‐maxillary complex with or without orbital floor involvement were seen (31.6%; n = 291) followed by fractures of the mandible (20.6%; n = 190) and fractures of the nose (15.2%; n = 140). Most patients were treated surgically (89.5%; n = 513) even though an increase in non‐surgical treatment was found over the examination period, especially in older patients. Conclusions Maxillofacial fractures are mostly seen in younger male patients. Assaults were the main pattern of injury during the whole examination period, although falls became the main cause in older patients over the last 2 years.

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“…Soft‐tissue lesions, particularly abrasions, swelling, and lacerations are frequently present. Maxillofacial fractures in the elderly are twice as frequent among elder women than men (Atisha et al., ; Berg et al., ; Kannus, Niemi, Parkkari, & Sievänen, ; Kim, Ahn et al., ; Li, Zhang, Li, Pei, & He, ; Schonnop et al., ; Yamamoto et al., ; Zelken et al., ).…”

Section: Oral Diseases and Elder Neglectmentioning

confidence: 99%

Elder neglect—Oral diseases and injuries

Petti¹

2018

Oral Diseases

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Elder neglect (EN) is the failure of a designated caregiver to meet the needs of a dependent older person. World EN prevalence, meta-analyzed in this study, is 1.0% or 1.8% according to different statistical methods. Referring alleged EN cases to Adult Protective Services (APSs) by healthcare workers (HCWs) is mandatory in many countries. However, only few claims are substantiated, as EN could be confused with SelfNeglect, and neglect could be unintentional or due to caregiver unawareness.Screening tools are inaccurate, and their use is discouraged by public health organizations, because they lead to too many false positives, which engulf the already overwhelmed APSs. HCWs need effective tools with objective judgments, which do not hamper the HCW-caregiver-patient rapport and prevent lawsuits when allegations are unfounded. Orofacial EN manifestations (poor oral/denture hygiene, lack of needed/improper dentures, dry mouth, skin/mucosal rashes) are essential Forensic Markers of EN. I classified EN-associated oral diseases according to the unmet needs into four groups: (1) traumatic injuries due to lack of caregiver vigilance (e.g., maxillofacial fractures); (2) diseases due to oral hygiene deficiency (e.g., root caries); (3) diseases typical of the elderly with late/no diagnosis (e.g., oral cancer); and (4) diseases typical of the elderly exacerbated by psychological distress (e.g., oral lichen planus). K E Y W O R D Selder neglect, oral and maxillofacial injuries, oral diseases

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Facial Fractures in the Aging Population

Cited by 3 publications

References 0 publications

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

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

Through the ages—Aetiological changes in maxillofacial trauma

Elder neglect—Oral diseases and injuries

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